Relación entre datos objetivos y calidad de vida percibida por el paciente con EPOC / Relationship between objective data and health-related quality of life in COPD patients

Introducción: En las enfermedades crónicas cobra especial importancia la valoración de las repercusiones de la enfermedad en el día a día de los pacientes, es decir, el estudio de su calidad de vida. La enfermedad pulmonar obstructiva crónica (EPOC) es una de las enfermedades crónicas más relevantes en nuestro país, tanto por su prevalencia como por los recursos económicos que consume. Para la valoración de la calidad de vida en estos pacientes existen cuestionarios específicos como el SGRQ, que pueden ayudarnos a conocer mejor la enfermedad y su influencia sobre la vida del paciente. En nuestro trabajo se estudia la relación del cuestionario SGRQ con la edad, el consumo de tabaco, la gravedad de la obstrucción y sus valores gasométricos. Métodos: Se seleccionaron 51 pacientes con EPOC sin comorbilidades significativas y se les administró el cuestionario SGRQ mediante entrevista personal; de cada uno de los pacientes se recogieron además los datos espirométricos, gasométricos y su historia de consumo de tabaco. Resultados: Las puntuaciones medias en cada una de las escalas del test fueron: en la escala global 40.49±18.98, en la de síntomas 34,76 ± 16,31, en la de actividad 56,68 ± 23,72 y en la de impacto 32,86 ± 19,96. Se encontraron correlaciones significativas, aunque débiles, con la edad y el FEV1, pero no con los datos gasométricos ni el consumo acumulado de tabaco. Conclusiones: Podemos concluir que, en nuestro trabajo, los parámetros que mejor se correlacionan con la calidad de vida de los pacientes con EPOC son la edad y la gravedad de la obstrucción

Introduction: In chronic diseases take special importance their influence in patient’s daily life, in other words, on its quality of life. The Chronic Obstructive Pulmonary Disease (COPD) is one of the most important chronic diseases in our country, as much by its prevalence as by its economic impact. For the assessment of the life quality in these patients, we have specific questionnaires like the SGRQ, which can help us to better know the disease and its influence on patient’s life. In our work the relationship of SGRQ with age, tobacco consumption, gasometrical data and severity of the disease are studied. Methods: 51 patients with COPD and without significant comorbidities were selected and the SGRQ was administered to them by a trained interviewer; for every patient we also recovered the gasometrical values, the spirometric data, and their tobacco consumption background. Results: The average score in each one of SGRQ scales were: global scale 40.49 ± 18.98, symptoms scale 34.76 ± 16.31, activity scale 56.68 ± 23.72 and in the impact scale 32.86 ± 19.96. We have found weak but significant correlations between the SGRQ results and the patient´s age and the FEV1, but not with the gasometrical data or with the accumulated tobacco consumption. Conclusion: We can conclude that, in our work, the parameters that better correlates objective data with health-related quality of life of COPD patients are the age and the severity of the obstruction

[Lipoid pneumonia related to an accidental aspiration of gas-oil]. / Neumonía lipoidea en relación con una aspiración accidental de gasóleo.

A 35-year-old non smoker man with no known history of chronic pulmonary disease, was treated at our hospital after accidental aspiration of gas-oil. He had developed an acute lipoid pneumonia in a few hours. Computed tomography of the chest showed a ground-glass pattern in middle lobe; given the immediate epidemiological precedent, it was possible to confirm a definitive diagnosis. One year later the patient is asymptomatic although small signs of acute process remain in the computed tomography.

Neumonía lipoidea en relación con una aspiración accidental de gasóleo / Lipoid pneumonia related to an accidental aspiration of gas-oil

Se presenta el caso de un varón de 35 años, sin historia previa de patología pulmonar crónica y no fumador, que acude al servicio de urgencias tras la aspiración accidental de gasóleo y desarrolla en el curso de unas horas una neumonía lipoidea. En la tomografía computadorizada (TC) se observa una zona en vidrio deslustrado en lóbulo medio que, junto a la presencia del antecedente epidemiológico inmediato, permite establecer el diagnóstico. Tras un año de seguimiento el paciente permanece estable y asintomático, aunque persisten en la TC leves secuelas del proceso agudo

A 35-year-old non smoker man with no known history of chronic pulmonary disease, was treated at our hospital after accidental aspiration of gas-oil. He had developed an acute lipoid pneumonia in a few hours. Computed tomography of the chest showed a ground-glass pattern in middle lobe; given the immediate epidemiological precedent, it was possible to confirm a definitive diagnosis. One year later the patient is asymptomatic although small signs of acute process remain in the computed tomography

[Relationship between objective data and health-related quality of life in COPD patients]. / Relación entre datos objetivos y calidad de vida percibida por el paciente con EPOC.

INTRODUCTION: In chronic diseases take special importance their influence in patient s daily life, in other words, on its quality of life. The Chronic Obstructive Pulmonary Disease (COPD) is one of the most important chronic diseases in our country, as much by its prevalence as by its economic impact. For the assessment of the life quality in these patients, we have specific questionnaires like the SGRQ, which can help us to better know the disease and its influence on patient s life. In our work the relationship of SGRQ with age, tobacco consumption, gasometrical data and severity of the disease are studied. METHODS: 51 patients with COPD and without significant comorbidities were selected and the SGRQ was administered to them by a trained interviewer; for every patient we also recovered the gasometrical values, the spirometric data, and their tobacco consumption background. RESULTS: The average score in each one of SGRQ scales were: global scale 40.49 +/- 18.98, symptoms scale 34.76 +/- 16.31, activity scale 56.68 +/- 23.72 and in the impact scale 32.86 +/- 19.96.We have found weak but significant correlations between the SGRQ results and the patient s age and the FEV1, but not with the gasometrical data or with the accumulated tobacco consumption. CONCLUSION: We can conclude that, in our work, the parameters that better correlates objective data with health-related quality of life of COPD patients are the age and the severity of the obstruction.