scholarly journals CAT correlates positively with respiratory rate and is a significant predictor of the impact of COPD on daily life of patients: a cross sectional study

2014 ◽  
Vol 9 ◽  
Author(s):  
Cíntia Becker ◽  
Janaína Schäfer ◽  
Lisiane L. Carvalho ◽  
Isabel P. Vitiello ◽  
Andréa L.G. Da Silva
Keyword(s):  
Health Status ◽  
Respiratory Rate ◽  
Severe Disease ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Borg Scale ◽  
Cross Sectional ◽  
Brazilian Sample ◽  
Copd Patients ◽  
The Impact

Background: The pathophysiological changes of COPD tend to worsen with progression, triggering limiting symptoms and implying the decrease in the activities of daily living and quality of life. The COPD Assessment Test (CAT) is a questionnaire designed to measure the impact of COPD on the health status. The aim of this study was to evaluate the impact of the disease through the CAT in a Brazilian sample of COPD patients and to correlate symptoms at rest with the CAT score in these patients. Methods: Study of cases with COPD patients was conducted by pulmonary rehabilitation program (RP). Respiratory rate (RR) and symptoms (dyspnea by Modified Borg Scale Dyspnea Index; symptoms by CAT) were analyzed at the beginning of the RP. Results: The study analyzed 28 COPD patients, both genders, age 65.93 ± 7.84 years and many patients ranging from severe and very severe disease. The majority of patients were rated by CAT with low impact-disease (n = 13/46, 4%); medium (n = 11/39, 3%) and the high impact-diseases were observed in a few subjects (n = 4/14.3%). The difference between all CAT scores was significant, p = 0.000. There was a positive correlation between respiratory rate and CAT scores impact-level (r = 0.585, p = 0.001). The results obtained by the Borg Scale revealed a high presence of symptoms in these COPD patients but no association with CAT. Conclusion: The CAT is a sensitive tool to assess the current health status of COPD patients, and in Southern Brazil it is positively correlated with respiratory rate.

scholarly journals PROMIS Scales for Assessment of Persistent Post-COVID Symptoms: A Cross Sectional Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110304
Author(s):  
Ravindra Ganesh ◽  
Aditya K. Ghosh ◽  
Mark A. Nyman ◽  
Ivana T. Croghan ◽  
Stephanie L. Grach ◽  
...  
Keyword(s):  
Health Status ◽  
Social Roles ◽  
Disease Process ◽  
Cross Sectional Study ◽  
Large Sample Size ◽  
Sectional Study ◽  
Cross Sectional ◽  
Data Set ◽  
Patient Reported ◽  
The Impact

Objective Persistent post-COVID symptoms are estimated to occur in up to 10% of patients who have had COVID-19. These lingering symptoms may persist for weeks to months after resolution of the acute illness. This study aimed to add insight into our understanding of certain post-acute conditions and clinical findings. The primary purpose was to determine the persistent post COVID impairments prevalence and characteristics by collecting post COVID illness data utilizing Patient-Reported Outcomes Measurement Information System (PROMIS®). The resulting measures were used to assess surveyed patients physical, mental, and social health status. Methods A cross-sectional study and 6-months Mayo Clinic COVID recovered registry data were used to evaluate continuing symptoms severity among the 817 positive tested patients surveyed between March and September 2020. The resulting PROMIS® data set was used to analyze patients post 30 days health status. The e-mailed questionnaires focused on fatigue, sleep, ability to participate in social roles, physical function, and pain. Results The large sample size (n = 817) represented post hospitalized and other managed outpatients. Persistent post COVID impairments prevalence and characteristics were determined to be demographically young (44 years), white (87%), and female (61%). Dysfunction as measured by the PROMIS® scales in patients recovered from acute COVID-19 was reported as significant in the following domains: ability to participate in social roles (43.2%), pain (17.8%), and fatigue (16.2%). Conclusion Patient response on the PROMIS® scales was similar to that seen in multiple other studies which used patient reported symptoms. As a result of this experience, we recommend utilizing standardized scales such as the PROMIS® to obtain comparable data across the patients’ clinical course and define the disease trajectory. This would further allow for effective comparison of data across studies to better define the disease process, risk factors, and assess the impact of future treatments.

