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Hubungan Indeks BODE dengan EksaserbasiAkut Penyakit Paru Obstruktif Kronik padaJemaah Haji Asal DKI Jakarta Tahun 2012

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ABSTRACT

Background: Incidence of chronic obstructive pulmonaly disease (COPD)acute exacerbation of increases in pilgrims during hay period. Early diagnosis and grading of COPD before hajj is important to start treatment and reduce risk of acuteexacerbation. Body Mass, Obstruction, Dyspnea, Exercise (BODE)index is a multidimensional grading system to predict risk of COPD acute exacerbation.

Objective: To find association between BODE Index and incidence of COP!) acute exacerbation in hojj pilgrims.

Methods: This is a retrospective cohort study among ha)) pilgrims from Jakarta in 2012 who were known to have COPD. BODE index was calculated from medical records which had been obtained from health screening 24 hours before flight. Exacerbation was determined immediately after arrival home through history taking and examination of subject, interview with the physician in-charge of each flight group, and analysis of personal hail book. Association between two variables and relative risk were calculated using CM-Square testa,- Fisher Exact test.

Results: Sixty COPD subjects with complete BODE index data were identified and recruited. Thirty five subjects (58.3%) suffered from acute exacerbation of con, 5 (14.2%)of which were hospitalized. In BODE index range from 0-6, 48 subjects (80%) had 0-2, 6 subjects (10%) had 3-4, and 6 subjects (10%) had 5-6. The result of Chi-Square and Fisher Exact test between law risk group (BODE index 0-3) and high risk group (BODE index >3) is p=0.01 and relative risk 1.9 (Cl 95% 1.4-2.5).

Conclusion: There is an association between BODE Index and acute exacerbation ofCOPD among hajj pilgrims from Jakarta in 2012. The range of BODE index was 0-6. Hajj pilgrims with BODE index of >3 had significantly higher risk of acute exacerbation of COPD compared to pilgrims with BODE index of 0-3.

Keywords: BODE, hajj, pilgrims, acute exacerbation of COPD.

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Indonesian Journal of CHEST, 1 (4) 2014 : 154-159

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Jakarta : Indonesian Journal of Chest., 2014

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6p

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2355-4584

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