RT Journal Article
SR Electronic
T1 The Birmingham COPD cohort study - Associations between CAT, lung health and health care use
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4218
VO 42
IS Suppl 57
A1 Andy Dickens
A1 Peymane Adab
A1 Rachel Jordan
A1 Alexandra Enocson
A1 Jon Ayres
A1 David Fitzmaurice
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P4218.abstract
AB Introduction:The COPD Assessment Test (CAT) gauges the impact of COPD on patients’ daily lives and now forms a key part of GOLD management recommendations. Longitudinal cohort studies are needed to better understand the utility of CAT in a primary care-based population.Aims and objectives:Using a primary care cohort, we will explore whether aspects of lung health and health care use are associated with CAT.Methods:Patients from primary care COPD registers were recruited into a three-year cohort study. An interim dataset was used to assess associations between CAT scores, lung health and health care use at baseline.Results:600 patients have been recruited so far, of which 13% had FEV1/FVC>70% and 73.4% fulfilled the LLN criteria for COPD. Patients with confirmed COPD had a mean CAT score of 20.4 (SD 9.0). Forced expiratory volume in 1 second (FEV1) % predicted was negatively associated with CAT (p<0.001), while dyspnoea severity, number of exacerbations and co-morbidities were positively associated at p<0.001. Accident & Emergency attendances (p<0.001) and hospital admissions (p<0.01) were also associated with higher CAT scores. Updated analyses will be presented at the conference.Conclusions:CAT scores are strongly associated with lung health, health service use and co-morbidities. Pending longitudinal analysis, the data suggest CAT is useful in early identification of patients at risk of hospitalisation.