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Co-morbidity in older patients with COPD
 — its impact on health service utilisation and quality of life, a community study
Author(s)J Yeo, G Karimova, S Bansal
Journal titleAge and Ageing, vol 35, no 1, January 2006
Pagespp 33-36
Sourcehttp://www.ageing.oupjournals.org
KeywordsHeart disease ; Ill health ; General practice ; Usage [services] ; Quality of life ; Correlation ; North East England.
AnnotationCo-morbidity is important in COPD (chronic obstructive pulmonary disease) assessment in older patients. Of 27 patients aged 70+ on the COPD register of a general practice in North East England, 10 had mild, 12 had moderate, and 5 had severe disease. The St Georges Respiratory Questionnaire (SGRQ) was used to assess disease-specific quality of life (QoL); and the Manchester Respiratory Activity of Daily Living Scores was used to assess ADLs. QoL, co-morbidity and health service utilisation measures were not significantly different between COPD severity groups. There was, though, a significant positive correlation between increasing co-morbidity and poor QoL (n= 0.45), and significant negative correlation between co-morbidity and ADL scores (r= -0.54). Significant negative correlation was found between co-morbidity and primary care attendances (r= -0.41), and significant positive correlation between worsening QoL and secondary care attendances (r= 0.46). Thus, co-morbidity has an important part to play in COPD assessment, more accurately reflecting QoL in this population. (RH).
Accession NumberCPA-060313203 A
ClassmarkCQH: CH: L5: QLD: F:59: 49: 82NE

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