scholarly journals An assessment of mental health status of physicians working in medical college hospitals of Dhaka city

2020 ◽  
Vol 32 (2) ◽  
pp. 37-39
Author(s):  
Kazi Mahbubul Haque ◽  
Md Shafiqul Islam ◽  
Saida Sharmin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Status ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Dhaka City ◽  
Cross Sectional ◽  
Medical College ◽  
The Impact

Mental health status is often ignored in our country. Even many health care professionals commonly ignore the impact of mental illness on both daily and professional lives, which may lead to dire consequences. The purpose of this study was to find the mental health status of physicians working in medical college hospitals of Dhaka city. A cross sectional study was conducted from January to December 2015 for this purpose among 215 number of respondents selected conveniently. Data were collected from 210 physicians by face-to face interview using a semi structured questionnaire containing 4DSQ (Four-Dimensional Symptom Questionnaire), socio economic and other variables. The prevalence of mental illness was calculated according to the scoring system of the scale. Mental illness prevalence was as follows: distress 20%, Anxiety 15.7%, Depression 15.2% and Somatization 8.6%. Majority of the respondents were interns and below 30 years of age. However, in light of current pandemic situation, regular assessment of health personnel’s mental health is needed more than ever. Bang J Psychiatry 2018;32(2): 37-39

Final Validation of the Pediatric Tracheotomy Health Status Instrument (PTHSI)

2002 ◽  
Vol 126 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Christopher J. Hartnick ◽  
Barbara K. Giambra ◽  
Cynthia Bissell ◽  
Cynthia M. Fitton ◽  
Robin T. Cotton ◽  
...  
Keyword(s):  
Health Status ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Specific Criterion ◽  
Health Status Instrument ◽  
Related Quality ◽  
The Impact

OBJECTIVE: We sought to describe the development and final testing of an instrument designed to evaluate the impact of tracheotomy on the health-related quality of life of affected families in whom a child has had a tracheotomy (the Pediatric Tracheotomy Health Status Instrument [PTHSI]). STUDY DESIGN: This cross-sectional study designed to analyze a disease-specific health status instrument to establish validity and reliability. RESULTS: The PTHSI was initially pilot tested in 130 families during a 3-month period from September through November 2000. After initial analysis and revision, from January 2001 through July 2001, 154 different families completed the revised instrument. The overall Cronbach's α coefficient for the instrument was 0.91, with domain-specific coefficients ranging from 0.66 for physical symptoms to 0.87 for caregiver stress and coping. Specific criterion validity analysis produced a Pearson correlation coefficient of 0.8 ( P < 0.0001). Construct validity testing via Wilcoxon matched sum testing suggested statistically significant differences between subpopulations ( P < 0.001). CONCLUSION: After initial testing and revision of the PTHSI, final instrument administration and analysis reveal the instrument to be valid and reliable. Future studies are planned to evaluate its responsiveness in longitudinal application.

scholarly journals Impact of COVID-19 Pandemic on Physical Activity and Mental Health of Physiotherapy Students, Vadodara - A Cross Sectional Study

2021 ◽  
Vol 11 (6) ◽  
pp. 294-300
Author(s):  
Lalli Singh ◽  
Devangi Desai
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Status ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Activity Level ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
The Impact ◽  
Physiotherapy Students

