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Health status and chronic conditions in patients with COPD and their resident loved ones

N. Nakken, M.A. Spruit, E.H.A. Van den Bogaart, M. Van Vliet, G.J. De Vries, F.L. Custers, J.H. Vercoulen, G.M. Asijee, E.F.M. Wouters, D.J.A. Janssen
European Respiratory Journal 2015 46: OA1761; DOI: 10.1183/13993003.congress-2015.OA1761
N. Nakken
1Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, Netherlands
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M.A. Spruit
1Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, Netherlands
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E.H.A. Van den Bogaart
1Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, Netherlands
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M. Van Vliet
2Department of Respiratory Medicine, Atrium Medical Centre, Heerlen, Netherlands
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G.J. De Vries
3Department of Respiratory Medicine, Orbis Medical Centre, Sittard-Geleen, Netherlands
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F.L. Custers
2Department of Respiratory Medicine, Atrium Medical Centre, Heerlen, Netherlands
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J.H. Vercoulen
4Department of Medical Psychology and Department of Pulmonary Diseases, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
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G.M. Asijee
5Medical Department, Boehringer Ingelheim, Alkmaar, Netherlands
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E.F.M. Wouters
1Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, Netherlands
6Department of Respiratory Medicine, Maastricht University Medical Centre+ (MUMC+), Maastricht, Netherlands
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D.J.A. Janssen
1Department of Research and Education, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, Netherlands
7Centre of Expertise for Palliative Care, Maastricht University Medical Centre+ (MUMC+), Maastricht, Netherlands
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Abstract

Introduction: Resident loved ones (RLOs) of patients with COPD can play a major role in maintaining a healthy lifestyle. However, little is known about RLOs' health status and chronic conditions.

Aim: The aim of this study was to compare health status and the prevalence of chronic conditions in patients with COPD and their RLOs.

Methods: Clinical characteristics, health status (EuroQol-5 Dimensions (EQ-5D), mood status (Hospital Anxiety and Depression Scale (HADS), post-bronchodilator spirometry, resting blood pressure and self-reported comorbidities (Charlson comorbidity index) were assessed in patients with COPD and their RLOs.

Results: Mean age and gender distribution were similar between groups. Patients had worse FEV1, EQ-5D scores and depression scores, while RLOs had higher mean BMI and mean blood pressure. Multiple chronic conditions were objectified in RLOs: obstructive lung function (29%), hypertension (69%), obesity (26%) and anxiety (21%). Prevalence of self-reported comorbidities did not differ between groups, except for COPD and ulcer disease.

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Conclusion: RLOs had multiple self-reported and objectified chronic conditions, of which some were newly diagnosed. These conditions must be considered to assess RLOs' ability to assist patients with COPD maintaining or obtaining a healthy lifestyle.

The Home Sweet Home study was funded by grants of Lung Foundation Netherlands and Boehringer-Ingelheim Netherlands.

  • Chronic disease
  • COPD - management
  • Environment
  • Copyright ©ERS 2015
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Health status and chronic conditions in patients with COPD and their resident loved ones
N. Nakken, M.A. Spruit, E.H.A. Van den Bogaart, M. Van Vliet, G.J. De Vries, F.L. Custers, J.H. Vercoulen, G.M. Asijee, E.F.M. Wouters, D.J.A. Janssen
European Respiratory Journal Sep 2015, 46 (suppl 59) OA1761; DOI: 10.1183/13993003.congress-2015.OA1761

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Health status and chronic conditions in patients with COPD and their resident loved ones
N. Nakken, M.A. Spruit, E.H.A. Van den Bogaart, M. Van Vliet, G.J. De Vries, F.L. Custers, J.H. Vercoulen, G.M. Asijee, E.F.M. Wouters, D.J.A. Janssen
European Respiratory Journal Sep 2015, 46 (suppl 59) OA1761; DOI: 10.1183/13993003.congress-2015.OA1761
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