Profile of a Brazilian population with severe chronic obstructive pulmonary disease

Yaksic, Mateo Sainz; Tojo, Mauro; Cukier, Alberto; Stelmach, Rafaël

doi:10.1590/s0102-35862003000200004

Cited by 18 publications

(20 citation statements)

References 27 publications

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“…Others (4,11) found a higher prevalence of obstructive disorders (68%). A study (3) that analyzed a Brazilian population with severe obstructive pulmonary disease found that 15.7% presented pulmonary TB sequelae. Another study (12) concluded that TB causes chronic airflow limitation that becomes more severe when it is recurrent.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, delays in diagnosing TB have been shown to relate directly to the severity of pulmonary damage and the frequency of comorbidities, negatively affecting quality of life. (3) Some authors have stated that obstructive ventilatory disorder as the most often found in patients with pulmonary TB sequelae, and the intensity usually varies in accordance with the extension of the lesion. (4) Other authors, however, have reported functional normality and mixed disorders.…”

Section: Introductionmentioning

confidence: 99%

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Perfil funcional de pacientes portadores de seqüela de tuberculose de um hospital universitário

et al. 2006

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Objective: To describe data related to the pulmonary function of patients with sequelae of pulmonary tuberculosis, pleural tuberculosis or both. Methods: In the outpatient clinic of a university hospital, 218 patients were evaluated. Of those 218, 56 had sequelae of tuberculosis (pulmonary, pleural or both), and 162 had other types of tuberculosis. All patients were evaluated in the pulmonary function laboratory between February 2000 and July 2004, and 43 were found to be eligible for inclusion in the study. Patients with a history of asthma, chronic pulmonary obstructive disease, cardiac insufficiency, collagen diseases, silicosis or thoracic surgery, as well as those for whom spirometry yielded unacceptable results or was not performed, were excluded. The lung fields were divided into six zones, and radiographic results were classified by degree: Ι (involvement of only one zone with no cavitation); ΙΙ (involvement of two or three zones or of one zone with cavitation); or ΙΙΙ (extensive involvement of three or more zones with or without cavitation). Results: The final study sample comprised 50 patients, 44 (88%) of whom had pulmonary tuberculosis. The most prevalent form (17/50; 34%) was mixed ventilatory disturbance. Severe disturbances were more significant in degree ΙΙΙ radiographs (p = 0.0002) and normal pulmonary function was predominant among patients presenting degree Ι and ΙΙ radiographs (p = 0.002). Conclusion:The early discovery and treatment of tuberculosis contribute to reduce the number of cases, as well as the incidence of tuberculosis sequelae, thereby improving the quality of life of tuberculosis patients. Further studies, involving longitudinal, sequential analysis and larger samples of patients with tuberculosis sequelae, should be conducted in referral centers in Brazil.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perfil funcional de pacientes portadores de seqüela de tuberculose de um hospital universitário

et al. 2006

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“…Da sexta causa de morte hoje, passará nesse mesmo período de tempo para a segunda causa. 5 A DPOC foi a quinta maior causa de internamento no sistema público de saúde do Brasil, em pessoas com mais de 40 anos de idade, com 196.698 internações e gasto aproximado de 72 milhões de reais, segundo os registros do banco de dados do sistema único de saúde de 2003. 6 A relevância científica e social justifica a realização de estudos para conhecer melhor as condições que interferem no bem-estar e fatores associados à qualidade de vida de pessoas com doença crônica, esta no intuito de criar alternativas de programas de intervenção e propor ações na área da saúde, buscando atender às demandas, especialmente da população que envelhece com uma doença crônica.…”

Section: Research -Investigaciónunclassified

Percepção de idosos com doença pulmonar obstrutiva crônica sobre a qualidade de vida

