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Quality of Life Research

, Volume 20, Issue 10, pp 1679–1688

First Online: 27 March 2011Accepted: 11 March 2011

Abstract

PurposeAims 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.

MethodsThe 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.

ResultsPatients 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.

ConclusionsClinical care should regularly assess symptom burden and care dependency to identify patients with advanced COPD or CHF at risk for an impaired health status.

KeywordsChronic obstructive pulmonary disease Chronic heart failure Health status Health-related quality of life Care dependency Functional status AbbreviationsAQoLAssessment of Quality of Life instrument

BMIBody mass index

CDSCare Dependency Scale

COPDChronic obstructive pulmonary disease

CHFChronic heart failure

EQ-5DEuroQol-5 Dimensions

FEV1Forced expiratory volume in the first second

GOLDGlobal initiative for chronic Obstructive Lung Disease

HADSHospital Anxiety and Depression Scale

LTOTLong-term oxygen therapy

SF-36Medical Outcomes Study 36-Item Short-Form Health Survey

MLHFQMinnesota Living with Heart Failure Questionnaire

NYHANew York Heart Association

SGRQSt. Georges Respiratory Questionnaire

TUGTimed ‘Up and Go’

VASVisual analogue scale

An erratum to this article can be found at http:-dx.doi.org-10.1007-s11136-012-0165-z.

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Autor: Daisy J. A. Janssen - Frits M. E. Franssen - Emiel F. M. Wouters - Jos M. G. A. Schols - Martijn A. Spruit

Fuente: https://link.springer.com/



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