title: Feasibility of Home-Based Functional Status Assessment of Chronic Obstructive Pulmonary Disease Patients Recovering From an Exacerbation.
abstract: BACKGROUND
  The Glittre Activities of Daily Living Test (ADL-Test) is a reliable functional status measurement for stable chronic obstructive pulmonary disease (COPD) patients in a laboratory setting. We aimed to adapt the test to the home setting (mADL-Test) and to follow-up the functional status recovery of post-exacerbation COPD patients included in a home hospitalization (HH) program.
  
  
  METHODS
  We assessed 17 exacerbated moderate-to-very-severe COPD patients in 3 home visits: at discharge to HH (V0), 10days (V10post) and 1month after discharge (V30post). Patients completed the mADL-Test (laps, VO2 and VE), COPD assessment test (CAT), London Chest ADL Test (LCADL), modified Medical Research Council (mMRC) and upper limb strength (handgrip).
  
  
  RESULTS
  The number of laps of the mADL-Test (4, 5 and 5, P<.05), CAT (19, 12 and 12, P<.01), mMRC (2, 1.5 and 1, P<.01) and the self-care domain of the LCADL (6, 5 and 5, P<.01) improved during follow-up (V0, V10post and V30post, respectively). No significant changes were evidenced in VO2, VE or handgrip.
  
  
  CONCLUSIONS
  Our results suggest that the mADL-test can be performed in the home setting after a COPD exacerbation, and that functional status continues to improve 10days after discharge to HH.
authors.affiliation: Hospital Clínic de Barcelona, Institut Clínic del Tòrax (ICT), Servei de Pneumologia, Centre de Diagnòstic Respiratori, Institut d'Investigacions Biomèdiques August Pi i Sunyner (IDIBAPS), Universitat de Barcelona, Barcelona, Cataluña, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Valeiro
authors.affiliation: Unitat d'Atenció Integrada, Direcció Mèdica i d'Infermeria, Hospital Clínic. CIBER en Enfermedades Respiratorias (CIBERES); Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Cataluña, Cataluña, España.
authors.forename: Carme
authors.initials: C
authors.lastname: Hernández
authors.affiliation: Hospital Clínic de Barcelona, Institut Clínic del Tòrax (ICT), Servei de Pneumologia, Centre de Diagnòstic Respiratori, Institut d'Investigacions Biomèdiques August Pi i Sunyner (IDIBAPS), Universitat de Barcelona, Barcelona, Cataluña, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Bunyola, Mallorca, España.
authors.forename: Anael
authors.initials: A
authors.lastname: Barberán-Garcia
authors.affiliation: Hospital del Mar-Parc de Salut Mar, Servei de Pneumologia, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra, Barcelona, Cataluña, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Bunyola, Mallorca, España.
authors.forename: Diego A
authors.initials: DA
authors.lastname: Rodríguez
authors.affiliation: Departament de Direcció Mèdica i d'Infermeria, Hospital Clínic, Barcelona, Cataluña España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Aibar
authors.affiliation: Departament de Direcció Mèdica i d'Infermeria, Hospital Clínic, Barcelona, Cataluña España.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Llop
authors.affiliation: Facultat de Ciències de la Salut Blanquerna, Universitat Ramon Llull, Grup de Recerca en Salut, Activitat Física i Esport (SAFE), Barcelona, Cataluña, España. Electronic address: jordivc@blanquerna.url.edu.
authors.forename: Jordi
authors.initials: J
authors.lastname: Vilaró
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003289:Convalescence; D018450:Disease Progression; D004417:Dyspnea / Q000209:etiology; D005080:Exercise Test; D005221:Fatigue / Q000209:etiology; D005240:Feasibility Studies; D005260:Female; D005541:Forced Expiratory Volume; D006792:House Calls; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000503:physiopathology*; D020127:Recovery of Function; D000072799:Stair Climbing; D014797:Vital Capacity
keywords: Actividades de la vida diaria; Activities of daily living; Chronic obstructive pulmonary disease; Enfermedad pulmonar obstructiva crónica; Exacerbación; Exacerbation; Exercise test; Home hospitalization; Hospitalización domiciliaria; Prueba de ejercicio