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Impaired health status and care dependency in patients with advanced COPD or chronic heart failure

PURPOSE: Aims of this cross-sectional study were to assess health status and care dependency in patients with advanced chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) and to identify correlates of an impaired health status. METHODS: The following outcomes were assessed in...

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Autores principales: Janssen, Daisy J. A., Franssen, Frits M. E., Wouters, Emiel F. M., Schols, Jos M. G. A., Spruit, Martijn A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3220822/
https://www.ncbi.nlm.nih.gov/pubmed/21442430
http://dx.doi.org/10.1007/s11136-011-9892-9
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author Janssen, Daisy J. A.
Franssen, Frits M. E.
Wouters, Emiel F. M.
Schols, Jos M. G. A.
Spruit, Martijn A.
author_facet Janssen, Daisy J. A.
Franssen, Frits M. E.
Wouters, Emiel F. M.
Schols, Jos M. G. A.
Spruit, Martijn A.
author_sort Janssen, Daisy J. A.
collection PubMed
description PURPOSE: Aims of this cross-sectional study were to assess health status and care dependency in patients with advanced chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) and to identify correlates of an impaired health status. METHODS: The following outcomes were assessed in outpatients with advanced COPD (n = 105) or CHF (n = 80): clinical characteristics; general health status (EuroQol-5 Dimensions (EQ-5D); Assessment of Quality of Life instrument (AQoL); Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)); disease-specific health status (St. Georges Respiratory Questionnaire (SGRQ), Minnesota Living with Heart Failure Questionnaire (MLHFQ)); physical mobility (timed ‘Up and Go’ test); and care dependency (Care Dependency Scale). RESULTS: Patients with advanced COPD or CHF have an impaired health status and may be confronted with care dependency. Multiple regression analyses have shown that physical and psychological symptoms, care dependency and number of drugs were correlated with impaired health status in advanced COPD or CHF, while demographic and clinical characteristics like age, gender, disease severity and co-morbidities were not correlated. CONCLUSIONS: Clinical care should regularly assess symptom burden and care dependency to identify patients with advanced COPD or CHF at risk for an impaired health status.
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spelling pubmed-32208222011-12-09 Impaired health status and care dependency in patients with advanced COPD or chronic heart failure Janssen, Daisy J. A. Franssen, Frits M. E. Wouters, Emiel F. M. Schols, Jos M. G. A. Spruit, Martijn A. Qual Life Res Article PURPOSE: Aims of this cross-sectional study were to assess health status and care dependency in patients with advanced chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) and to identify correlates of an impaired health status. METHODS: The following outcomes were assessed in outpatients with advanced COPD (n = 105) or CHF (n = 80): clinical characteristics; general health status (EuroQol-5 Dimensions (EQ-5D); Assessment of Quality of Life instrument (AQoL); Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)); disease-specific health status (St. Georges Respiratory Questionnaire (SGRQ), Minnesota Living with Heart Failure Questionnaire (MLHFQ)); physical mobility (timed ‘Up and Go’ test); and care dependency (Care Dependency Scale). RESULTS: Patients with advanced COPD or CHF have an impaired health status and may be confronted with care dependency. Multiple regression analyses have shown that physical and psychological symptoms, care dependency and number of drugs were correlated with impaired health status in advanced COPD or CHF, while demographic and clinical characteristics like age, gender, disease severity and co-morbidities were not correlated. CONCLUSIONS: Clinical care should regularly assess symptom burden and care dependency to identify patients with advanced COPD or CHF at risk for an impaired health status. Springer Netherlands 2011-03-27 2011 /pmc/articles/PMC3220822/ /pubmed/21442430 http://dx.doi.org/10.1007/s11136-011-9892-9 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Janssen, Daisy J. A.
Franssen, Frits M. E.
Wouters, Emiel F. M.
Schols, Jos M. G. A.
Spruit, Martijn A.
Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title_full Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title_fullStr Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title_full_unstemmed Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title_short Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
title_sort impaired health status and care dependency in patients with advanced copd or chronic heart failure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3220822/
https://www.ncbi.nlm.nih.gov/pubmed/21442430
http://dx.doi.org/10.1007/s11136-011-9892-9
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