Validation of the Breathlessness, Cough and Sputum Scale to Predict COPD Exacerbation

Details

• Personal Author:
  DeVries R ; Kriebel D ; Sama S
• Description:
  The breathlessness, cough and sputum scale (BCSS) is a three-item questionnaire rating breathlessness, cough and sputum on a 5-point Likert scale from 0 (no symptoms) to 4 (severe symptoms). Researchers have explored the utility of this tool to quantify efficacy of treatment following a chronic obstructive pulmonary disease (COPD) exacerbation; however, little work has been done to investigate the ability of the BCSS to predict COPD exacerbation. As part of a prospective case-crossover study among a cohort of 168 COPD patients residing in central Massachusetts, patients were asked standard BCSS questions during exacerbation and randomly identified non-exacerbation (or healthy) weeks. We found that the BCSS was strongly associated with COPD exacerbation (OR=2.80, 95% CI=2.27-3.45) and that a BCSS sum score of 5.0 identified COPD exacerbation with 83% sensitivity and 68% specificity. These results may be useful in the clinical setting to expedite interventions of exacerbation. [Description provided by NIOSH]
• Subjects:
  Lung Occupational Health Respiratory System Safety Surveys And Questionnaires
• Keywords:
  Chronic Obstructive Pulmonary Disease COPD Pulmonary Disorders Questionnaires Sputum Analysis
• ISSN:
  2055-1010
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  26
• NIOSHTIC Number:
  nn:20050753
• Citation:
  NPJ Prim Care Respir Med 2016 Dec; 26:16083
• Email:
  Rebecca_Devries@uml.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Massachusetts - Lowell
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  NPJ Primary Care Respiratory Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3e62380f53b6198ea3fc8756101321d1b625d66c83a931c641167858500c87bb9d5e519cbd0544f668194162a39530051be7e3029767e39edba23e16bf5d2863
• Download URL:
  https://stacks.cdc.gov/view/cdc/210976/cdc_210976_DS1.pdf
• File Type:
  [PDF - 387.52 KB ]