哮喘COPD患者健康相关生活质量指标的比较。

IF 3.5 3区 医学 Q2 RESPIRATORY SYSTEM Chronic Respiratory Disease Pub Date : 2023-01-01 DOI:10.1177/14799731231215093
Meishan Liu, Xuwen Yang, Ying Wang, Yong Lu, Lirong Liang, Hong Zhang, Kewu Huang
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引用次数: 0

摘要

目的:采用哮喘生活质量问卷(AQLQ)和慢性阻塞性肺疾病(COPD)评估测试(CAT)分别对哮喘和慢性阻塞型肺疾病的健康状况进行评估。然而,这些问卷是否适用于哮喘-慢性阻塞性肺病重叠(ACO)患者尚未报道。本研究旨在评估ACO受试者的AQLQ和CAT的表现。方法:受试者来自中国北京的两项先前描述的观察性研究。ACO是由圆桌讨论中的一致定义定义的。所有受试者均完成了AQLQ、CAT、圣乔治呼吸问卷(SGRQ)、肺功能测试和哮喘控制问卷(ACQ)-5。通过将AQLQ和CAT与SGRQ评分以及哮喘和COPD严重程度的其他指标相关联来评估横断面结构的有效性。结果:共招募了147名ACO患者。CAT的非呼吸成分有下限效应,AQLQ的情绪域有上限效应。两份问卷均与ACQ-5评分显著相关,但与预测的FEV1%或预测的FVC%无关。AQLQ和CAT与SGRQ评分呈正相关(分别为r=-0.657和r=0.623)。多变量线性回归分析表明,AQLQ(标准化β系数=0.449,p<.001)与SGRQ评分的相关性比CAT(标准化α系数=0.211,p=.023)更强。讨论:AQLQ和CAT在评估ACO受试者的健康相关生活质量方面都是有效的,但AQLQ比CAT表现更好。
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Comparison of health-related quality of life measures in asthma-COPD overlap.

Objective: The Asthma Quality of Life Questionnaire (AQLQ) and COPD assessment test (CAT) are used to assess the health status of asthma and chronic obstructive pulmonary disease (COPD), respectively. However, whether these questionnaires are appropriate in patients with asthma-COPD overlap (ACO) has not been reported. This study aimed to evaluate the performance of the AQLQ and CAT in subjects with ACO.

Methods: Subjects were enrolled from two previously described observational studies in Beijing, China. ACO was defined by a consensus definition from a roundtable discussion. All subjects completed the AQLQ, CAT, St George's Respiratory Questionnaire (SGRQ), pulmonary function tests, and the Asthma Control Questionnaire (ACQ)-5. Cross-sectional construct validity was evaluated by correlating the AQLQ and CAT with SGRQ score and other measures of asthma and COPD severity.

Results: 147 subjects with ACO were recruited. There were floor effects on non-respiratory components of the CAT, and ceiling effects on emotion domains of the AQLQ. Both questionnaires were significantly correlated with ACQ-5 score but were not correlated with FEV1% predicted or FVC% predicted. The AQLQ and CAT were strongly correlated with SGRQ score (r = -0.657 and r = 0.623, respectively). Multivariable linear regression analysis showed that the AQLQ (standardized β-coefficient = -0.449, p < .001) had a stronger association with SGRQ score compared with CAT (standardized β-coefficient = 0.211, p = .023).

Discussion: The AQLQ and CAT were both valid for assessing the health-related quality of life in subjects with ACO, but the AQLQ performed better than CAT.

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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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