Aplicabilidade da escala London Chest Activity of Daily Living em pacientes em lista de espera para transplante de pulmão

Abstract

OBJECTIVE: To evaluate the applicability of the London Chest Activity of Daily Living (LCADL) scale in patients on the waiting list for lung transplantation. METHODS: This was a cross-sectional study, conducted between May and September of 2010, involving 26 male and female patients on the waiting list for lung transplantation and treated at the Pulmonary Rehabilitation Program in the Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, located in the city of Porto Alegre, Brazil. We evaluated the patients using the six-minute walk test (6MWT) and pulmonary function tests. We also obtained the LCADL scores, as well as the modified Borg scale scores for sensation of dyspnea and leg fatigue. Cronbach's alpha coefficient was used to determine the internal consistency of the LCADL scale. Linear regression analysis was used in order to identify associations between the total LCADL score (expressed as a percentage) and the variables studied. RESULTS: According to the LCADL scale results, 69% of the patients reported that the performance of their activities of daily living was significantly impaired by their dyspnea. The internal consistency of the LCADL scale was 0.89. After adjusting for age and FEV1, we found that the total LCADL scale score showed statistically significant negative associations with the six-minute walk distance (β = −0.087; p < 0.001) and the six-minute walk work (β = −0.285; p < 0.001). CONCLUSIONS: Our findings suggest that the LCADL scale is a useful tool for assessing patients on the waiting list for lung transplantation.

The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: external pilot randomised controlled trial, qualitative case study and exploratory economic evaluation

“…l London Chest Activity of Daily Living scale (LCADL) 95,96 -this is a standardised, reliable and validated assessment tool measuring the limitation in activities of daily living in patients with COPD, which is responsive to change after PR; the total score is computed as the sum of the single scores and can range from 0 to 75, 97 with a higher score indicating a worse outcome. l EuroQol-5 Dimensions five-level version (EQ-5D-5L) 98 -this is a generic health status measure for health economic analysis.…”

Pulmonary rehabilitation programs in lung transplant: a literature review

“…Thus, the authors reinforce the necessity of clinical trials to a better comprehension about the influence of the physical activity in the improvement of the exercise capacity after lung transplant. The evaluation of the respiratory muscle (33) and the activities of daily living are also important aspects to be evaluated in candidates to lung transplant (34) , although any study in this review had this aim. The benefits of the PR programs described in this review reinforce its importance in the treatment of patients with chronic lung disease, highlighting, the election of lung transplant as the indication of this treatment (10) .…”

Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: a randomized controlled trial

“…Answers are rated between 0 and 5, in which the highest value is the maximum ability to perform daily activities, taking into account dyspnea. 30,31…”

“…Answers are rated between 0 and 5, in which the highest value is the maximum ability to perform daily activities, taking into account dyspnea. 30,31 Our exercise training protocol was based on American College of Sports Medicine and American Heart Association guidelines. 32 Both study groups performed combined aerobic and resistance training.…”