López-Vargas R, Domínguez FME, Sandoval RA, López-Muro M

Idioma: Español
Referencias bibliográficas: 32
Paginas: 271-276
Archivo PDF: 61.20 Kb.

RESUMEN

Mejorar la calidad de vida en enfermos con neumopatía es una meta de los programas de rehabilitación pulmonar. El cuestionario de St George’s (CSG), ha demostrado confiabilidad en pacientes con limitación al flujo aéreo para medir capacidad funcional y disnea, así como calidad de vida. Para evaluar la tolerancia al ejercicio se utilizaron la caminata de 6 minutos y la caminata incremental Shuttle (CIS), quienes demuestran correlación con el consumo de oxígeno como indicador de la capacidad aeróbica. Objetivo: Evaluar la correlación entre CSG y CIS en enfermedad obstructiva (EPOC) y restrictiva. Material y métodos: Estudio retrospectivo, observacional y transversal. Se revisaron enfermos que ingresaron por primera vez a rehabilitación pulmonar con diagnósticos de EPOC y neumopatía intersticial; se midió espirometría, CSG y CIS. Resultados: Se incluyeron 95 pacientes, 58 con patología restrictiva, 37 con EPOC. Se observó correlación positiva en los de enfermedad intersticial con la distancia caminada y el CSG en los rubros de actividades, impacto y el total del cuestionario. Correlacionó también con la FVC y FEV1 en valores absolutos y porcentajes. En pacientes obstructivos se encontró mayor correlación de la CIS y CSG. Conclusión: El deterioro de la calidad de vida en pacientes con enfermedad intersticial correlacionó bien con la distancia caminada así como con las pruebas de función pulmonar. En pacientes con EPOC el deterioro de la calidad de vida fue independiente del resultado del FVC y FEV1 y CIS.

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