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Anthropometric and Nutritional status of Chronic Obstructive Pulmonary Disease presenting in Acute Exacerbation in Tertiary care Hospital in Eastern Nepal

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creativeworkseries.issnISSN 2822-1893 eISSN 2822-2016
dc.contributor.authorUprety, Augraj
dc.contributor.authorPantha, Srijan
dc.contributor.authorGurung, Kum Bahadur
dc.contributor.authorAryal, Prakash
dc.contributor.authorTimsina, Anup
dc.contributor.authorMandal, Dipesh
dc.contributor.authorHamal, Sangita
dc.contributor.authorChaudhary, Sabnam
dc.contributor.authorThakur, Aanad Lohar
dc.contributor.authorYadav, Krishna Chandra
dc.contributor.authorShah, Nensi
dc.contributor.authorYadav, Dipendra
dc.contributor.authorPandey, Prajwal
dc.contributor.authorDahal, Sweta
dc.contributor.authorShahi, Rejina
dc.contributor.authorMishra, Deebya Raj
dc.contributor.authorBhatta, Narendra
dc.date.accessioned2026-02-02T06:28:31Z
dc.date.available2026-02-02T06:28:31Z
dc.date.issued2024
dc.descriptionAugraj 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
dc.description.abstractAbstract: 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.
dc.identifierhttps://doi.org/10.3126/nrj.v3i1.69214
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4438
dc.language.isoen_US
dc.publisherNepalese Respiratory Society
dc.subjectAcute Exacerbation of Chronic Obstructive Pulmonary Disease
dc.subjectMalnutrition
dc.titleAnthropometric and Nutritional status of Chronic Obstructive Pulmonary Disease presenting in Acute Exacerbation in Tertiary care Hospital in Eastern Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage19
oaire.citation.startPage14
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relation.isJournalOfPublication91ea7cc8-46b2-4796-94bd-2998c28b5ebb

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