TY - JOUR
T1 - Viabilidad de la evaluación domiciliaria del estado funcional de pacientes con enfermedad pulmonar obstructiva crónica en fase de recuperación de una exacerbación
AU - Valeiro, Beatriz
AU - Hernández, Carme
AU - Barberán-Garcia, Anael
AU - Rodríguez, Diego A.
AU - Aibar, Jesús
AU - Llop, Lourdes
AU - Vilaró, Jordi
N1 - Publisher Copyright:
© 2015 SEPAR.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Introduction: The Glittre Activities of Daily Living Test (ADL-Test) is a reliable functional status measurement for stable chronic obstructive pulmonary disease (COPD) patients in a laboratory setting. We aimed to adapt the test to the home setting (mADL-Test) and to follow-up the functional status recovery of post-exacerbation COPD patients included in a home hospitalization (HH) program. Method: We assessed 17 exacerbated moderate-to-very-severe COPD patients in 3 home visits: at discharge to HH (V0), 10 days (V10post) and 1 month after discharge (V30post). Patients completed the mADL-Test (laps, VO2 and VE), COPD assessment test (CAT), London Chest ADL Test (LCADL), modified Medical Research Council (mMRC) and upper limb strength (handgrip). Results: The number of laps of the mADL-Test (4, 5 and 5, P < .05), CAT (19, 12 and 12, P < .01), mMRC (2, 1.5 and 1, P < .01) and the self-care domain of the LCADL (6, 5 and 5, P < .01) improved during follow-up (V0, V10post and V30post, respectively). No significant changes were evidenced in VO2, VE or handgrip. Conclusion: Our results suggest that the mADL-test can be performed in the home setting after a COPD exacerbation, and that functional status continues to improve 10 days after discharge to HH.
AB - Introduction: The Glittre Activities of Daily Living Test (ADL-Test) is a reliable functional status measurement for stable chronic obstructive pulmonary disease (COPD) patients in a laboratory setting. We aimed to adapt the test to the home setting (mADL-Test) and to follow-up the functional status recovery of post-exacerbation COPD patients included in a home hospitalization (HH) program. Method: We assessed 17 exacerbated moderate-to-very-severe COPD patients in 3 home visits: at discharge to HH (V0), 10 days (V10post) and 1 month after discharge (V30post). Patients completed the mADL-Test (laps, VO2 and VE), COPD assessment test (CAT), London Chest ADL Test (LCADL), modified Medical Research Council (mMRC) and upper limb strength (handgrip). Results: The number of laps of the mADL-Test (4, 5 and 5, P < .05), CAT (19, 12 and 12, P < .01), mMRC (2, 1.5 and 1, P < .01) and the self-care domain of the LCADL (6, 5 and 5, P < .01) improved during follow-up (V0, V10post and V30post, respectively). No significant changes were evidenced in VO2, VE or handgrip. Conclusion: Our results suggest that the mADL-test can be performed in the home setting after a COPD exacerbation, and that functional status continues to improve 10 days after discharge to HH.
KW - Activities of daily living
KW - Chronic obstructive pulmonary disease
KW - Exacerbation
KW - Exercise test
KW - Home hospitalization
UR - http://www.scopus.com/inward/record.url?scp=85027234317&partnerID=8YFLogxK
U2 - 10.1016/j.arbr.2015.11.008
DO - 10.1016/j.arbr.2015.11.008
M3 - Artículo
C2 - 26822266
AN - SCOPUS:85027234317
SN - 0300-2896
VL - 52
SP - 256
EP - 261
JO - Archivos de Bronconeumologia
JF - Archivos de Bronconeumologia
IS - 5
ER -