OBJECTIVE: The planning, provision and monitoring of medical and support services for patient groups with chronic ailments may require disability assessment and registration. The purpose of this study was to assess disability in three groups of patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF) or stroke. METHODS: Convenience samples of consecutive patients diagnosed with COPD (102), CHF (99), and stroke (99) were taken from 1,053 primary care users in the southern area of the autonomous region of Madrid. The patients were informed of the study and were assessed in their homes by trained field workers using the World Health Organization Disability Assessment Schedule II (WHO-DAS II). RESULTS: None of the groups had patients with extreme disability on their global WHO-DAS II scores. The prevalence of severe disability differed among the groups and was highest for stroke and CHF (33.33% and 29.29%, respectively) and lowest for COPD (14.71%). The three groups shared two similar traits, namely, a higher prevalence of disability among women than men, and a specific pattern by domain, with the highest prevalence of severe/extreme limitations being found in household life activities and mobility. Severe restrictions in Social Participation were more frequent in patients with stroke and CHF. The group with moderate disability according to the global WHODAS II score (n=94) showed a high prevalence of severe limitations in mobility, life activities and self-care. CONCLUSIONS: Disability among non-institutionalized persons with COPD, CHF and stroke is frequent and shows gender- and domain-related patterns similar to those described in a population-based study performed using the WHO-DAS II in elderly persons in Spain. ICF-validated disability categories could be useful in epidemiological surveys, individual assessments and primary care data monitoring systems.
OBJECTIVE: The planning, provision and monitoring of medical and support services for patient groups with chronic ailments may require disability assessment and registration. The purpose of this study was to assess disability in three groups of patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF) or stroke. METHODS: Convenience samples of consecutive patients diagnosed with COPD (102), CHF (99), and stroke (99) were taken from 1,053 primary care users in the southern area of the autonomous region of Madrid. The patients were informed of the study and were assessed in their homes by trained field workers using the World Health Organization Disability Assessment Schedule II (WHO-DAS II). RESULTS: None of the groups had patients with extreme disability on their global WHO-DAS II scores. The prevalence of severe disability differed among the groups and was highest for stroke and CHF (33.33% and 29.29%, respectively) and lowest for COPD (14.71%). The three groups shared two similar traits, namely, a higher prevalence of disability among women than men, and a specific pattern by domain, with the highest prevalence of severe/extreme limitations being found in household life activities and mobility. Severe restrictions in Social Participation were more frequent in patients with stroke and CHF. The group with moderate disability according to the global WHODAS II score (n=94) showed a high prevalence of severe limitations in mobility, life activities and self-care. CONCLUSIONS: Disability among non-institutionalized persons with COPD, CHF and stroke is frequent and shows gender- and domain-related patterns similar to those described in a population-based study performed using the WHO-DAS II in elderly persons in Spain. ICF-validated disability categories could be useful in epidemiological surveys, individual assessments and primary care data monitoring systems.
Authors: E Huertas Hoyas; E J Pedrero Pérez; A M Águila Maturana; G Rojo Mota; R Martínez Piédrola; M Pérez de Heredia Torres Journal: Funct Neurol Date: 2016 Apr-Jun
Authors: Jesús de Pedro-Cuesta; Pilar García-Sagredo; Enrique Alcalde-Cabero; Angel Alberquilla; Javier Damián; Graciela Bosca; Fernando López-Rodríguez; Montserrat Carmona; Monserrat Carmona; María J de Tena-Dávila; Luis García-Olmos; Carlos H Salvador Journal: PLoS One Date: 2013-10-31 Impact factor: 3.240
Authors: Luis García-Olmos; Francisco Rodríguez-Salvanés; Maurice Batlle-Pérez; Río Aguilar-Torres; Carlos Porro-Fernández; Alfredo García-Cabello; Montserrat Carmona; Sergio Ruiz-Alonso; Sofía Garrido-Elustondo; Ángel Alberquilla; Luis María Sánchez-Gómez; Ricardo Sánchez de Madariaga; Elena Monge-Navarrete; Luis Benito-Ortiz; Nicolás Baños-Pérez; Amaya Simón-Puerta; Ana Belén López Rodríguez; Miguel Ángel Martínez-Álvarez; María Ángeles Velilla-Celma; María Isabel Bernal-Gómez Journal: BMJ Open Date: 2017-06-08 Impact factor: 2.692