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Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up
OBJECTIVE: The purpose of this study was to evaluate the clinical/functional aspects and quality of life of chronic obstructive pulmonary disease patients who were discharged after an intensive care unit admission for acute respiratory failure. METHODS: This prospective study included chronic obstru...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385985/ https://www.ncbi.nlm.nih.gov/pubmed/28444072 http://dx.doi.org/10.5935/0103-507X.20170008 |
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author | Viana, Renata Cristina Teixeira Pinto Pincelli, Mariangela Pimentel Pizzichini, Emílio Silva, André Pacheco Manes, Joice Marconi, Tatiana Dias Steidle, Leila John Marques |
author_facet | Viana, Renata Cristina Teixeira Pinto Pincelli, Mariangela Pimentel Pizzichini, Emílio Silva, André Pacheco Manes, Joice Marconi, Tatiana Dias Steidle, Leila John Marques |
author_sort | Viana, Renata Cristina Teixeira Pinto |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to evaluate the clinical/functional aspects and quality of life of chronic obstructive pulmonary disease patients who were discharged after an intensive care unit admission for acute respiratory failure. METHODS: This prospective study included chronic obstructive pulmonary disease patients who were admitted to two intensive care units between December of 2010 and August of 2011 and evaluated over three visits after discharge. Thirty patients were included, and 20 patients completed the three-month follow up. RESULTS: There was a significant improvement in the following: forced expiratory flow in one second (L) (1.1/1.4/1.4; p = 0.019), six-minute walk test (m) (- /232.8 /272.6; p = 0.04), BODE score (7.5/5.0/3.8; p = 0.001), cognition measured by the Mini Mental State Examination (21/23.5/23.5; p = 0.008) and quality of life measured by the total Saint George Respiratory Questionnaire score (63.3/56.8/51, p = 0.02). The mean difference in the total score was 12.3 (between visits 1 and three). Important clinical differences were observed for the symptom score (18.8), activities score (5.2) and impact score (14.3). The majority of participants (80%) reported they would be willing to undergo a new intensive care unit admission. CONCLUSION: Despite the disease severity, there was a significant clinical, functional and quality of life improvement at the end of the third month. Most patients would be willing to undergo a new intensive care unit admission. |
format | Online Article Text |
id | pubmed-5385985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-53859852017-04-14 Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up Viana, Renata Cristina Teixeira Pinto Pincelli, Mariangela Pimentel Pizzichini, Emílio Silva, André Pacheco Manes, Joice Marconi, Tatiana Dias Steidle, Leila John Marques Rev Bras Ter Intensiva Original Articles OBJECTIVE: The purpose of this study was to evaluate the clinical/functional aspects and quality of life of chronic obstructive pulmonary disease patients who were discharged after an intensive care unit admission for acute respiratory failure. METHODS: This prospective study included chronic obstructive pulmonary disease patients who were admitted to two intensive care units between December of 2010 and August of 2011 and evaluated over three visits after discharge. Thirty patients were included, and 20 patients completed the three-month follow up. RESULTS: There was a significant improvement in the following: forced expiratory flow in one second (L) (1.1/1.4/1.4; p = 0.019), six-minute walk test (m) (- /232.8 /272.6; p = 0.04), BODE score (7.5/5.0/3.8; p = 0.001), cognition measured by the Mini Mental State Examination (21/23.5/23.5; p = 0.008) and quality of life measured by the total Saint George Respiratory Questionnaire score (63.3/56.8/51, p = 0.02). The mean difference in the total score was 12.3 (between visits 1 and three). Important clinical differences were observed for the symptom score (18.8), activities score (5.2) and impact score (14.3). The majority of participants (80%) reported they would be willing to undergo a new intensive care unit admission. CONCLUSION: Despite the disease severity, there was a significant clinical, functional and quality of life improvement at the end of the third month. Most patients would be willing to undergo a new intensive care unit admission. Associação de Medicina Intensiva Brasileira - AMIB 2017 /pmc/articles/PMC5385985/ /pubmed/28444072 http://dx.doi.org/10.5935/0103-507X.20170008 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Viana, Renata Cristina Teixeira Pinto Pincelli, Mariangela Pimentel Pizzichini, Emílio Silva, André Pacheco Manes, Joice Marconi, Tatiana Dias Steidle, Leila John Marques Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up |
title | Chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
title_full | Chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
title_fullStr | Chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
title_full_unstemmed | Chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
title_short | Chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
title_sort | chronic obstructive pulmonary disease exacerbation in the intensive
care unit: clinical, functional and quality of life at discharge and 3 months of
follow up |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385985/ https://www.ncbi.nlm.nih.gov/pubmed/28444072 http://dx.doi.org/10.5935/0103-507X.20170008 |
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