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2006, Number 4

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Rev Inst Nal Enf Resp Mex 2006; 19 (4)

Quality of life differences of hospitalized stable COPD and asthma patients

Aguilar EMG, García GML

Language: Spanish
References: 15
Page: 272-275
PDF size: 69.22 Kb.


ABSTRACT

Introduction: COPD and asthma are diseases frequently seen at the Airway Disease Clinical Service of The National Institute of Respiratory Diseases Ismael Cosío Villegas.; both severely affect the quality of life (QOL).
Objective: To determine if there are differences in the QOL of hospitalized stable COPD and asthma patients.
Material and methods: Prospective and transverse study of 51 patients, 25 with asthma (GINA) and 26 with COPD (GOLD); the chronic respiratory questionnaire (CRQ) and the St. George’s Respiratory Questionnaire (SGRQ) were applied to both groups once they were in a stable condition. Statistics: Descriptive; Student’s t and Mann-Whitney’s U tests.
Results: Patients with asthma (VEF1 41%, VEF1/FVC 74%), 53 years old, 24% men, 76% women. Patients with COPD (FEV1 43%, FEV1/FVC 58%), 56 years, 43% men, 57% women, tobacco index 47 packs/year, wood smoke index 233 h/year. According to the SGRQ, COPD stable hospitalized patients have a higher score than stable hospitalized asthmatics. (median 60 vs 45 respectively, p = 0.020) as well as limitations of activity due to dyspnea (74 and 53 respectively, p = 0.010).
Conclusions: Hospitalized stable COPD patients have a worst QOL and their daily activities are more limited by dyspnea than in asthmatics. There were no significant differences in the frequency and severity of respiratory symptoms.


REFERENCES

  1. Pauwels RA, Buist S, Calvery PMA, Jenkins C, Hurd S. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD). 2005.

  2. Masoli M, Fabian D, Holt S, Beasley R. Global burden of asthma. Developed for the Global Initiative for Asthma. Medical Research Institute of New Zealand. Southampton, United Kingdom; 2003.

  3. Cano VF. Informe de autoevaluación. Dirección General, Junta de Gobierno. Enero-diciembre, 2005. 88ª. http://portal.iner.gob.mx 27-IX-2006

  4. Guías para el Diagnóstico y Tratamiento de la Enfermedad Pulmonar Obstructiva Crónica. Derivadas del Segundo Consenso Mexicano para el Diagnóstico y Tratamiento de la EPOC. Edición especial. México, DF: INER, SMNCT;2003.

  5. Clark TJH, Bateman ED, Bousquet J, Busse WW, Grouse L. Global Initiative for Asthma (GINA). Manangement and Prevention. 2004.

  6. McSweeny AJ, Grant I, Heaton RK, Adams KM, Timms RM. Life quality of patients with chronic obstructive pulmonary disease. Arch Intern Med 1982; 14:473-478.

  7. Sanz CC. Calidad de vida en pacientes con asma. Punto de Encuentro. XX Reunión Alergonorte. Alergol Inmunol Clin 2001;16:254-263.

  8. Kaptein AA, Brand PL, Dekker FW, Kerstjens HA, Postma DS, Sluiter HJ. Quality-of-life in a long-term multicentre trial in chronic nonspecific lung disease: assessment at baseline. The Dutch CNSLD Study Group. Eur Respir J 1993;6:1479-1484.

  9. Guyatt GH, King DR, Feeny DH, Stubbing D, Goldstein RS. Generic and specific measurement of health-related quality of life in a clinical trial of respiratory rehabilitation. J Clin Epidemiol 1999;52:187-192.

  10. Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987;42:773-778.

  11. Güell R, Casan P, Sangenis M, Morante F, Belda J, Guyatt GH. Quality of life in patients with chronic respiratory disease: the Spanish version of the Chronic Respiratory Questionnaire (CRQ). Eur Respir J 1998;11:55-60.

  12. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992;145:1321-1327.

  13. Ferrer M, Alonso J, Prieto L, et al. Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: the Spanish example. Eur Respir J 1996;9:1160-1166.

  14. Aguilar EMG, Sotelo MC, Lara RAG, García FA, Sansores MR, Ramírez VA. Reproducibilidad del Cuestionario Respiratorio Saint George en la versión al español en pacientes mexicanos con enfermedad pulmonar obstructiva crónica. Rev Inst Nal Enf Resp 2000;13:85-95.

  15. Camacho RJ. Estadística con SPSS para Windows. Versión 11. México: Alfaomega, Ra-Ma;2004.p.408.




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