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Correlations Between Iadl Scale and Clinical Parameters in Severe-to-very Severe Copd Patients

Year: 2019
Type: article
Study design: Observational Study
Abstract: Aim: To identify the clinical parameters correlated with the Lawton Instrumental Activities of Daily Living (IADL) scale in severe-to-very severe COPD patients, admitted for an inpatient pulmonary rehabilitation program (PRP). Material and methods: We conducted a retrospective analytical study in 84 patients with GOLD 3 and GOLD 4 stage COPD, consecutively admitted to Iasi Pulmonary Rehabilitation Clinic, from January 2016 to December 2017, for an inpatient PRP. In addition to spirometry, the following functional evaluations were carried out: Lawton Instrumental Activities of Daily Living (IADL) scale, dyspnea assessment (on Modified Medical Research Council - mMRC and Borg scale), and COPD Assessment Test (CAT). Results: The study included 84 COPD patients, mean age 66.98±10.06 years and mean FEV1 37.04±9.03% of predicted value. Mean values of FEV1, dyspnea score on mMRC (p=0.01), and Borg scale (p<0.001) were significantly lower in GOLD 4 stage COPD. Median values of CAT and IADL scores were comparable, irrespective of gender or severity of COPD. There were negative correlations between IADL score and age (r = -0.25; p=0.02), mMRC dyspnea score (r = -0.46; p<0.001), Borg dyspnea score (r = -0.412; p<0.001), and CAT score (r = -0.427; p<0.001). In multivariate analysis, only age and the mMRC score remained significantly associated with IADL score. Conclusions: Pulmonary rehabilitation should be tailored for COPD patients with cognitive impairment, according to the severity of the disease and its assessment should be incorporated as a clinical outcome in the management of this chronic condition.
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W2978075077
FWCI:
Cites: 14
Cited by: 1
Related to: 10