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conferenceseries
.com
Volume 7, Issue 6 (Suppl)
J Obes Weight Loss Ther
ISSN: 2165-7904 JOWT, an open access journal
Obesity Meeting 2017
October 23-24, 2017
October 23-24, 2017 Dubai, UAE
14
th
Global Obesity Meeting
Rose angina questionnaire: Validation in emergency department to detect coronary heart disease in
tertiary hospital of eastern Nepal
Masum Poudel, G Malla, R Bhandari, S K Sharma, S Uprety and D D Baral
B P Koirala Institute of Health Sciences, Nepal
Background:
The Rose Angina 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 participants 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 deviatio±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 was 92.59% specificity was 89.47%. Cronbach’s 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.
Biography
Masum Poudel has completed her Master’s degree in General Practice and Fellowship in Emergency Medicine. Currently she is working as Additional Professor in
BPKIHS, Dharan, Nepal. She is involved in teaching undergraduate and postgraduate student and also involved in academic research.
drmasum@yahoo.comMasum Poudel et al., J Obes Weight Loss Ther 2017, 7:6 (Suppl)
DOI: 10.4172/2165-7904-C1-052