Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Viana, Renata Cristina Teixeira Pinto, Pincelli, Mariangela Pimentel, Pizzichini, Emílio, Silva, André Pacheco, Manes, Joice, Marconi, Tatiana Dias, Steidle, Leila John Marques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2017
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
_version_ 1782520684717539328
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
work_keys_str_mv AT vianarenatacristinateixeirapinto chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT pincellimariangelapimentel chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT pizzichiniemilio chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT silvaandrepacheco chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT manesjoice chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT marconitatianadias chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup
AT steidleleilajohnmarques chronicobstructivepulmonarydiseaseexacerbationintheintensivecareunitclinicalfunctionalandqualityoflifeatdischargeand3monthsoffollowup