- Conference Article
- 10.1183/13993003.congress-2025.pa2517
Clinical variables influencing CAT score in a general COPD population
- Sep 27, 2025
- Brigitta Dombai + 5 more +5
<bold>Introduction:</bold> COPD Assessment Test (CAT) is a commonly used 8-item questionnaire assessing disease-specific quality of life. While it is a good tool to quantify patients’ symptoms, and the GOLD guidelines suggest its use in each assessment, many parameters can affect the implementation. <bold>Aim:</bold> To determine patient and disease characteristics affecting CAT scores. <bold>Methods:</bold> A cross-sectional observational study was conducted among COPD patients in Hungary who have been >12 months under maintenance inhaled therapy. Disease specific characteristics, comorbidities, lung function, and general demographic data were recorded. Multiple linear regression models were used to estimate all imputed variables’ effect on CAT scores. The Least Absolute Shrinkage and Selection Operator was chosen for variable selection. <bold>Results:</bold> We analyzed the data of 6962 patients. Mean (standard deviation) and median (min-max) CAT scores were 15.5 (7.0) and 15.0. (0-40), respectively. Estimates (average difference in CAT score moving from the reference to the stated category while holding all other predictors constant) of the most statistically significant predictors are as follows: increasing Modified Medical Research Council categories: 4; 3; 2 and 1 (+10.89; +8.50; +4.76; +2.49 points, respectively), errors during the use of the inhaler for maintenance medication (+2.43 points), moderate exacerbations in the previous year (1; 2 or >2 events; +1.20 ; +0.77; +1.63 points respectively), insomnia (+1.91 points) and pMDI device use (+0.92 points); p<0.003 for all. <bold>Conclusion:</bold> Multiple modifiable and unmodifiable parameters affect CAT score in COPD patients, which should be adressed during daily clinical practice to improve patients’ quality of life.
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