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Annual Congress of Malaysian Thoracic Society OP 10 Health-Related Quality Of Life Among COPD Patients In Universiti Kebangsaan Malaysia Medical Center (UKMMC) Using New Assessment Tool – COPD Assessment Test (CAT) Hazman Jalil, Alia Suzana Asri, Huan Kai Poh, Ng Sock Wen, Ramlah Mohamad Kutty, Roslina A Manap Department of Internal Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Introduction The COPD Assessment Test is a new patient- completed instrument that has been designed to provide a simple and reliable measure of health status in COPD patients. The questionnaire consists of eight questions which enquire about symptoms and their impact on COPD patients. Objective The aim of this cross-sectional study was to assess health-related quality of life amongst COPD patients in UKMMC using the CAT. Methodology Consecutive stable COPD outpatients aged 18 years old and above, diagnosed for at least 6 months were assessed during clinic visits. Validated English, Bahasa Malaysia and Mandarin versions of CAT. were used. Results Fifty patients (39 male, 11 female) were recruited. Forty-eight percent were Malay, 40% Chinese, and 12% Indian. Mean patient age was 69 (48 – 87) years. A majority of patients were less educated (less educated vs educated, 58% vs 42%), had low monthly income (low vs high, 88% vs 12%) and most (64%) had a long duration of illness (> 3 years). Seventy-six percent of the subjects were ex-smokers, 14% never smoked and 10% were current smokers. Mean FEV1 was 1.22L (0.4 to 2.4L), (n=18). There were 19 patients enrolled in pulmonary rehabilitation. Most (52%) patients had low scores (30) disease impact. The most common symptom was cough (92%) followed by dyspnoea (84%), phlegm (80%), low energy (74%), limited home activities (56%), chest tightness (54%) and sleep disturbance (54%). Nonetheless, the majority (64%) of them had confidence in leaving home despite their lung disease. There was no significant association between age, duration of illness or smoking status and the CAT score. Our study revealed that patients who underwent pulmonary rehabilitation had a better quality of life than patients who were not in the programme (p=0.04, ANOVA). Conclusion The CAT is a patient-friendly and easy-to-use assessment tool that can be practically utilized in clinic and research. Nonetheless, patients need encouragement and reassurance that the answers are entirely dependent on them. Generally, the health status of UKMMC COPD patients was acceptably good. Patients who involved in pulmonary rehabilitation reported a significantly better quality of life. 57
Annual Congress of Malaysian Thoracic Society POSTER SCIENTIFIC PRESENTATIONS PP 1 Tuberculosis In Ten Pictures 63 L Ahmad Fisal 1,2 , M Ruthranesan 1 , N Marzuki 1 , J K Nasib Singh 1 , D A Amran 1 , A Yunus 1 , A Ahmad Mahayiddin 1 , A R Muttalif 1 1 Institut Perubatan Respiratori, Kuala Lumpur, Malaysia 2 Universiti Putra Malaysia, Serdang, Malaysia PP 2 Tuberculosis: Three Years (2007 – 2009) Experience In Kajang Hospital 64 S Azlina 1 , A R Nazatul Shima 2 , B Manohari 3 , B Sashitharan 4 , K Azlan 5 1 Hospital Kajang, Selangor, Malaysia PP 3 Concomitant Pulmonary Tuberculosis And Leprosy 65 Yaqeen E, Shaharudin A, Aziah A M, Razak M 1 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia 2 Universiti Sains Malaysia (USM), Kubang Kerian, Kelantan, Malaysia 3 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia 4 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia PP 4 Case Report: Tuberculosis Of Cervix: A Sexually Transmitted Disease? 66 Mustafa Kamal 1 , A Muzammir 2 , Noorasmaliza M P 3 1 Respiratory Department, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia 2 Obstetrics and Gynaecology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia 3 Pathology Department, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia PP 5 An Age-Structured Mathematical Tuberculosis Transmission Model 67 As Tool For Outbreak Modelling And Control In Malaysia Nurhuda Ismail 1, 2 , Awang M Bulgiba 2 , Nicolaas J D Nagelkerke 3 , Omar Awang 2 1 University of Technology MARA Sungai Buluh Campus, Selangor, Malaysia 2 University of Malaya, Kuala Lumpur, Malaysia 3 United Arab Emirates University, Al-Ain, United Arab Emirates PP 6 Are Tuberculosis Treatment Outcome Categories Missing Something? 68 A Case Report From Malaysia Atif M 1 , Sulaiman S A S 1 , Ali I 2 , Muttalif A R 3 , Shafie A A 1 1 University Sains Malaysia, Penang, Malaysia 2 Hospital Pulau Penang, Penang, Malaysia 3 Institute of Respiratory Medicine, Kuala Lumpur, Malaysia PP 7 Drug Induced Vomiting And Diabetes Mellitus Complicating The 69 Management Of Pulmonary Tuberculosis: A Case Report From Malaysia Atif M 1 , Sulaiman S A S 1 , Ali I 2 , Muttalif A R 3 , Shafie A A 1 1 University Sains Malaysia, Penang, Malaysia 2 Hospital Pulau Penang, Penang, Malaysia 3 Institute of Respiratory Medicine, Kuala Lumpur, Malaysia 58
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