By rray, 8 February, 2024 BODE Body mass index Obstruction Dyspnea and Exercise score may be predictive of survival
By rray, 8 February, 2024 Imaging CXR not useful for dx but may exclude alternative dx or establish resp CV skeletal comorbidities Consider chest CT for pts w persistent exac sx out of proportion to dz severity on lung fxn testing FEV1
By rray, 8 February, 2024 Exercise testing may reveal degree of impairment and need for rehab assesses disability Predicts prognosis Use shuttle walk test or self paced 6 min walk test Physical activity monitoring may be more relevant to prognosis than exercise capacity eval
By rray, 8 February, 2024 SpO2 and ABG Check in all w signs suggesting resp failure Guides need for supplemental O2 If SpO2
By rray, 8 February, 2024 DLco Measure in anyone w dyspnea disproportionate to airflow obstruction by spirometry DLco
By rray, 8 February, 2024 Lung volumes Test by body plethysmography Can characterize severity but not essential to mgmt
By rray, 8 February, 2024 Screen for AATD once or if FHx esp in areas w high AATD prevalence Scandinavia White northern Europeans absent from Asian Black populations 1
By rray, 8 February, 2024 Comorbidities CV dz skeletal muscle dysfxn metabolic syndrome osteoporosis depression anxiety lung CA Pseudomonas aeruginosa colonization independently uarr risk of hospitalization and all cause mortality