2010

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Objetivou analisar a percepção de idosos com doença pulmonar obstrutiva crônica sobre a qualidade de vida. Os dados foram coletados com 24 idosos aplicando o instrumento World Health Organization Quality of Life-100, orientado pelo conceito de qualidade de vida da Organização Mundial da Saúde, composto pelos domínios Físico, Psicológico, Nível de independência, Relações sociais e Religiosidade. A análise descritiva demonstrou média e desvio-padrão dos escores para tais domínios, respectivamente: 11,15±2,58, 13,94±1,65, 11,57±3,02, 14,02±2,03, 13,72±2,03 e 15,45±2,26. Os Domínios Físicos e Nível de Independência foram os mais influentes na avaliação negativa da qualidade de vida. A correlação demonstrou que os elementos mais influentes são: dor, energia, sono, mobilidade, atividades da vida cotidiana, dependência de medicação ou tratamento, e capacidade para o trabalho. O instrumento utilizado mostrou-se sensível ao objetivo pretendido, permitindo verificar consonância com outros estudos em relação às facetas que mais influenciam a qualidade de vida desta população.

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“…(2)(3)(4) The consequences of COPD faced by the patient include symptoms, weight loss, exercise intolerance, exacerbation, decreased health-related quality of life (HRQoL), financial expenses and death. (5) In COPD, HRQoL measurements are frequently performed using instruments to assess the impact of the disease, since cure is impossible, and improving HRQoL is an important objective of the treatment.…”

Section: Introductionmentioning

confidence: 99%

Estudo comparativo entre dois questionários de qualidade de vida em pacientes com DPOC

Buss

Silva

2009

J. bras. pneumol.

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Objective: To compare two quality of life questionnaires-the Saint George's Respiratory Questionnaire (SGRQ) and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)-in patients with COPD, focusing on the discriminative properties of the questionnaires and correlating their domains with the following variables: Modified Medical Research Council Dyspnea Scale score; Beck Depression Inventory score; visual analog scale general health perception; Mini-Mental State Examination score; and a COPD clinical score developed specifically for the study. Methods: We interviewed 30 COPD patients between May and September of 2006. For the SF-36 and SGRQ, scores (total and domain) were compared and correlated. Results: With the exception of the pain domain, all of the SF-36 domains correlated significantly with the SGRQ total score (r = −0.5 to −0.69; p < 0.01). Of the SGQR domains, only the symptoms domain correlated significantly with all of the variables studied (p < 0.05). Conclusions:The majority of the expected correlations between the SGRQ and the SF-36 were observed, as were those expected between the two questionnaires and the other variables studied. The SGRQ, notably the symptoms domain, presented better discriminative properties than did the generic SF-36 questionnaire. The SF-36 is not an appropriate instrument for determining the affective state of COPD patients. QoL, even with the use a generic questionnaire, allows the measurement of subjective diseaserelated aspects of perception.(13) Regarding the correlation with the severity of COPD, the SF-36 and the SGRQ are equally discriminative, using criteria established by the Global Initiative for Chronic Obstructive Lung Disease and by the British Thoracic Society; this correlation is more frequently seen between stages I and IV of the disease.(3) Some studies have compared the SF-36 and the SGRQ, and, although both seemed to be discriminative in COPD patients, there were differences in certain domains, such as the emotional problems domain. (14) Other studies have demonstrated that the SF-36 and the SGRQ correlate well with overall mortality in COPD patients. For the Brazilian population, there have been no studies, not even preliminary ones, comparing the SF-36 and the SGRQ in terms of their discriminative and longitudinal properties in COPD patients. (15) The objective of the present study was to compare two QoL questionnaires, namely the SGRQ (modified Brazilian version) and the SF-36 (Brazilian version), in outpatients diagnosed with COPD, focusing on the discriminative properties of the questionnaires and correlating their domains with variables of interest in COPD, such as degree of dyspnea, cognitive capacity and depression.

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Profile of a Brazilian population with severe chronic obstructive pulmonary disease

Cited by 18 publications

References 27 publications

Perfil funcional de pacientes portadores de seqüela de tuberculose de um hospital universitário

Perfil funcional de pacientes portadores de seqüela de tuberculose de um hospital universitário

Percepção de idosos com doença pulmonar obstrutiva crônica sobre a qualidade de vida

Estudo comparativo entre dois questionários de qualidade de vida em pacientes com DPOC

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