Navegando por Palavras-chave "functional status"
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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.
- ItemAcesso aberto (Open Access)Estudo da capacidade funcional de idosos com neoplasias mieloides e leucemias agudas(Universidade Federal de São Paulo (UNIFESP), 2013-08-28) Carbonell, Ana Lucia Ippolito [UNIFESP]; Chauffaille, Maria de Lourdes Lopes Ferrari [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: The human aging has been accompanied by higher incidence and prevalence of myeloid neoplasms (MN). Hematologists use age, performance status (PS) and comorbidities indices to characterize the elderly patient. Improvement in the functional assessment can be achieved applying geriatric scales assessing functional status (FS). Objectives: To evaluate the functionality of elderly outpatients with MNs with scales utilized by hematologists and geriatricians. Thus, to study the impact of age, sex, comorbidities, and hemoglobin level in the functionality of such patients. Methods: Karnofsky (KPS), Eastern Cooperative Oncology Group (ECOG), the basic (ADL) and instrumental (IADL) activities of daily living scales were applied to assess the functionality of elderly outpatients with MN. The patients’ assessment was made by a hematologist and a geriatrician. The comorbidity index for hematopoietic cell transplantation (HCT–CI) was used to stratify the patients’ comorbidities. Statistical study applied the intraclass correlation, the alpha Cronbach’ coefficient, the Fisher tests, the t Student test and ANOVA. We fitted a mixed logistic regression model to evaluate the impact of age, sex, hemoglobin and comorbidities in performance and functional status of this group of elderly patients. Results: A total of 82 elderly patients (mean age of 72.8 years, varying from 60 to 90 years) were evaluated. Their hematological diagnosis included: essential thrombocythemia (ET; n=6); polycythemia vera (PV; n=15); chronic myeloid leukemia (CML; n=9); myelofibrosis (MF; n=25); myelodysplastic syndromes (MDS; n=17) and acute myeloid leukemia (AML; n=10). Eighty percent of the patients had good PS but only 50% of this group of individuals was independent in daily activities. All patients with poor PS were dependent in ADLs and/or IADLs. The mixed logistic regression models showed that age, sex, Hb and HCT–CI affected FS. However, only Hb and HCT–CI impacted on PS. Conclusions: The aggregation of the ADL and IADL to KPS and ECOG increases the sensibility and specificity of functional assessment of elderly patients with NM. The Hb level and comorbidity index affected both performance and functional status. However, the age and the sex only impacted on functional status.
- ItemSomente MetadadadosImproved prediction of outcomes in patients with acute intracranial hemorrhage(Nature Publishing Group, 2007-11-01) Massaro, Ayrton Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
- ItemAcesso aberto (Open Access)Qualidade de vida de crianças e adolescentes de São Paulo: confiabilidade e validade da versão brasileira do questionário genérico Pediatric Quality of Life InventoryTM versão 4.0(Sociedade Brasileira de Pediatria, 2008-08-01) Klatchoian, Denise Ascenção [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Silva, Marina [UNIFESP]; Itamoto, Caroline [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Varni, James W.; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); College of Medicine Department of Pediatrics; Texas A & M University College of Architecture Department of Landscape Architecture and Urban PlanningOBJECTIVES: To evaluate the reliability and validity of the Brazilian version of the Pediatric Quality of Life InventoryTM (PedsQL TM 4.0) Generic Core Scales and measure the quality of life of healthy children and adolescents and patients with rheumatic diseases. METHODS: We followed the translation methodology proposed by the developer of the original English version of the PedsQL TM 4.0. The instrument was administered by interviews in two groups: 240 apparently healthy children and adolescents from São Paulo (SP, Brazil) and 105 patients with chronic rheumatic diseases, matched by age, as well as to their respective parents or caregivers. The parent proxy-report was administered to the children's parents or caregivers separately on the same day. RESULTS: Cronbach's alpha values were between 0.6 and 0.9 for all dimensions, demonstrating adequate internal consistency. Patients with rheumatic diseases reported significantly lower PedsQL TM scores on all dimensions when compared to the healthy control group (p < 0.0001). Construct validity of the Brazilian Portuguese version of the PedsQL TM 4.0 was also confirmed. Parent proxy-report of patients with rheumatic diseases highly correlated with child self-report for physical functioning (r = 0.77, p < 0.001) and school functioning (r = 0.73, p < 0.001). Lower correlations were observed for emotional and social functioning (r = 0.40 and 0.59, respectively, p < 0.001). CONCLUSIONS: The tool demonstrated reliability, validity and the administration was fast and easy. Quality of life of patients with rheumatic diseases was significantly lower than the healthy control group, supporting the necessity of a comprehensive approach to rheumatic disease management, focused on the psychosocial dimensions.
- ItemSomente MetadadadosTransoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function(Wiley-Blackwell, 2012-02-01) Leonhardt, Fernando Danelon [UNIFESP]; Quon, Harry; Abrahão, Marcio [UNIFESP]; O'Malley, Bert W.; Weinstein, Gregory S.; Hosp Univ Penn; Universidade Federal de São Paulo (UNIFESP); Univ PennBackground the aim of this study was to assess the quality of life of patients with oropharyngeal squamous cell carcinoma after transoral robotic surgery (TORS).Methods. Short Form (SF)-8 and Performance Status Scale (PSS) questionnaires were completed prior to surgery, 6 and 12 months of follow-up.Results. in all, 38 patients treated with TORS followed by adjuvant therapy as indicated were prospectively enrolled. for PSS Eating and Diet domains, significant decreases occurred at 6 months (p <= .001 and p <= .001, respectively) but not at 12 months. Significant declines in PSS Speech were seen at 6 and 12 months (p <= .001 and p <= .001). There were no significant declines in the SF-8 domains, except for Bodily Pain and Global Health (6 months). Significantly higher PSS Eating and Diet scores were seen at 6 months for TORS alone compared with TORS and chemoradiation.Conclusions. Combination TORS and adjuvant therapy caused a temporary decrease in several domains at 6 months, returning to baseline including swallowing function in all patients. (C) 2011 Wiley Periodicals, Inc. Head Neck 34: 146-154, 2012