Background:- Lockdown in India happened due to COVID-19 pandemic. In this lockdown, government urged people to stay at home to prevent the spread of the virus. Prolonged homestay for longer duration leads to sedentary behavior which affects physical as well as mental health of the individuals. Aim:- This study aimed at determining the impact of COVID-19 pandemic on the physical activity and mental health of physiotherapy college students. Also to know the correlation between physical activity and mental health in physiotherapy students keeping pandemic COVID-19 in between them. Method:- A web-based survey was undertaken. 250 physiotherapy students were approached out of which 214 had successfully filled up the entire form. The questionnaire of IPAQ(SF) for physical activity level and DASS-21 for mental health were used. Data Analysis:- Prevalence for physical activity and prevalence of mental health status for physiotherapy students was calculated and presented in form of frequency distribution and spearman’s correlation was used to find the any relation between them. Results:- Prevalence of 79% was obtained for mild physical activity. 17% for moderate physical activity and 4% severe physical activity was obtained. Prevalence of mental health status were noted it showed 29.90% mild, 32.71% moderate and 10.73% severe level of affection in physiotherapy students. Also, there is a weak positive co relation between physical activity and mental health of physiotherapy students considering pandemic. Conclusion:- With the present study it can be concluded that there is a significant reduction in the physical activity and also prevalence for mental health status shows deterioration level among physiotherapy students. Looking at the current scenario early intervention are needed to improve the mental health status and physical activity of physiotherapy students. Key words: Covid 19, lockdown, stress, physical activity and health status.

scholarly journals Impact of internal displacement on psychosocial and health status of students residing in the hostel of Anbar University, Iraq

2020 ◽  
Vol 3 (1) ◽  
pp. 140-144
Author(s):  
Mustafa Ali Mustafa Al-Samarrai ◽  
Ban Nadhum AL- Any ◽  
Ahmed Khalaf Soofi ◽  
Badeaa Thamer Yahyaa ◽  
Saad Ahmed Ali Jadoo
Keyword(s):  
Health Status ◽  
Mental Disorders ◽  
Undergraduate Students ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Internal Displacement ◽  
Cross Sectional ◽  
The Social ◽  
The Mean ◽  
The Impact

Background: Displacement in Iraq has been widespread and for frequent periods. Education was one of the most prominent victims of displacement at all levels, including higher education. This study aims to assess the impact of displacement on the psychosocial and health status of undergraduate students living in student accommodation of Anbar University, Iraq.    Methods: A retrospective cross-sectional study was conducted from 3rd to 17th April 2017. Data was collected using a universal sampling technique. A total of 355 students (Response Rate: 82.1%.) completed a self-administered questionnaire consisting of 26 close-ended questions related to the socio-demographic and economic characteristics of students. Data were analyzed using SPSS version 16. Descriptive data presented as the mean and standard deviation (±SD). Results:  The mean age (±SD) was 22.1 (±1.7) years (range 18-29). About two-third (240, 67.6%) of students experienced some mental disorders. Moreover, 25.1% of students confirmed that the mental disorders were negatively related to their level of performance in college, and the treatment was not available for 31.0% of them. Because of ID, about 45.4% of surveyed students had lost at least one academic year, and 17.5% began to smoke tobacco during the ID period. However, the social and psychological support was absent for about 57.4% of respondents. Conclusion: Our results suggest an urgent and strategic plane to improve the quality of logistics, health, and infrastructure of student accommodation.

scholarly journals CAT correlates positively with respiratory rate and is a significant predictor of the impact of COPD on daily life of patients: a cross sectional study

2014 ◽  
Vol 9 (1) ◽  
pp. 47 ◽  
Author(s):  
Cíntia Becker ◽  
Janaína Schäfer ◽  
Lisiane L Carvalho ◽  
Isabel P Vitiello ◽  
Andréa LG da Silva
Keyword(s):  
Respiratory Rate ◽  
Daily Life ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

scholarly journals Respiratory rehabilitation techniques used for the treatment of COPD patients

2020 ◽  
Vol 11 (Vol.11, no.3) ◽  
pp. 269-273
Author(s):  
Georgeta PATRASCA ◽  
Gilda POPESCU ◽  
Doina Ecaterina TOFOLEAN ◽  
Anca MAIEREAN ◽  
Gabriela DOGARU ◽  
...  
Keyword(s):  
Exercise Tolerance ◽  
Demographic Data ◽  
Rehabilitation Program ◽  
Pharmacological Therapy ◽  
Chronic Obstructive ◽  
Borg Scale ◽  
Lung Function Decline ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
The Impact

