Özet:

Purpose: In patients with chronic obstructive lungs disease (KOAH), the incidence of osteoporosis has increased and the breakdowns resulting from osteoporosis are a major cause of morbidity. Therefore, it is necessary to evaluate the risk of breaking in these patients and take measures in the necessary circumstances. In this study, we aimed at assessing the risk of broken with the Broken Risk Assessment Tool (FRAX) of KOAH patients scanned by double-energy X-ray absorbtion (DXA) and determining the treatment conditions of these patients. Tools and Methods: Patients who apply to the Clinic of Physical Therapy at the Aydin Atatürk State Hospital between January 2014 and January 2019 and who have been diagnosed with KOAH have been taken to work. The DXA results in the system and the results of the respiratory function test that have been performed in the last year have been recorded. Patients were divided into osteoporotic, osteopenic and normally 3 groups according to the DXA results. Patients were also divided into 4 classes as A, B, C and D according to the Global Initiative Classification against Chronic Obstructive Lung Disease. The patient’s FRAX values were calculated via the web. The results: 95 KOAH patients were taken to the study. When classified according to the DXA values, 39 (41.1%) were osteoporotic, 41 (43.2%) osteopenic and 15 (15.8%) were in the normal group. The 10-year major risk of osteoporosis and column breakdown calculated by FRAX was found in the highest osteoporosis group and later in the osteopenic group (p values respectively <0,001 and <0,001). 36 of the patients with osteoporosis (92.3%) received medical treatment for osteoporosis, while 13 (31.7%) of the osteopene group received medical treatment. Five of the 28 patients who did not receive treatment in the osteopene group (17.8) were at high risk for column fractures. In the FRAX assessment, patients in groups C and D were at a higher risk of both major osteoporosis and the risk of spine fractures (p values are 0.002 and 0.002 respectively). Result: All COPD patients, primarily C and D groups, should be prepared for protective and medical treatment in cases where the risk of osteoporosis and broken is assessed together with both DXA and FRAX.