• Chest · Mar 2014

    Impact of Hospital Stay in Fatigue in Patients Hospitalized Due to Acute Exacerbation of COPD.

    • Marie Carmen Valenza, Irene Torres-Sánchez, Gerald Valenza-Demet, Irene Cabrera-Martos, and María José Flores-Barba.
    • Chest. 2014 Mar 1;145(3 Suppl):368A.

    Session TitleCOPD Rehabilitation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The purpose of this study was to determine the impact of hospitalization in fatigue in COPD patients hospitalized due to an acute exacerbation.MethodsIn this study 49 COPD subjects hospitalized due to an acute exacerbation were included. Patients completed the Piper fatigue scale (PFS) at baseline, at discharge and at one week of discharge. PFS measures four dimensions of subjective fatigue: behavioral/severity; affective meaning; sensory; and cognitive/mood.ResultsThe participants included in the sample were mean age of 72,57±8.6 years, with mean body mass index 28.6±5.6 Kg/m2. Mean length of hospital stay was 8.33±1.56 days. Fatigue decreased significantly in behavioral (6.59 ± 2.44; 5.17 ± 2.33; p<0.001) and affective (7.11 ± 2.09;5.79 ± 1.56; p>0.001) subscales and in total score (5.66 ± 1.76;5.01 ± 1.43; p>0.001) comparing baseline and discharge values. And fatigue increased significantly in cognitive subscale (3.79 ± 1.53;4.31 ± 1.17; p=0.019) comparing baseline and discharge values. However, if we compared discharge values with values at one week to discharge all the subscales of PFS increased including total score, being significantly behavioral (5.02 ± 2.68; 7.69 ± 1.75; P>0.001), affective (5.60 ± 1.33; 7.33 ± 1.359; p>0.001), and sensory (5.17 ± 2.506; 6.600 ± 1.642; p=0.007) subscales and total score (5.16 ± 1.70; 6.705 ± 1.33; p>0.001).ConclusionsWe found that COPD patients show a reduction in the subjective perception of fatigue at discharge, and a significant increase in fatigue values at one week of discharge.Clinical ImplicationsFatigue is an important variable to measure in COPD hospitalized patients.DisclosureThe following authors have nothing to disclose: Irene Torres-Sánchez, Marie Carmen Valenza, Gerald Valenza-Demet, Irene Cabrera-Martos, María José Flores-Barba, Ascensión Rodríguez-RodríguezNo Product/Research Disclosure Information.

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