Efficacy of the clinical activity of rheumatoid arthritis using the scales DAS28 and HAQ-20 in relation to the BAIC semiological maneuver

Abstract

DAS28 and HAQ-20 are widely used in clinical research to quantify the activity and evolution in patients with rheumatoid arthritis (RA). In this study, a new semiological maneuver is proposed to evaluate patients. Objective: To determine the degree of effectiveness of the BAIC maneuver in relation to DAS28 and HAQ-20 in the clinical activity of the disease evaluated by the physician. Material and methods: A prospective, cross-sectional, descriptive study was carried out. 240 RA patients attended in the PAISE N° 32 from August to October were included. In the consultation, the doctor and the patient independently performed the registration of painful swollen joints, subsequently the HAQ-20 was used to evaluate the physical function self-perceived by the patient during common activities in his daily life also the DAS28 evaluating the number of joints affected in each stage of the patient with RA, to later relate to the BAIC Maneuver. Results: With the DAS28 scale: Inactive 12.5%, Mild Activity 29.6%, Moderate Activity 46.7% and High Activity 11.2%. With the HAQ-20: No difficulty 13.3%, with low difficulty 29.2%, with moderate difficulty 47.1% and cannot do it 10.4%. With the BAIC it was obtained: Mild 42.5%, moderate 45.9% and severe 11.6%. Conclusion: The present study analyzes the clinical value of the DAS28, HAQ-20 scales, in relation to the BAIC maneuver, which helps us evaluate the muscle strength of RA patients. The relationship between the scales and BAIC's semiological maneuver is closely related