Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2016, Cilt 30, Sayı 2, Sayfa(lar) 067-073   
THE ASSOSIATION OF ANEMIA WITH CLINICAL AND FUNCTIONAL PARAMETERS IN PATIENTS WITH COPD
Dicle KAYMAZ1, Pınar ERGÜN1, Ezgi UTKU1, Pervin DEMİR2, İpek CANDEMİR1, Nilgün MENDİL1, Filiz TAŞDEMİR1
1Ankara Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi EAH, PULMONER REHABİLİTASYON ve EVDE SAĞLIK HİZMET SUNUM MERKEZİ, ANKARA, Türkiye
2Yıldırım Beyazıt Üniversitesi, Biyoistatistik Bölümü, ANKARA, Türkiye
Keywords: Anemia, COPD, Pulmonary Rehabilitation Program, Hemoglobin abnormalities, Clinical Condition

Aim: Polycytemia is commonly associated with COPD but recent reports suggest that anemia is also prevalent. Though the associations between anemia and dyspnea, are generally well established the relation with the other clinical manifestations is unknown.The aim of this study was to determine the assosiation of anemia with clinical and functional parameters in patients with COPD who referred to pulmonary rehabilitation (PR) program

Material and Methods: 507 COPD patients who referred to Atatürk Chest Disease and Chest Surgery Training Hospital PR Center between January 2008 December 2011 were evaluated retrospectively. Patients who had diseases likely to cause anemia were excluded and the remaining 176 patients were divided into three groups according to WHO criteria as anemia,normal,and polycythemia patients. Dyspnea was assessed with the Medical Research Council(MRC)scale;health related quality of life was assessed with St. George's respiratory questionnaire. Exercise capacity was measured using the incremental shuttle walk test,endurance shuttle walk test, body composition was assessed with bioelectirical impedance, anxiety and depression were assessed with the Hospital Anxiety Depression Scale.

Results: Anemia was present in 14(8%)patients and polycythemia in 24 (14%).Anemia patients had significantly higher MRC scale scores than the normal patients(p=0.011),whereas had lower body mass index,fat-free mass index,and fat-free mass values as compared to polycythemia and normal patients.Endurance time was shorter in polycythemia patients than the normal patients (p=0.036).

Conclusion: The rate of anemia was found approximately 8% in the patients with stable COPD and associated with increased dyspnea and poor nutritional status.COPD patients who referred to the PR programs should be assessed for anemia;because anemia could affect the PR program results.