ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain
| Autor: | Montserrat Carmona, Graciela Bosca, Ángel Alberquilla, José Luis Monteagudo, Fernando López-Rodríguez, Jesús de Pedro-Cuesta, Javier Virués-Ortega, Enrique Alcalde-Cabero, Pilar García-Sagredo, Carlos H. Salvador, Luis García-Olmos |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Population MEDLINE World Health Organization Chronic disease Disability Evaluation Pulmonary Disease Chronic Obstructive Interpersonal relationship Social support Sex Factors International Classification of Diseases Activities of Daily Living Epidemiology Prevalence medicine Humans Disabled Persons Interpersonal Relations Enfermedades crónicas Functioning Mobility Limitation education Stroke Heart Failure education.field_of_study COPD Disability business.industry WHODAS-2 WHODAS II Funcionamiento Public Health Environmental and Occupational Health Social Support medicine.disease Primary care Atención primaria Spain Physical therapy Discapacidad Female business |
| Zdroj: | Gaceta Sanitaria. :21-28 |
| ISSN: | 0213-9111 |
| DOI: | 10.1016/j.gaceta.2011.08.005 |
| Popis: | Objective The planning, provision and monitoring of medical and support services for patient groups with chronic ailments may require disability assessment and registration. The purpose of this study was to assess disability in three groups of patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF) or stroke. Methods Convenience samples of consecutive patients diagnosed with COPD (102), CHF (99), and stroke (99) were taken from 1,053 primary care users in the southern area of the autonomous region of Madrid. The patients were informed of the study and were assessed in their homes by trained field workers using the World Health Organization Disability Assessment Schedule II (WHO-DAS II). Results None of the groups had patients with extreme disability on their global WHO-DAS II scores. The prevalence of severe disability differed among the groups and was highest for stroke and CHF (33.33% and 29.29%, respectively) and lowest for COPD (14.71%). The three groups shared two similar traits, namely, a higher prevalence of disability among women than men, and a specific pattern by domain, with the highest prevalence of severe/extreme limitations being found in household life activities and mobility. Severe restrictions in Social Participation were more frequent in patients with stroke and CHF. The group with moderate disability according to the global WHODAS II score (n=94) showed a high prevalence of severe limitations in mobility, life activities and self-care. Conclusions Disability among non-institutionalized persons with COPD, CHF and stroke is frequent and shows gender- and domain-related patterns similar to those described in a population-based study performed using the WHO-DAS II in elderly persons in Spain. ICF-validated disability categories could be useful in epidemiological surveys, individual assessments and primary care data monitoring systems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|