RT Journal Article
SR Electronic
T1 Annual FEV1 change : Post tuberculosis obstructive airway disease versus COPD
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2737
DO 10.1183/13993003.congress-2016.PA2737
VO 48
IS suppl 60
A1 Agrawal, Mitali
A1 Tukaram, Nilkanth
A1 Nair, Jayraj
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA2737.abstract
AB Introduction: Post tuberculosis obstructive airway disease(post-TB OAD) is a known etiology for chronic obstructive pulmonary disease (COPD).1. No study compares change in lung functions in post-TB OAD to that in COPD. Aims and Objectives: To compare the annual change in forced expiratory volume in first second (FEV1) in post-TB OAD to that in COPD.Materials and Methods: All diagnosed cases of COPD and post-TB OAD with FEV1/FVC ratio <0.7 presenting in outpatient department underwent spirometry twice at 1 year interval. Both the groups were on optimised treatment during that 1 year. The annual changes in absolute values of both pre and post bronchodilator FEV1 in post-TB OAD were compared to that in COPD.Results: There were a total of 65 patients with 34 having post-TB OAD and remaining 31 having COPD. Mean age were 57 years for post-TB OAD and 63 years for COPD. 31% were females in post-TB OAD against 41% in COPD group. About 50% of patients in both the groups had moderate obstruction by GOLD classification. The mean annual change of pre and post bronchodilator FEV1 in post-TB OAD were + 40.73ml/year and +48.52ml/year respectively while in COPD they were +87.09 ml/year and 108.28ml/year respectively. So it was observed that the mean incline in pre and post dilator FEV1 in post-TB OAD were almost half of that observed in COPD.Conclusion: The annual change i.e the mean increase in pre and post bronchodilator FEV1 after optimization in post-TB OAD were significantly less than that in COPD.References: 1. Baig IM, Saeed W, Khalil KF. J Coll Physicians Surg Pak. 2010 Aug;20(8).