Publication: Anthropometric and Nutritional status of Chronic Obstructive Pulmonary Disease presenting in Acute Exacerbation in Tertiary care Hospital in Eastern Nepal
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepalese Respiratory Society
Abstract
Abstract:
Background: There is scarcity of data regarding the nutritional status of COPD patients presenting in exacerbation in our setup, thus this observational study was conducted.
Methods: We performed an observational study of patients with acute exacerbation of COPD, who were admitted in the Department of Pulmonary, Critical care and Sleep Medicine in tertiary hospital in eastern Nepal from April 2023 to June 2023.
Results: During the study period, a total of 154 patients of COPD with exacerbations were admitted in our department. The baseline anthropometric parameters, lab parameters as well as the malnutrition scores were determined. The mean BMI was 21.82 ± 3.92 kg/m2 and only 29% had BMI < 18.5 kg/m2.The mean hemoglobin, mean cell volume, serum protein, serum albumin, serum calcium, phosphorus and vitamin D level were 12.43 ± 2.32 g/dL, 84.4 ± 9.41 fL, 6.42 ± 1.74 g/ dL, 3.32 ± 0.34 g/dL, 8.98 ± 0.63 mg/dL, 3.02 ± 0.42 mg/dL, 18.48 ± 8.22 pg/mL and 40%, 12%, 28%, 41%, 31%, 42% and 49% of these values were below the lower normal limit respectively. The nutritional status tool used NRS-2002, MUST and MNAS-F screened malnutrition in about 68%, 51% and 54% respectively. There shows a discrepancy between the evaluation of the malnutrition assessed by BMI with that of nutritional assessment score.
Conclusion: COPD who present in exacerbations are malnourished, but use of sole BMI to rule out malnutrition in such group of patients can cause false negative result.
Description
Augraj Uprety
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Srijan Pantha
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Kum Bahadur Gurung
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Prakash Aryal
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Anup Timsina
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Dipesh Mandal
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Sangita Hamal
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Sabnam Chaudhary
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Aanad Lohar Thakur
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal.
Krishna Chandra Yadav
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Nensi Shah
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Dipendra Yadav
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Prajwal Pandey
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Sweta Dahal
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Rejina Shahi
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Deebya Raj Mishra
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Narendra Bhatta
Department of Pulmonary, Critical Care and Sleep Medicine, BPKIHS, Dharan, Nepal
Keywords
Acute Exacerbation of Chronic Obstructive Pulmonary Disease, Malnutrition