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Association of MRC scores and fragility indices in patients with COPD; the value of frailty assessments and burden of mental health in patients with COPD (ID 352)

Rasheed R, Patel A

Chapel street surgery Rigg Milner medical center and Corringham health center

Funding: None

Abstract

Aim:

Patients who have Chronic obstructive pulmonary disease (COPD) suffer from worsening health as their MRC scores deteriorate. In addition to their COPD and history of smoking there is significant pre-existing cardiovascular co morbidity. As their quality of life diminishes the prevalence of mental health also rises. We undertook a study to examine the correlation between MRC scores and frailty indices and MRC scores and prevalence of anxiety and depression in patients with COPD.

Method:

198 patients on the COPD register were screened for anxiety and depression as part of their annual and ongoing COPD reviews over a 12-month period. We also undertook under a separate study a frailty assessment for their future planning across three general practice sites as part of their COPD assessment using structured review Arden and Gem templates.

Results:

Of the 198 patients with COPD there was a correlation between the MRC scores and Electronic frailty indices (EFI) a correlation coefficient of r= 0.7686 a p value of 0.05. In addition, the EFI and MRC scores showed a correlation with depression PHQ9 (r= 0.5808) and anxiety GAD (r=0.5016) scores. Of the 198 patients 160 patients (81%) had cardiovascular disease.

Conclusion:

Holistic assessment of physical psychological and health and social care needs is the bedrock of care planning. We found that with worsening MRC scores the frailty indices and anxiety and depression scores worsened. This is not surprising given the diminishing quality of life as COPD advances. We advocate that as a part of routine assessment fragility and mental health assessment should be done as a routine to be able to recognise their contribution in diminishing QoL scores and to be able to offer holistic care.

Conflicts of interest: None

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