Navegando por Palavras-chave "chronic obstructive pulmonary disease (COPD)"
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- ItemSomente MetadadadosCardiac, ventilatory, and metabolic adjustments in chronic obstructive pulmonary disease patients during the performance of Glittre activities of daily living test(Sage Publications Ltd, 2014-11-01) Tufanin, Andrea [UNIFESP]; Souza, Gerson Fonseca [UNIFESP]; Tisi, Guilherme Rocha [UNIFESP]; Tufik, Sergio [UNIFESP]; Mello, Marco Tulio de [UNIFESP]; Nascimento, Oliver A. [UNIFESP]; Jardim, Jose R. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Functional status and quality of life are measures of the chronic obstructive pulmonary disease (COPD) patient's health status and can demonstrate the impact of the disease on the patient's ability to perform activities of daily living (ADLs). the Glittre-ADL test was developed to evaluate the functional status of COPD patients and their ability to perform activities of daily life. the objective of this study was to evaluate the cardiac, respiratory, and metabolic adjustments and reproducibility of the Glittre ADL test performed by COPD patients. Twenty-two mild to severe COPD patients (forced expiratory volume in 1 second (FEV1): 56.6 19.9% predicted; mean age: 66.3 9.18 years old) were enrolled in this study. Metabolic (oxygen uptake (VO2), carbon dioxide production (VCO2), pulmonary ventilation (VE)/VCO2, and VE/VO2), ventilatory (tidal volume, respiratory rate, and VE), and cardiovascular (pulse oxygen saturation, VO2/heart rate (HR), and HR) variables, lower limbs fatigue, and dyspnea (Borg score) after each lap of two Glittre ADL test were analyzed. All metabolic, ventilatory, and cardiac variables increased their values up to the third lap and remained stable (plateau) until the end of the test (five laps; multivariate analysis); there was no difference among the time spent to complete each of the five laps in each test and between tests (total time of second test: 4 minutes and 3 seconds); the second test was 17.8 seconds (6.6%) shorter than the first one (NS). All variables were highly reproducible in the two tests (NS). At the end of the test, patients reached 87.7% of the VO2 max, 81% of VE peak, and 88.5% of the HR peak obtained from an incremental maximal test on a treadmill. the Glittre ADL test is easy for COPD patients to perform and is a highly reproducible test in COPD patients with mild to severe stages of the disease. in addition, our results suggest that it is possible to demonstrate the patient's functional capacity with a single test of only three laps, making it faster and easier to apply and less stressful for some patients.
- ItemSomente MetadadadosCross-cultural reproducibility of the Brazilian Portuguese version of the role checklist for persons with chronic obstructive pulmonary disease(Amer Occupational Therapy Assoc, Inc, 2007-01-01) Cordeiro, Júnia Jorge Rjeille [UNIFESP]; Camelier, Aquiles; Oakley, Frances; Jardim, José Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hosp Israelita Albert Einstein; NIHOBJECTIVE. This article presents the results of a cross-cultural reproducibility and test-retest reliability study of a Brazilian version of the Role Checklist, in a population with chronic obstructive pulmonary disease (COPD).METHODS. The English version was translated and culturally adapted into Brazilian Portuguese, then administered twice at a 2-week interval to a group of 25 clinically stable individuals with COPD.RESULTS. Cross-cultural adaptation led to adjustments in some terms used in the checklist. Values obtained for kappa suggested mode rate-to-substantial agreement for Part I and Part II. No statistically significant correlations were found between agreement and variables of gender, occupation, marital status, level of education, level of depression, or severity of bronchial obstruction.CONCLUSION. The Brazilian Portuguese version of the Role Checklist was found content valid and reliable for persons with COPD and probably for the Brazilian population in general.
- ItemSomente MetadadadosTratamiento de la EPOC en 5 ciudades de América Latina: estudio PLATINO(Ediciones Doyma S A, 2008-02-01) Varela, Maria Victorina Lopez; Muino, Adriana; Padille, Rogelio Perez; Jardim, Jose Roberto [UNIFESP]; Talamo, Carlos; Oca, Maria Montes de; Valdivia, Gonzalo; Pertuze, Julio; Halbert, Ron; Menezes, Ana Maria; Marquez, Maria; Hallal, Pedro; Moreno, Dolores; Rosa, Fernanda; Carnelier, Aquiles; Univ Republica; Inst Entermedades Respirat; Universidade Federal de São Paulo (UNIFESP); Univ Cent Venezuela; Pontificia Univ Catolica Chile; Univ Calif Los Angeles; Univ Fed PelotasOBJECTIVE: PLATINO project is a population-based study designed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in S (a) over tildeo Paulo, Brazil; Mexico City, Mexico; Montevideo, Uruguay; Santiago de Chile, Chile; and Caracas, Venezuela. The objective of this portion of PLATINO was to describe preventive and pharmacological treatment of COPD patients and factors associated with such treatment.PATIENTS AND METHODS: Eligible subjects completed a questionnaire and underwent postbronchodilator spirometry.RESULTS: Of the total of 5529 individuals who answered items referring to treatment, 758 had COPD (ratio of postbronchodilator forced expiratory volume in 1 second to forced vital capacity of <0.7), and 86 of them had been previously diagnosed by a physician. Among all COPD patients, only half of smokers or former smokers had been advised to quit and 24.7% had received some type of respiratory medication. Only 13.5% had used inhaled corticosteroids, and those were the patients with the most severe disease. In the group of patients who had a previous medical diagnosis of COPD, 69% of the smokers or former smokers had been advised to quit by a physician and 75.6% had received respiratory medication in the preceding year: 43% reported having used inhaled medication and 36% had used bronchodilators. Rates of vaccination against influenza and the use of mucolytic drugs and inhalers varied from one health care facility to another. All drug prescriptions were based on previous spirometry.CONCLUSIONS: Spirometry emerged not only as a diagnostic tool, but also as a factor associated with treatment, against a background of uneven use of available health care resources in these 5 Latin American cities.