Quality of life at discharge from hospital following acute exacerbation of COPD is much worse even if length of stay is short

2016 ◽  
Author(s):  
Lalita Fernandes ◽  
Rohit Vadala ◽  
Nandani Gulati ◽  
Anika Parrikar ◽  
Anthony Mesquita
Keyword(s):  
Quality Of Life ◽  
Length Of Stay ◽  
Acute Exacerbation ◽  
Acute Exacerbation Of Copd ◽  
Exacerbation Of Copd ◽  
Discharge From Hospital

Mood Disorders in Elderly Patients Hospitalized for Acute Exacerbation of COPD

2017 ◽  
Vol 41 (S1) ◽  
pp. S142-S142
Author(s):  
I. Bonfitto ◽  
G. Moniello ◽  
M. Pascucci ◽  
A. Bellomo
Keyword(s):  
Quality Of Life ◽  
Length Of Stay ◽  
Elderly Patients ◽  
Acute Exacerbation ◽  
Rating Scale ◽  
Hospital Length Of Stay ◽  
Acute Exacerbation Of Copd ◽  
Copd Exacerbations ◽  
Exacerbation Of Copd

IntroductionChronic obstructive pulmonary disease (COPD) represents the most common cause of chronic respiratory failure and it's associated with several comorbidities such as depression. Depression is about four times more frequent in elderly patients with COPD compared to peers who are not affected and its prevalence increases with the degree of disease severity.ObjectiveTo assess mood and perception of the quality of life in elderly patients hospitalized for acute exacerbation of COPD.MethodsThirty-five elderly patients hospitalized for reactivation of COPD were examined; they were subjected to spirometry test for the calculation of FEV1 and to COPD Assessment Test (CAT) and Hamilton Rating Scale for Depression (HAM-D) to evaluate impact of COPD on patients’ quality of life and depressive symptomatology, respectively. The number of COPD exacerbations in the last year prior to hospitalization and the number of recovery days required for the stabilization of patients were also recorded.ResultsThere were strongly significative correlations (P < 0.001), positive between HAM-D scores, CAT scores, number of exacerbation in the last year and hospital length of stay and negative between HAM-D scores and FEV1 values. Furthermore, females were more depressed, with lower FEV 1 (P = 0.043) and with a longer length of stay (P = 0.039) as compared to males.ConclusionsA greater severity of depressive symptoms is related to a greater severity of COPD exacerbations, disability associated with it and perceived by the patient, as well as a higher number of recovery days and annual acute exacerbations, particularly in female gender.

scholarly journals A Feasibility and Efficacy Randomized Controlled Trial of Two Exercise Programs in Severe AECOPD Patients with Resting Hypoxemia

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1102
Author(s):  
Laura López-López ◽  
Andrés Calvache-Mateo ◽  
Janet Rodríguez-Torres ◽  
María Granados-Santiago ◽  
Araceli Ortiz-Rubio ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Acute Exacerbation ◽  
Lower Limb ◽  
Health Related Quality ◽  
Acute Exacerbation Of Copd ◽  
Lower Limb Strength ◽  
Related Quality ◽  
Health Related ◽  
Exacerbation Of Copd

Resting hypoxemia is the most severe stage of Chronic Obstructive Pulmonary Disease (COPD). Due to their impairments during the exacerbation, these patients are limited to traditional exercise rehabilitation and are excluded from the majority of the studies. The aim of this study was to assess the feasibility and the efficacy of two exercise programs in Acute Exacerbation of COPD (AECOPD) patients with resting hypoxemia. In this randomized clinical trial, patients hospitalized due to an acute exacerbation of COPD with hypoxemia at rest were included. Patients were randomly assigned into three groups. A Control Group (pharmacological treatment), a Global Exercise Group (GEG), and a Functional Electrostimulation Group (FEG). Patients were treated during the hospitalization period. The main outcomes were lower limb strength (assessed by a dynamometer), balance (assessed by the one leg standing balance test), health related quality of life (assessed by the EQ-5D), adverse events and adherence. At the end of the intervention, there were significant differences in all the variables in favour of the experimental groups (p < 0.05). We concluded that conducting an exercise program is feasible and improves lower limb strength, balance, and health related quality of life in AECOPD patients with resting hypoxemia.

scholarly journals COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD

Thorax ◽  
2021 ◽  
pp. thoraxjnl-2020-215464
Author(s):  
Ruth E Barker ◽  
Samantha SC Kon ◽  
Stuart F Clarke ◽  
Jenni Wenneberg ◽  
Claire M Nolan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Acute Exacerbation ◽  
Exercise Capacity ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Pulmonary Rehabilitation ◽  
Acute Exacerbation Of Copd ◽  
Exacerbation Of Copd

Pulmonary rehabilitation (PR) following hospitalisations for acute exacerbation of COPD (AECOPD) is associated with improved exercise capacity and quality of life, and reduced readmissions. However, referral for, and uptake of, post-hospitalisation PR are low. In this prospective cohort study of 291 consecutive hospitalisations for AECOPD, COPD discharge bundles delivered by PR practitioners compared with non-PR practitioners were associated with increased PR referral (60% vs 12%, p<0.001; adjusted OR: 14.46, 95% CI: 5.28 to 39.57) and uptake (40% vs 32%, p=0.001; adjusted OR: 8.60, 95% CI: 2.51 to 29.50). Closer integration between hospital and PR services may increase post-hospitalisation PR referral and uptake.

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