Objective Patients with Complex the Dyspnoea, Eosinopenia, Consolidation, Acidaemia, and atrial Fibrillation (DECAF) scores prolong the hospital stay of patients suffering from Chronic Obstructive Pulmonary Disease (COPD). Method Patients admitted to respiratory wards in tertiary care hospital, Baluchistan with COPD between June 2016 to September, 2015 were prospectively reviewed and DECAF score applied to each patient. Duration of hospitalization was then correlated with total DECAF scores. Result Out of 118 total admissions, 103 were reviewed as 15 patients died. 71% were male, mean age was 69.6 years and average of 15 days of hospitalization. The duration was longest in those with DECAF scores of 3-5 and lowest in those with scores of 0-1. Conclusion The DECAF Score is a simple and effective clinical tool that can risk stratify hospitalized patients with COPD and could therefore help clinicians managing this fatal condition.
Objective The objective of this study was to measure the pulmonary function tests in population living in Baluchistan, Pakistan. Method The study area was conducted in province of Baluchistan, which is the largest province of Pakistan. A cross sectional study has been carried out to observe Normal lung functioning in residents of Baluchistan followed by a randomized Sample selection of individuals from five strata of Baluchistan. Brief detail was told to the subjects that why the test were being done to make their cooperation better. Written consent from all subjects was taken after explaining the experimental procedure. Results The results of present study, as shown in (Table 4.2.1) shows significance difference on the comparison of FVC, FEV1, PEFR and FEV1\FVC the mean value of FVC, FEV1, PEFR and FEV1\FVC in Baluchistan with the standard Chamanern mean values according to their gender, age and height.it was found 3.46, 2.56, 379.8 and 0.741 on average with an standard deviation of 0.21, 0.14, 46.75 and 0.043 respectively. Conclusion It is concluded that FVC, FEV1, PEFR, and FEV1/FVC have significant differences in mean, the means of Baluchistan city were less than a per standard Chamanern mean values, it also gives significant differences within Citys of Baluchistan city as spirometric values exclusively depends upon body shape, chest size, BMI, Age, environment, life style, anatomical differences, altitude and lung development.
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