Chest
Clinical Investigations: COPDConstruct Validity of Activities of Daily Living Scale: A Clue To Distinguish the Disabling Effects of COPD and Congestive Heart Failure
Section snippets
Patients
The present study uses data from a large collaborative observational study group, the Gruppo Italiano di Farmacovigilanza nell'Anziano (GIFA), based in community and university hospitals located throughout Italy, that periodically surveys drug consumption, occurrence of adverse drug reactions, and quality of hospital care. We used data on patients consecutively admitted to the 24 participating centers during the 4-month survey carried out in 1998. Methods of the GIFA have been previously
Results
Sociodemographic, neuropsychological, and clinical characteristics of CHF, COPD, and diabetes mellitus patients are reported in Table 1. CHF patients were characterized by older age and higher prevalence of widowhood than COPD and diabetes mellitus patients, whereas male gender prevailed in the COPD group. Admission to a geriatric ward was more frequent in both CHF and COPD groups. The cognitive status, as reflected by the mean AMT score, was fairly normal, whereas the mean GDS score was
Discussion
The main finding from this study is that BADL-IADL cluster in a very similar manner in two populations with different chronic conditions such as CHF and diabetes mellitus. A quite different hierarchy of IADL characterizes COPD, with a factor being expression of IADL related to outdoor mobility and another summarizing selected highly demanding IADL. These findings demonstrate that the crude computation of lost IADL may not be fully representative of the impact the loss has on personal
References (38)
- et al.
Multidimensionality in instrumental and basic activities of daily living
J Clin Epidemiol
(1998) - et al.
Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study
Lancet
(1997) - et al.
The cost of treating COPD patients with long-term oxygen therapy in a French population
Chest
(1996) - et al.
Baseline quality of life as a predictor of mortality and hospitalization in 5,025 patients with congestive heart failure. For the SOLVD Investigators
Am J Cardiol
(1996) - et al.
Descriptors of breathlessness in healthy individuals: distinct and separable constructs
Chest
(2000) - et al.
Pharmacosurveillance in hospitalized patients in Italy: study design of the Gruppo Italiano di Farmacovigilanza nell'Anziano’ (GIFA)
Pharmacol Res
(1999) - et al.
A new method of classifying prognostic comorbidity in longitudinal studies: development and validation
J Chronic Dis
(1987) - et al.
The performance of instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents
J Clin Epidemiol
(2003) - et al.
Physical disability in older Americans
J Gerontol
(1993) - et al.
The epidemiology of heart failure: the Framingham Study
J Am Coll Cardiol
(1993)
Impact of heart failure and left ventricular systolic dysfunction on quality of life: a cross-sectional study comparing common chronic cardiac and medical disorders and a representative adult population
Eur Heart J
Home assessment of activities of daily living in patients with severe chronic obstructive pulmonary disease on long-term oxygen therapy
Eur Respir J
Prediction of survival for older hospitalized patients: the HELP survival model
J Am Geriatr Soc
Outcomes for older men and women with congestive heart failure
J Am Geriatr Soc
Chronic obstructive pulmonary disease stage and health-related quality of life: The Quality of Life of Chronic Obstructive Pulmonary Disease Study Group
Ann Intern Med
Peripheral and respiratory muscles in chronic heart failure
Eur Respir J
Dyspnea: mechanisms, assessment, and management; a consensus statement
Am J Respir Crit Care Med
Disorders of respiratory muscles
Am J Respir Crit Care Med
Relationship between pulmonary function and unsupported arm exercise in patients with COPD
Monaldi Arch Chest Dis
Cited by (52)
Physical frailty related to cognitive impairment and COPD exacerbation: A cross-sectional study
2023, Respiratory MedicinePalliative care and pulmonary rehabilitation
2014, Clinics in Chest MedicineCitation Excerpt :In addition, involvement of allied health care professionals was low, and palliative medication was scarcely prescribed.24 Patients with advanced COPD often experience impairment in performing normal daily tasks.25,26 A study of patients with COPD admitted to the hospital showed that patients may not only need assistance with instrumental activities of daily living, like grocery shopping, house working, doing laundry and traveling, but also with basic activities of daily living, like bathing and dressing.26
Chronic obstructive pulmonary disease in the elderly
2014, European Journal of Internal MedicineCitation Excerpt :Thus, even the optimal therapy should be supported by social interventions to improve health status. Measuring basic and instrumental activities of daily living (ADL and IADL) and selected measures of physical performance and analyzing their combinations allow verification that COPD affects personal independence in a distinctive way with regard to other chronic conditions such as congestive heart failure and diabetes mellitus [50]. This difference extends also to needs of care: for instance, the combination of three physical limitations, e.g. in going around outside, climbing up or down the stairs and walking for at least 400 m, identifies patients with a longer stay for exacerbated COPD.
One-Year Stability of Care Dependency in Patients With Advanced Chronic Organ Failure
2014, Journal of the American Medical Directors AssociationCitation Excerpt :This is in line with the findings of Incalzi et al8 who found a comparable degree of care dependency in basic and instrumental activities of daily living in patients with COPD or CHF admitted to the hospital. However, the present study also found comparable profiles of care dependency among patients with COPD or CHF, whereas Incalzi et al8 showed different profiles between patients with COPD and CHF, with outdoor mobility problems more prominent in patients with COPD. Several factors may contribute to these differences.
†The GIFA is a research group of the Italian Society of Gerontology and Geriatrics—Fondazione Italiana per la Ricerca sull'Invecchiamento
The GIFA is partially supported by a grant from the Italian National Research Council (No. 94000402)