14^th Global Obesity Meeting

Biography

Biography: Masum poudel

Abstract

Background: The Rose Questionnaire (RAQ)was designed to assess the probability of underlying coronary artery disease in epidemiologic studies of population groups. Since then, the RAQ has been used in many countries to detect coronary heart disease  in epidemiological research as well  in Emergency department. Rose suggested that the sensitivity and specificity of the questionnaire may vary between countries. Objectives: To validate the Rose angina questionnaire to detect   Myocardial infarction (MI) by comparison with emergency diagnosis in Nepali population and to find out the sensitivity and specificity between Emergency diagnosis and diagnosis by RAQ   regarding MI. Methods:  A Hospital based Cross -sectional study from Jan 1^st to March 30^th  2017, conducted in the Emergency ward   among   patient  age 40-70 years  with chest pain.. All participating  were asked  detailed multi component questionnaire for possible myocardial infarction considering  53% sensitivity and 89% specificity according the study  by Rahma MA et al in Bangladesh . Results: Mean age of participants was 63.78 years (standard deviation ±11.60 years). Male were 66%. History of diabetics, hypertension and Dyslipidemia  secondary to obesity were   positive in 30, 41 and 3  patients respectively. Among MI Incidence by RAQ and MI Investigation    study showed that Sensitivity was92.59% Specificity was 89.47%. crohnback  alpha was found 0.78. Conclusion; The RAQ could be used as a useful screening tool to screen for Coronary heart disease  in an emergency department and  helps to identify the risk factor for coronary heart disease like hypertension, diabetes ,dyslipidemia secondary to obesity and also  reduce  the overcrowding of the patient at emergency  department by avoiding  reparative investigation and help to reduce the cost burden of the patient.