Original StudyProblematic Activities of Daily Life are Weakly Associated With Clinical Characteristics in COPD
Section snippets
Participants
Data were extracted from the records of 1102 clinically stable patients with the diagnosis of “COPD” who were evaluated at CIRO+, a center of excellence for chronic organ failure in Horn (the Netherlands), for rehabilitation eligibility between January 1, 2005, and April 1, 2009. Of these records, 820 met the following inclusion criteria: all necessary data present, a forced expiratory (FEV1)/forced vital capacity (FVC) ratio of 0.7 or less, and not representing a repeat admission for the same
Patients’ Characteristics
The current cohort consisted mostly of elderly male COPD patients, with generally a normal body composition, and a poor functional exercise performance. About one-third of the patients used a walking aid. As expected, patients in GOLD stage 4 had the worst mean 6-minute walking distance, also after correction for confounding variables, like height, body weight, age, and sex.25 Furthermore, mean SGRQtotal scores were significantly higher (= worse) among GOLD 4 patients (Table 1).
Problematic ADLs
A total of 820
Discussion
This is the most comprehensive evaluation of problematic ADLs in COPD patients to date, in which a staggering range of 2999 problematic ADLs were reported. Walking was the most prevalent problematic ADL independent of age, sex, or GOLD stage. Moreover, a huge proportion of patients were not satisfied at all with 1 or more problematic ADLs. Known clinical determinants of ADLs in COPD patients were only weakly associated with performance and satisfaction scores of problematic ADLs in the current
Acknowledgments
Paul Willems of Human Movement Science, NUTRIM School for Nutrition, Toxicology and Metabolism, and Suzanne Goossens, Mieke Kersten, Michelle van Mook and Malou Lammers of the Department of Occupational Therapy, Zuyd University, Heerlen, Netherlands, are gratefully acknowledged for their help with electronic data processing.
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The CIRO+ Rehabilitation Network consists of CIRO+, Horn (NL), St. Laurentius Hospital, Roermond (NL), St. Jans gasthuis, Weert (NL), St Anna Hospital, Geldrop (NL), Elkerliek Hospital, Helmond (NL), Maxima Medical Centre, Veldhoven (NL), and Maastricht University Medical Centre, Maastricht (NL).
The authors report no conflicts of interest.