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. 2011 Dec;20(10):1679-88.
doi: 10.1007/s11136-011-9892-9. Epub 2011 Mar 27.

Impaired health status and care dependency in patients with advanced COPD or chronic heart failure

Daisy J A Janssen  1 , Frits M E Franssen, Emiel F M Wouters, Jos M G A Schols, Martijn A Spruit
Affiliations

Impaired health status and care dependency in patients with advanced COPD or chronic heart failure

Daisy J A Janssen et al. Qual Life Res. 2011 Dec.

Erratum in

  • Qual Life Res. 2012 May;21(4):737

Abstract

Purpose: Aims 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.

Methods: The 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).

Results: Patients 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.

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

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Figures

Fig. 1
Fig. 1
General health status assessed with Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Mean (SEM) domain scores of the SF-36 in patients with advanced chronic obstructive pulmonary disease (COPD, n = 105) or chronic heart failure (CHF, n = 80). * P < 0.05
Fig. 2
Fig. 2
Disease-specific health status assessed with St. Georges Respiratory Questionnaire (SGRQ) and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Mean (SEM) total and domain scores of the SGRQ in patients with advanced chronic obstructive pulmonary disease (COPD, n = 104) (left panel) and mean (SEM) total and domain scores of the MLHFQ in patients with advanced chronic heart failure (CHF, n = 80) (right panel)
See this image and copyright information in PMC

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