Introduction. Chronic obstructive pulmonary disease (COPD) is one of the leading causes of morbidity and mortality throughout the world. At present, the pharmacological therapy is not enough for a patient with COPD in regard to heath status and exercise tolerance. It requires additional therapies aimed to improve the quality of life, delay the lung function decline, increase exercise capacity, and reduce the respiratory symptoms and the number of exacerbations. Pulmonary rehabilitation program (PRP) has been shown to improve respiratory muscle, to optimize functional, psychosocial, behavioral and nutritional status. The aim of the present study was to asses the impact of PRP on COPD patients, focusing on the clinical benefits of PRP, which may further provide to the patients a good support for change. Material and method. Sixty-seven patients with clinically stable COPD were enrolled in this prospective study, consisting in a 6-weeks of PRP. There were recorded demographic data, smoking and medical history, and abnormal findings at the physical examination. All patients completed CAT (COPD Assessment Test) questionnaire and dyspnea on Borg scale, they performed spirometry, and six minutes walking test (6MWT), before and after the completion of the rehabilitation program. Results and Discussions. After the 6-week period of PRP, a large proportion of patients presented higher values of spirometric parameters, although the change was no statistically significant. The impact of COPD on the patient’s health was significantly improved, 58.2% of patients registered < 10 points of CAT questionnaire after PRP (p<0.05). 75% of patients reported a 0-5 points of dyspnea on Borg scale comparing with 29% before the PRP (p=0.0147), and 56% a 0-5 points of fatigue while only 25% of patients had the same score before the rehabilitation programme (p=0,022). Only 8 patients (11.94% vs 31.34%, p<0.05) reported a SaO2 lower than 90% after the PRP. The 6MWD was longer than 250m at the end of the 6-weeks of PRP for 38 patients (56.7% vs 22.38%, p<0.05). Conclusions. The present study showed that a PRP added to pharmacological treatment had a beneficial role of increasing the patient’ health status and exercise tolerance for COPD patients.

scholarly journals The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 96
Author(s):  
Bruno Corrado ◽  
Benedetto Giardulli ◽  
Francesco Polito ◽  
Salvatore Aprea ◽  
Mariangela Lanzano ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Social Life ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pelvic Floor Rehabilitation ◽  
The Impact

Urinary incontinence is a hygienic and psychosocial problem that often brings people to restrict their social life and to experience depression. The main aim of this study was to evaluate the impact of urinary incontinence on quality of life among residents of the Metropolitan City of Naples, Italy, using a newly designed multidimensional questionnaire. The secondary objective was to find which variables affect the quality of life and symptom severity in these patients. To do so, a sample composed of twenty-eight patients was recruited in a multicentre cross-sectional study. Most of the participants had a mild impairment (60%) concerning social life and self-perception, especially those whose education was above the primary level (p = 0.036) and those who followed a pelvic floor rehabilitation program (p = 0.002). Overflow urinary incontinence was associated with a greater deterioration in the aspirational and occupational domain (p = 0.044). Symptom severity was worse in those who had comorbidities (p = 0.038), who had a high body mass index (p = 0.008) or who used diuretics (p = 0.007). In conclusion, our results suggest that there is a significant impairment of quality of life in patients who have only primary education and who follow a pelvic floor rehabilitation program.

scholarly journals Colour vision deficiency and sputum colour charts in COPD patients: an exploratory mixed methods study

2021 ◽  
Author(s):  
Professor Alice M Turner ◽  
Nicola Gale ◽  
Mark Quinn
Keyword(s):  
Colour Vision ◽  
Qualitative Interviews ◽  
Cross Sectional Study ◽  
Health Improvement ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Colour Vision Deficiency ◽  
Copd Patients ◽  
The Impact

