Functional outcomes in patients with chronic obstructive pulmonary disease: a multivariate analysis
Autor: | Filipe T. S. Athayde, Verônica Franco Parreira, Raquel R. Britto, Danielle S. R. Vieira |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Cross-sectional study disability evaluation physical activity Physical Therapy Sports Therapy and Rehabilitation health status Pulmonary function testing chronic obstructive pulmonary disease rehabilitation Pulmonary Disease Chronic Obstructive Quality of life Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine physical therapy Aged Aged 80 and over COPD business.industry lcsh:RM1-950 Rehabilitation Original Articles Middle Aged medicine.disease Explained variation respiratory tract diseases lcsh:Therapeutics. Pharmacology Cross-Sectional Studies Multivariate Analysis Quality of Life Physical therapy Female business Body mass index Psychosocial |
Zdroj: | Brazilian Journal of Physical Therapy, Volume: 18, Issue: 1, Pages: 63-71, Published: JAN 2014 Brazilian Journal of Physical Therapy v.18 n.1 2014 Brazilian Journal of Physical Therapy Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) instacron:ABRAPG-FT Brazilian Journal of Physical Therapy, Vol 18, Iss 1, Pp 63-71 (2014) |
Popis: | 2 ABSTRACT | Background: Multiple factors can influence the severity of chronic obstructive pulmonary disease (COPD) and the functioning of patients with COPD, such as personal characteristics and systemic manifestations. Objective: To evaluate the different factors that can influence the activity and psychosocial impact domains of the Saint George's Respiratory Questionnaire (SGRQ) in COPD patients. Method: Participants, recruited in a university-based hospital, responded to the SGRQ, and in addition, personal, anthropometric, and clinical data were collected. The study was approved by the Institutional Ethics Committee. Data were analyzed using multiple linear regression models, with the SGRQ activity and psychosocial impact scores as outcome variables, and 10 explanatory variables (age, gender, forced expiratory volume in the first second - FEV 1 , smoking load, body mass index, oxygen therapy, associated diseases, regular physical activity, participation in a formal rehabilitation program, and SGRQ symptoms score) were considered. Results: The best regression model for predicting the SGRQ activity score (r 2 =0.477) included gender, FEV 1, and SGRQ symptoms. In contrast, the predictive model with the highest proportion of explained variance in psychosocial impact score (r 2 =0.426) included the variables gender, oxygen therapy, and SGRQ symptoms. Conclusions: The results indicate that the outcomes, while based on functioning parameters in COPD patients, could be partly explained by the personal and clinical factors analyzed, especially by the symptoms assessed by the SGRQ. Thus, it appears that the health conditions of these patients cannot be described by isolated variables, including pulmonary function parameters. |
Databáze: | OpenAIRE |
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