title: [Determinants of quality of life in chronic obstructive pulmonary disease].
abstract: BACKGROUND
  Chronic obstructive pulmonary disease (COPD) is considered as a systemic disease with pulmonary starting point. The use of spirometry alone is certainly not the best way to reflect the impact of disease on quality of life for patients.
  
  
  METHODS
  Prospective study concerning 70 patients treated for COPD. Quality of life was assessed using the French version of the Saint-George questionnaire.
  
  
  RESULTS
  Our population was predominantly male (97%) with a mean age of 63 years. All patients were smokers with an average of 46 pack-years. The total score of the Saint-Georges respiratory questionnaire was 50.7%. The mean scores of different fields were 68% for the field activities, 49% for impact and 26% for the item of symptoms. The multidimensional BODE index was correlated with the quality of life and its various fields were more powerfully than the forced expiratory volume per second, the number of exacerbations, the six-minute walking test and dyspnea score.
  
  
  CONCLUSIONS
  It is important to integrate the multidimensional classification indices in assessing the severity of the disease because only these indices can reflect the systemic aspect of the disease.
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie. Electronic address: wajdi.ketata@yahoo.fr.
authors.forename: W
authors.initials: W
authors.lastname: Ketata
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: T
authors.initials: T
authors.lastname: Abid
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Feki
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Msaad
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: N
authors.initials: N
authors.lastname: Bahloul
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: W K
authors.initials: WK
authors.lastname: Rekik
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Ayadi
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: I
authors.initials: I
authors.lastname: Yangui
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kammoun
authors.affiliation: Service de pneumo-allergologie, CHU Hédi-Chaker, Sfax 3029, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Ayoub
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology*; D011788:Quality of Life; D012720:Severity of Illness Index; D064890:Social Determinants of Health; D013147:Spirometry; D011795:Surveys and Questionnaires; D014416:Tunisia / Q000453:epidemiology
keywords: BODE index; BPCO; COPD; Fonction respiratoire; Indice BODE; Lung function; Quality of life; Qualité de vie