Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : OC34 - OC38

Six Minute Walk Test: A Tool for Predicting Mortality in Chronic Pulmonary Diseases

MP Swathi Karanth, Nilkanth Tukaram Awad

1. Senior Resident, Department of Pulmonary Medicine, Lokamanya Tilak Municipal Medical College and LTMGH, Mumbai, Maharashtra, India. 2. Professor and HOD, Department of Pulmonary Medicine, Lokamanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.

Correspondence Address :
Dr. MP Swathi Karanth,
Department of Pulmonary Medicine, Room no 12, College Building, Sion Hospital, LTMGH, Sion, Mumbai, Maharashtra, India.
E-mail: karanth.swathi@gmail.com

Abstract

Introduction: Six Minute Walk Test (6MWT) is a simple test used to measure exercise capacity in Chronic Pulmonary Diseases (CPDs). Decreased exercise capacity significantly affects the quality of life. The 6MWT is a known tool to measure exercise capacity and quality of life in CPD. However, the role of change in follow up Six Minute Walk Distance (6MWD) in assessing mortality and its correlation with known prognostic factors haven’t been tested to the best of our knowledge.

Aim: To study the correlation of change in 6MWD with change in spirometry and to study the role of 6MWD in predicting mortality in CPD.

Settings and Design: Prospective cohort study.

Materials and Methods: A total of 139 CPD patients were grouped into obstructive, restrictive and post Tuberculosis (TB) sequelae. Optimized treatment was given and they were followed up regularly. Spirometry and 6MWT was done at the beginning and after one year. Mean decline in FEV1, FVC was correlated with mean decline in 6MWD.

Statistical Analysis: With STATA 13.1 correlation between 6MWT and spirometric values were done using Wilcoxon signed rank test. Predictors of mortality were studied using multivariate analysis.

Results: Overall mean decline in 6MWD was 16.07 m/year. There was no correlation between mean change in 6MWD and change in FEV1, FVC, and FEV1/FVC. On multivariate analysis, 6MWD was the better predictor of mortality than FEV1 (p<0.001), FVC (p<0.001). At cut off value of 240 meters, sensitivity and specificity of 6MWT in predicting mortality was 71.05% and 81.94% respectively.

Conclusion: The 6MWD changes independently and has no correlation with change in spirometry, it is an independent predictor of mortality in CPD

Keywords

Lung diseases, Six minute walk distance, Spirometry

How to cite this article :

MP Swathi Karanth, Nilkanth Tukaram Awad. SIX MINUTE WALK TEST: A TOOL FOR PREDICTING MORTALITY IN CHRONIC PULMONARY DISEASES. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 May 29 ]; 11:OC34-OC38. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=OC34-OC38&id=9723

DOI and Others

DOI: 10.7860/JCDR/2017/24707.9723


Date of Submission: Oct 10, 2016
Date of Peer Review: Dec 17, 2016
Date of Acceptance: Feb 09, 2017
Date of Publishing: Apr 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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