The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 63 , ISSUE 2 ( April-June, 2021 ) > List of Articles

Original Article

Evaluation of Clinico-Radiological and Functional Profile of Patients with Bronchiectasis According to FACED Score

A.K. Singh, M.K. Bairwa, V. Mangal, M.J. Qureshi, S.P. Agnihotri

Keywords : Bronchiectasis, High-resolution computed tomography, Chest, Sputum culture

Citation Information : Singh A, Bairwa M, Mangal V, Qureshi M, Agnihotri S. Evaluation of Clinico-Radiological and Functional Profile of Patients with Bronchiectasis According to FACED Score. Indian J Chest Dis Allied Sci 2021; 63 (2):75-80.

DOI: 10.5005/ijcdas-63-2-75

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Objective: Bronchiectasis is a suppurative lung disease characterised by wide and distorted bronchi, with profuse expectoration, resulting in impaired qualityof- life. The present study evaluated the clinico-radiological and functional characteristics of patients with bronchiectasis. Methods: A hospital-based, prospective, cross-sectional study was conducted for one year. Chest radiograph followed by high resolution computed tomography was done in patients with features suggestive of bronchiectasis. All patients were assessed with spirometry, sputum gram-stain and pyogenic culture-sensitivity. Severity was assessed using FACED score. Results: Eighty patients (38 males) were included in the study with a mean age of 47.0±13.7 years. Average lung involvement was ≥2 lobes and cystic bronchiectasis was the most common abnormality. Shortness of breath (91%) and cough with expectoration (87%) were the most frequent complaints. The most common functional impairment was obstructive (58.7%), with a mean percent predicted forced expiratory volume in first second (FEV1) of 55.8±15.1. The patients with Pseudomonas spp growth in sputum culture had more severe disease in the form of more number of lobes involvement and cystic destruction (P<0.001). Conclusions: Bronchiectasis is a progressive disease with significant morbidity and mortality. While radiology plays an important role in the diagnosis, microbiology is an important aspect in the management of the diseases as well as in preventing exacerbations/disease progression.


PDF Share
  1. Bilton D. Update on non-cystic fibrosis bronchiectasis. Curr Opin Pulm Med 2008;14:595–9.
  2. Bafadhel M, Umar I, Gupta S. The role of CT scanning in multidimensional phenotyping of COPD. Chest 2011;140:634–42.
  3. Martínez-García MA, Soler-Cataluña JJ, Perpiñá- Tordera M, Román-Sánchez P, Soriano J. Factors associated with lung function decline in adult patients with stable non-cystic fibrosis bronchiectasis. Chest 2007;132:1565–72.
  4. Smith IE, Jurriaans E, Diederich S, Ali N, Shneerson JM, Flower CD. Chronic sputum production: correlations between clinical features and findings on high resolution computed tomographic scanning of the chest. Thorax 1996;51:914–8.
  5. Haworth CS, Foweraker JE, Wilkinson P, Kenyon RF, Bilton D. Inhaled colistin in patients with bronchiectasis and chronic Pseudomonas aeruginosa infection. Am J Respir Crit Care Med 2014;189:975–82.
  6. Wilson R, Welte T, Polverino E, De Soyza A, Greville H, O'Donnell A, et al. Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis: a phase II randomised study. Eur Respir J 2013;41:1107–15.
  7. Serisier DJ, Martin ML, McGuckin MA, Lourie R, Chen AC, Brain B, et al. Effect of long-term, low-dose erythromycin on pulmonary exacerbations among patients with noncystic fibrosis bronchiectasis: the BLESS randomized controlled trial. JAMA 2013;309:1260–7.
  8. Hill AT, Pasteur M, Cornford C, Welham S, Bilton D. Primary care summary of the British Thoracic Society Guideline on the management of non-cystic fibrosis bronchiectasis. Prim Care Respir J 2011;20:135–40.
  9. De Souza A, Brown JS, Loebringer MR, for Bronchiectasis Research and Academic Network. Research priorities in bronchiectasis. Thorax 2013;68:695–6.
  10. Lange P, Marott JL, Vestbo J, Olsen KR, Ingebrigtsen TS, Dahl M, et al. Prediction of the clinical course of chronic obstructive pulmonary disease, using the new GOLD classification: a study of the general population. Am J Respir Crit Care Med 2012;186:975–81.
  11. Torrego A, Haque RA, Nguyen LT, Hew M, Carr DH, Wilson R, et al. Capsaicin cough sensitivity in bronchiectasis. Thorax 2006;61:706–9.
  12. Loukides S, Horvath I, Wodehouse T, Cole PJ, Barnes PJ. Elevated levels of expired breath hydrogen peroxide in bronchiectasis. Am J Respir Crit Care Med 1998;158:991–4.
  13. Restrepo M, Alborn JS. Bronchiectasis severity: time to score. Am J Respir Crit Care Med 2014;189:508–9.
  14. Gavazzi G, Krause KH. Ageing and infection. Lancet Infect Dis 2002;2:659–66.
  15. Linton PJ, Dorshkind K. Age-related changes in lymphocyte development and function. Nat Immunol 2004;5:133–9.
  16. Castelo-Branco C, Soveral I. The immune system and aging: a review. Gynecol Endocrinol 2014;30:16–22.
  17. Dimakou K, Triantafillidou C, Toumbis M, Tsikritsaki K, Malagari K, Bakakos P. Non CF-bronchiectasis: aetiologic approach, clinical, radiological, microbiological and functional profile in 277 patients. Respir Med 2016;116:1–7.
  18. Barker AF. Bronchiectasis. N Engl J Med 2002;346:1383–93.
  19. Pasteur MC, Helliwell SM, Houghton SJ, Webb SC, Foweraker JE, Coulden RA, et al. An investigation into causative factors in patients with bronchiectasis. Am J Respir Crit Care Med 2000;162:1277–84.
  20. Angrill J, Agustí C, de Celis R, Rañó A, Gonzalez J, Solé T, et al. Bacterial colonisation in patients with bronchiectasis: microbiological pattern and risk factors. Thorax 2002;57:15–9.
  21. Lynch DA, Newell J, Hale V, Dyer D, Corkery K, Fox NL, et al. Correlation of CT findings with clinical evaluations in 261 patients with symptomatic bronchiectasis. AJR Am J Roentgenol 1999;173:53–8.
  22. King PT, Holdsworth SR, Freezer NJ, Villanueva E, Holmes PW. Characterization of the onset and presenting clinical features of adult bronchiectasis. Respir Med 2006;100:2183–9.
  23. Habesoglu MA, Ugurlu AO, Eyuboglu FO. Clinical, radiologic, and functional evaluation of 304 patients with bronchiectasis. Ann Thorac Med 2011;6:131–6.
  24. Gale NS, Bolton CE, Duckers JM, Enright S, Cockcroft JR, Shale DJ. Systemic comorbidities in bronchiectasis. Chron Respir Dis 2012;9:231–8.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.