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Quality of Life Research
Published in: Quality of Life Research 10/2011

Open Access 01-12-2011

Impaired health status and care dependency in patients with advanced COPD or chronic heart failure

Authors: Daisy J. A. Janssen, Frits M. E. Franssen, Emiel F. M. Wouters, Jos M. G. A. Schols, Martijn A. Spruit

Published in: Quality of Life Research | Issue 10/2011

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Abstract

Purpose

Aims of this cross-sectional study were to assess health status and care dependency in patients with advanced chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) and to identify correlates of an impaired health status.

Methods

The following outcomes were assessed in outpatients with advanced COPD (n = 105) or CHF (n = 80): clinical characteristics; general health status (EuroQol-5 Dimensions (EQ-5D); Assessment of Quality of Life instrument (AQoL); Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)); disease-specific health status (St. Georges Respiratory Questionnaire (SGRQ), Minnesota Living with Heart Failure Questionnaire (MLHFQ)); physical mobility (timed ‘Up and Go’ test); and care dependency (Care Dependency Scale).

Results

Patients with advanced COPD or CHF have an impaired health status and may be confronted with care dependency. Multiple regression analyses have shown that physical and psychological symptoms, care dependency and number of drugs were correlated with impaired health status in advanced COPD or CHF, while demographic and clinical characteristics like age, gender, disease severity and co-morbidities were not correlated.

Conclusions

Clinical care should regularly assess symptom burden and care dependency to identify patients with advanced COPD or CHF at risk for an impaired health status.
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Metadata
Title
Impaired health status and care dependency in patients with advanced COPD or chronic heart failure
Authors
Daisy J. A. Janssen
Frits M. E. Franssen
Emiel F. M. Wouters
Jos M. G. A. Schols
Martijn A. Spruit
Publication date
01-12-2011
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 10/2011
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9892-9

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