Evaluation of Health Outcomes in Elderly Patients With Asthma and COPD Using Disease-Specific and Generic Instruments
| Autor: | Vincenzo Bellia, Nicola Scichilone, Franco Rengo, Claudio Imperiale, Stefania Maggi, Filippo Catalano, Raffaele Antonelli Incalzi |
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| Rok vydání: | 2001 |
| Předmět: |
Pulmonary and Respiratory Medicine
Polypharmacy education.field_of_study COPD medicine.medical_specialty Mini–Mental State Examination medicine.diagnostic_test business.industry Population Critical Care and Intensive Care Medicine medicine.disease humanities respiratory tract diseases Quality of life Physical therapy Medicine Geriatric Depression Scale Cardiology and Cardiovascular Medicine business education human activities Body mass index Asthma |
| Zdroj: | Chest. 120:734-742 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.120.3.734 |
| Popis: | Objectives To compare the effects of asthma and COPD on health status (HS) in elderly patients, and to assess the correlation between disease-specific and generic instruments assessing HS. Design Multicenter, cross-sectional, observational study. Setting The Salute Respiratoria nell'Anziano (respiratory health in the elderly) Study network of outpatient departments. Patients One hundred ninety-eight asthma patients and 230 COPD patients ≥ 65 years old. Measurements HS was assessed by the Saint George's Respiratory Questionnaire (SGRQ) and five generic outcomes: Barthel's index, 6-min walk test, mini mental state examination, geriatric depression scale (GDS), and quality-of-sleep index. Independent correlates of SGRQ scores were assessed by logistic regression. Patients were considered to have a "good" HS or" poor" HS according to whether they did or did not perform worse than 75% of the corresponding population of asthma or COPD patients, on at least two of the five generic outcomes. Results On average, COPD patients had poorer HS than asthma patients on the SGRQ. Only polypharmacy (more than three respiratory drugs) and diagnosis of COPD qualified as independent correlates of the SGRQ score. The SGRQ "Activity" and "Impacts" scores shared the following independent correlates: polypharmacy, Barthel's index 6. Further correlates were waist/hip ratio > 1 for the Activity score, and age and occiput-wall distance > 9 cm for the Impacts score. All sections of the SGRQ except for the Symptoms score could significantly distinguish patients with good HS and poor HS. Conclusions Individual dimensions of HS recognize different determinants. COPD outweighs asthma as a cause of distressing respiratory symptoms. A high degree of concordance exists between SGRQ and generic health outcomes, except for the Symptoms dimension in COPD patients. |
| Databáze: | OpenAIRE |
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