Análise do índice BODE em pacientes com DPOC severa submetidos a um programa de reabilitação pulmonar

Abstract

Introduction: The Chronic Obtructive Pulmonary Disease (COPD ) is a important cause of morbidity and mortality worldwide associated with systemic consequences. The body mass index airway obstruction, dyspnea and exercise capacity (BODE) index is a predictor of mortality most used today, because it assesses respiratory and systemic manifestations of COPD . Objective: To analyze the BODE index in patients with COPD severe participants of pulmonary rehabilitation program. Methodology: This is a documental, quantitative and retrospective study. This study was designed to investigate the association between BODE index and others physiological variables. The sample was composed by 29 patients in the Pulmonary Rehabilitation Program. The data were collected from records: age, sex, body mass index, FEV1, dyspnea index modified, six minutes walking test, SF-36 and BODE index. Results: Of the patients studied, 48.3% (n = 14) were female and 51.7% (n = 15) male; age 66 ± 8.8 years; BMI 25.1 ± 4.4 kg/m². Changes were significantly improved in FEV1 0.98 ± 0.4 and 0.95 ± 0.3 (p = 0.26); MMRC 2.40 ± 1.0 and 1.76 ± 0.6 (p = 0.005); BODE index 4.0 ± 1.7 and 3.29 ± 1.1(p = 0.009) and 6MWT 404.58 ± 110.4 and 439.96 ± 97.3 (p = 0.02) before and after the rehabilitation program respectively. The correlation between the BODE index and the 6MWT was r = -0.51 and BODE index and FEV1 was r = -0.81. Conclusion: We may infer that Rehabilitation Program changed significantly the BODE index influencing the improvement quality of life the patients.