Abstract This exploratory mixed method sub-study aimed to establish the impact of colour vision deficiency (CVD) on the usability of sputum colour charts in chronic obstructive pulmonary disease (COPD) patients. Participants with CVD and those with at risk of acquiring CVD were recruited for the study. Colour vision was tested using Chroma Test, which is a software program that analyses the tritan and protan colour contrast thresholds. Qualitative interviews (individual and focus groups) comprised of participants with COPD assessed for undiagnosed CVD, as well as a group with known CVD (with or without COPD). Interviews were analysed using the framework method. Refer to Protocol 1.In addition, a cross sectional study was conducted to determine the prevalence of CVD in The Health Improvement Network (THIN) using colour blind diagnostic read codes. A limitation of this could be failure of general practitioners to record CVD causing underreporting. Refer to Protocol 2.

scholarly journals Self-reported burden of caregiver of adults with depression: a cross-sectional study in five Western European countries

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
B. L. Balkaran ◽  
D. H. Jaffe ◽  
D. Umuhire ◽  
B. Rive ◽  
R. U. Milz
Keyword(s):  
Health Status ◽  
Economic Burden ◽  
Linear Models ◽  
Work Productivity ◽  
Unipolar Depression ◽  
Cross Sectional Study ◽  
Activity Impairment ◽  
Cross Sectional ◽  
Western European ◽  
The Impact

Abstract Background Caregiving in depression imposes a complex health and economic burden. Moreover, there is a paucity of studies examining the impact of caregiving for adult relatives with unipolar depression (CG-UD). This study assessed the burden among CG-UD in five western European (EUR5) countries (France, Germany, Italy, Spain and the United Kingdom) compared with caregivers of adults with other chronic comorbidities (CG-OD) and general non-caregiving (non-CG) population. Methods A retrospective observational study was conducted using the 2016 National Health and Wellness Survey (NHWS) in EUR5. Differences in humanistic burden (health status and health-related quality of life [HRQoL]) and economic burden (work productivity and activity impairments, health care resource utilization [HRU]) were assessed between CG-UD and CG-OD respondents. Caregiver-specific burden (caregiving responsibilities and caregiver reaction assessment [CRA]) was assessed between caregiver groups. Generalized linear models were used to compare between the groups on the outcomes after adjusting for potential confounders. Results Of the 77,418 survey respondents examined, 1380 identified as CG-UD, 6470 as CG-OD and 69,334 as non-CG. Compared to CG-OD and non-CG, CG-UD, reported significantly lower health status (e.g., EuroQoL-5 Dimensions-5 Levels [EQ-5D-5L]: CG-UD = 0.63, CG-OD = 0.67, and non-CG = 0.73, p < 0.001) and HRQoL (e.g., mental component score: CG-UD = 35.0, CG-OD = 37.8, and non-CG = 40.7, p < 0.001). Although effect sizes were small (d < 0.2), minimal clinically important differences (MCID) were apparent for HRQoL and health status. Increased economic-related burden was observed for work and activity impairment (e.g., absenteeism: CG-UD = 32.6%, CG-OD = 26.5%, and non-CG = 14.8%, p < 0.001) and HRU (e.g., healthcare provider [HCP; mean, past 6 months]: CG-UD = 10.5, CG-OD = 8.6, and non-CG = 6.8, p < 0.001). Caregiving-specific burden was associated with experiencing a greater lack of family support (CG-UD: 2.9 vs CG-OD: 2.8, p < 0.01), impact on finances (CG-UD: 3.0 vs CG-OD: 2.9, p = 0.036), and on the caregiver’s schedule (CG-UD: 3.1 vs CG-OD: 3.0, p = 0.048). Conclusion Caregivers of persons with chronic disease experience an excess humanistic and economic burden compared to the general population, with a greater burden confronting caregiver for adults with depression. These findings illustrate the far-reaching burden of depression on both the patient and the relatives who care for them.

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