Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life

Introduction: The chronic obstructive pulmonary disease (COPD) is an inflammatory lung disease characterized by the presence of respiratory symptoms and persistent airflow limitation associated with a systemic inflammatory condition. It is a major cause of morbidity and mortality worldwide. The dise...

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Autores principales: Spaccesi , A, Varela, L, Cazaux , A, Salica , D
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
COPD
health-related quality of life
EPOC
Calidad de vida relacionada con la salud
.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/34857
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-34857
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic COPD
health-related quality of life
EPOC
Calidad de vida relacionada con la salud
.
spellingShingle COPD
health-related quality of life
EPOC
Calidad de vida relacionada con la salud
.
Spaccesi , A
Varela, L
Cazaux , A
Salica , D
Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
topic_facet COPD
health-related quality of life
EPOC
Calidad de vida relacionada con la salud
.
author Spaccesi , A
Varela, L
Cazaux , A
Salica , D
author_facet Spaccesi , A
Varela, L
Cazaux , A
Salica , D
author_sort Spaccesi , A
title Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
title_short Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
title_full Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
title_fullStr Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
title_full_unstemmed Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life
title_sort impact of the chronic obstructive pulmonary disease on the health-related quality of life
description Introduction: The chronic obstructive pulmonary disease (COPD) is an inflammatory lung disease characterized by the presence of respiratory symptoms and persistent airflow limitation associated with a systemic inflammatory condition. It is a major cause of morbidity and mortality worldwide. The disease’s clinical course is associated with the individuals’ lung function decline, a reduction of their capacity to perform activities of daily living, and with its impact on the health-related quality of life (HRQL) which is not always taken into consideration. Objectives: Describe the HRQL in a group of patients with COPD and establish COPD severity and relationship between HRQL and COPD severity. Methods: This is a prospective, transversal, observational, and analytical study. The sample was drawn from patients with COPD from the Hospital Rawson and Clínica Caraffa. Data on demography, smoking, comorbidities and aspects inherent to COPD were collected. The mMRC scale and the COPD assessment Test (CAT) were used. To evaluate the HRQL the European Quality of Life-5 Dimensions (EQ5D) and the St. George Respiratory Questionnaire (SGRQ) were used. Results: 50 patients (28 women) were included in the study. Median age: 62.6 years old. 70% of the patients presented at least one comorbidity, being high blood pressure the most frequent one. SGRQ score was on average 42.9 points and the most affected dimension was “activity”. 80% of the individuals measured by the EQ5D had problems at least in one of the dimensions comprised in the questionnaire. Conclusion: In this sample, COPD affected the HRQL. HRQL is deteriorated in COPD patients and it is significantly correlated with dyspnea (p=0.0001). The HRQL is worse in symptomatic patients and active smokers (p= 0.001 and p=0.01).
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/34857
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spelling I10-R327-article-348572024-04-15T16:19:09Z Impact of the Chronic Obstructive Pulmonary Disease on the Health-Related Quality of Life Impacto de la enfermedad pulmonar obstructiva crónica en la calidad de vida relacionada con la salud A Spaccesi , A Varela, L Cazaux , A Salica , D COPD health-related quality of life EPOC Calidad de vida relacionada con la salud . Introduction: The chronic obstructive pulmonary disease (COPD) is an inflammatory lung disease characterized by the presence of respiratory symptoms and persistent airflow limitation associated with a systemic inflammatory condition. It is a major cause of morbidity and mortality worldwide. The disease’s clinical course is associated with the individuals’ lung function decline, a reduction of their capacity to perform activities of daily living, and with its impact on the health-related quality of life (HRQL) which is not always taken into consideration. Objectives: Describe the HRQL in a group of patients with COPD and establish COPD severity and relationship between HRQL and COPD severity. Methods: This is a prospective, transversal, observational, and analytical study. The sample was drawn from patients with COPD from the Hospital Rawson and Clínica Caraffa. Data on demography, smoking, comorbidities and aspects inherent to COPD were collected. The mMRC scale and the COPD assessment Test (CAT) were used. To evaluate the HRQL the European Quality of Life-5 Dimensions (EQ5D) and the St. George Respiratory Questionnaire (SGRQ) were used. Results: 50 patients (28 women) were included in the study. Median age: 62.6 years old. 70% of the patients presented at least one comorbidity, being high blood pressure the most frequent one. SGRQ score was on average 42.9 points and the most affected dimension was “activity”. 80% of the individuals measured by the EQ5D had problems at least in one of the dimensions comprised in the questionnaire. Conclusion: In this sample, COPD affected the HRQL. HRQL is deteriorated in COPD patients and it is significantly correlated with dyspnea (p=0.0001). The HRQL is worse in symptomatic patients and active smokers (p= 0.001 and p=0.01). Introducción: La enfermedad pulmonar obstructiva crónica (EPOC) es una enfermedad inflamatoria pulmonar caracterizada por la presencia de síntomas respiratorios y limitación persistente al flujo aéreo asociado a un estado inflamatorio sistémico. Es una de las principales causas de morbimortalidad a nivel mundial. Su evolución conlleva reducción de la función pulmonar y de la capacidad de los sujetos para realizar actividades de la vida cotidiana y su impacto en la calidad de vida relacionada con la salud (CVRS) no siempre es tenida en cuenta. Objetivos: Describir la CVRS en un grupo de pacientes con EPOC y establecer en ellos: gravedad de la EPOC; asociación entre CVRS y gravedad de la EPOC. MM: Estudio prospectivo, transversal, observacional y analítico. La muestra estuvo constituida por pacientes con EPOC del Hospital Rawson y Clínica Caraffa. Se recolectaron datos demográficos, consumo de tabaco, comorbilidades y aspectos inherentes a la EPOC. Se aplicaron la escala mMRC y el COPD assessment Test(CAT). Para evaluar la CVRS se utilizaron el European Quality of Life-5 Dimensions(EQ5D) y el Cuestionario Respiratorio de Saint George(SGRQ). El proyecto fue aprobado por el Comité de Ética. Resultados: n=50 pacientes, 28 mujeres. Edad media: 62,6 años. El 70% presentó al menos una comorbilidad, siendo más frecuente la hipertensión arterial. El puntaje SGRQ promedio fue 42,9; la dimensión más afectada fue “actividad”. En relación al EQ5D, el 80% de los sujetos padecía al menos uno de los parámetros contemplados en el cuestionario. La dimensión más afectada fue ansiedad/depresión, así como también fue la que presentó el mayor porcentaje de problemas graves o extremos. El valor medio de la escala visual analógica del EQ5D-VAS fue 64,4. Conclusiones: En esta muestra, la EPOC provocó alteración en la CVRS. La CVRS está deteriorada en pacientes con EPOC y correlaciona significativamente con la disnea (p=0,0001). La CVRS es peor en pacientes sintomáticos y tabaquistas activos (p= 0,001 y p=0,01). . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text text text https://revistas.unc.edu.ar/index.php/med/article/view/34857 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0

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