Discordance between Criteria-diagnosed and clinically-diagnosed Asthma COPD Overlap (ACO) among hospitalized patients in an Indian referral hospital.

• DOI: 10.32677/ejms.v8i1.3897
• Publication Date: 2023-04-18T17:54:11Z
• Authors: Jefferson Daniel; Barney Isaac; Devasahayam Jesud...
• Keywords: Kappa; Cohen's kappa

Background and Objectives: Asthma-COPD-overlap (ACO), as a single entity, has been widely contested over the past few years. Most ACO diagnostic criteria do not agree with each other when applied to respiratory patients. From 2016 2020, GINA described syndromic approach for diagnosing ACO, which was replaced broader after 2021. We intended learn if CSMA Screening tool agreed clinical diagnosis of ACO. Methods: performed retrospective cross-sectional analysis inpatients from 2014 2019. reclassified these patients into Not-ACO using 2019 (GSA 2019), Modified (MGSA 2021 tool. used Kappa statistics compare performance various tools. Results: 83 clinically diagnosed were included. According 2019, only 41 (49.39%) would be classified picked up 57 (68.67%) The modified we proposed, identified 67 (80.72%) 63 (75.90%) criteria, interpreted liberally by us, have better agreement sensitivity 87.3% specificity 40%, 'k' 29.3%. Conclusion: standard Tool is stringent may sometimes miss diagnosis. original table should brought back modifications.