Physical and Functional Impairment During and After Hospitalization in Subjects With Severe COPD Exacerbation.
BACKGROUND: COPD exacerbations are frequent events that have a negative impact on the lives of patients. The aims of this study were to analyze physical and functional impairment during hospital stay in subjects hospitalized due to COPD exacerbation and to assess the physical and functional impact o...
| Publicado en: | Respiratory Care Vol. 62; no. 2; pp. 209 - 215 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120985873&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120985873 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Feb2017 vid: 62 iid: 2 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 120985873 120985873 120985873 10.4187/respcare.04597 120985873 ppf: 209 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Physical and Functional Impairment During and After Hospitalization in Subjects With Severe COPD Exacerbation. aug: au: Torres-Sánchez, Irene Cabrera-Martos, Irene Díaz-Pelegrina, Ana Valenza-Demet, Gerald Moreno-Ramírez, Maria Paz Valenza, Marie Carmen affil: Department of Physical Therapy, School of Health Sciences. University of Granada, Spain sug: subj: Pulmonary Disease, Chronic Obstructive Therapy Disease Exacerbation Therapy Functional Status Hospitalization Human Inpatients Prospective Studies Nonexperimental Studies Outcomes (Health Care) Dyspnea Muscle Strength Posture Funding Source Spain Questionnaires Spirometry Scales Balance, Postural Dynamometry Descriptive Statistics Analysis of Variance Confidence Intervals Data Analysis Software ab: BACKGROUND: COPD exacerbations are frequent events that have a negative impact on the lives of patients. The aims of this study were to analyze physical and functional impairment during hospital stay in subjects hospitalized due to COPD exacerbation and to assess the physical and functional impact of hospitalization at a 1-month follow-up in patients with severe COPD. METHODS: This was a prospective observational study on a sample of 52 subjects hospitalized due to COPD exacerbation. The assessments were performed at baseline, discharge, and 1-month follow-up. The outcome measures were dyspnea, muscle strength, functional capacity, and postural steadiness. RESULTS: Quadriceps strength [1.036 (P = .043) kg mean difference] and the one-leg stance test [1.04 (P = .02) and 0.73 (P = .032) s mean difference right and left leg] showed significant impairment during hospitalization. Dyspnea perception improved significantly (P = .004) during hospitalization. Additionally, strength in the upper and lower limbs [4.04 (P = .002) and 1.23 (P = .038) kg mean difference], functional capacity [3.0 number of steps mean difference (P = .032)], and the one-leg stance test [2.12 (P = .006) and 0.53 (P = .047) s mean difference right and left leg] showed significant impairment 1-month follow-up. CONCLUSIONS: Hospitalization due to COPD exacerbation leads to physical and functional impairment in patients; impairment is greater at 1-month follow-up. It would be interesting to conduct physical therapy interventions to prevent the impairment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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