Authors
Jelena Vojnović1,2
1Institut za plućne bolesti Vojvodine, Sremska Kamenica, Srbija
2Univerzitet u Novom Sadu, Medicinski fakultet Novi Sad, Srbija
UDK: 616.24-036.1-06:616-001
616-001-084
The paper was received / Rad primljen: 02.10.2024.
Accepted / Rad prihvaćen: 20.11.2024.
Correspondence to:
Jelena Vojnović
Univerzitet u Novom Sadu,
Katedra za zdravstvenu negu,
Medicinski fakultet Novi Sad
Telefon: +381 66 9276394
e-mail: ricmoza86@hotmail.com
Sažetak
Hronična opstruktivna bolest pluća (HOBP) je ireverzibilno respiratorno obolјenje, koje rezultira progresivnim ograničenjem protoka vazduha i respiratornim distresom. Pacijenti sa HOBP zbog same progresije bolesti, naročito veće starosne dobi i sa brojnim komorbiditetima, imaju ograničenu pokretljivost, slabost mišića, deficit hoda, poremećenu kontrolu držanja i ravnotežu, fizičku neaktivnost. Navedeni činioci, u poređenju sa zdravom populacijom, mogu doprineti visokom riziku od pada i rezultirati brojnim negativnim posledicama i ishodima bolesti, izazvati smanjenu pokretljivost, invalidnost, produžiti hospitalno lečenje i negu, uticati na njihov kvalitet života, ali i povećati mortalitet. Cilj ovog preglednog rada je bio da se na osnovu relevantnih naučnih izvora interpretiraju do sada identifikovani prediktori pada pacijenta obolelih od HOBP, kako bi se probudila svest o vrednosti ovog indikatora u implementiranju sistema bezbedne kvalitetne zdravstvene zaštite koja zauzima centralno mesto u pogledu pružanja efikasne i adekvatne zdravstvene delatnosti na svim nivoima zdravstvene zaštite.
Ključne reči:
pad, hronična opstruktivna bolest pluća, faktori rizika, procena rizika, prevencija pada
Abstract
Chronic obstructive pulmonary disease (COPD) is an irreversible respiratory disease, resulting in progressive airflow restriction and respiratory distress. Patients with COPD, due to the progression of the disease, especially older age and with numerous comorbidities, have limited mobility, muscle weakness, gait deficit, impaired posture control and balance, physical inactivity. These factors, compared to the healthy population, can contribute to a high risk of decline and result in numerous negative consequences and outcomes of the disease, cause reduced mobility, disability, prolong hospital treatment and care, affect their quality of life, but also increase mortality. The aim of this review was to interpret the previously identified predictors of the decline of patients with COPD on the basis of relevant scientific sources, in order to awaken awareness of the value of this indicator in the implementation of a system of safe quality health care, which occupies a central place in terms of providing efficient and adequate health care at all levels of health care.
Key words:
fall, chronic obstructive pulmonary disease, risk factors, risk assessment, fall prevention
References:
- Niñerola A, Sánchez-Rebull MV, Hernández-Lara A.B. Quality improvement in healthcare: Six Sigma systematic review. Health Policy. 2020;124(4):438-45.
- The Global Strategy for Diagnosis, Management and Prevention of COPD (updated 2023), the Pocket Guide (updated 2023). Dostupno na: file:///C:/Users/korisnik/Downloads/GOLD-2023-ver-1.3-17Feb2023_WMV-1.pdf (Pristupljeno: 07.04.2024).
- Safiri S, Carson-Chahhoud K, Noori M, Nejadghaderi SA, Sullman MJM, Ahmadian Heris J, et al. Burden of chronic obstructive pulmonary disease and its attributable risk factors in 204 countries and territories, 1990-2019: results from the Global Burden of Disease Study 2019. BMJ. 2022;27:378:e069679.
- Roig M, Eng JJ, Road JD, Reid WD. Falls in patients with chronic obstructive pulmonary disease: a call for further research. Respir Med. 2009;103(9):1257-69. … A and Crowley T. Factors influencing patient falls in a private hospital group in the Cape Metropole of the Western Cape. Health SA. 2020;25:1392.
- Oliveira CC, Annoni R, Lee AL, McGinley J, Irving LB, Denehy L. Falls prevalence and risk factors in people with chronic obstructive pulmonary disease: A systematic review. Respir Med. 2021;176:106284.
- Hakamy A, Bolton CE, Gibson JE, McKeever TM. Risk of fall in patients with COPD. Thorax. 2018;73(11):1079-80.
- Falls in COPD. Full CODP-X Guidelines. Lung Foundtation Australia. (Version 2,68 October 2022.) Dostupno na: https://copdx.org.au/copd-x-plan/o-optimise-function/o7-comorbidities/o7-4-falls-in-copd/ (Pristupljeno: 20.04.2024.).
- Hellström K, Vahlberg B, Urell C, Emtner M. Fear of falling, fall-related self-efficacy, anxiety and depression in individuals with chronic obstructive pulmonary disease. Clinical rehabilitation. 2009;23(12):1136-44.
- Barbier V, Noppawan C, Loeckx M, Camillo CA, Coosemans I, Muylaert I, et al. Effects of exercise training (ET) in pulmonary rehabilitation programs on balance status and falls in patients with COPD. Eur Respiratory Soc. 2016.
- Brakema E, Van Gemert F, Van der Kleij R, Salvi S, Puhan M, Chavannes N. COPD’s early origins in low-and-middle income countries: what are the implications of a false start? NPJ primary care respiratory medicine. 2019;29(1):1-3.
- Davoudi M, Shokouhyan SM, Abedi M, Rezaei M, Parnianpour M, Khalaf K, et al. Falls Incidence and Associated Risk Factors among People with Chronic Obstructive Pulmonary Disease (COPD). Preprints. 2022; 2022090123.
- Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1(1):CD012424.
- Najafpour Z, Godarzi Z, Arab M, Yaseri M. Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case Control Study. Int J Health Policy Manag. 2019;8(5):300-6.
- Ghosh M, O’Connell B, Afrifa-Yamoah E, Kitchen S, Coventry L. A retrospective cohort study of factors associated with severity of falls in hospital patients. Sci Rep. 2022;12(1):12266.
- Van Rensburg RJ, van der Merwe A, Crowley T. Factors influencing patient falls in a private hospital group in the Cape Metropole of the Western Cape. Health SA. 2020;25:1392.
- Porto JM, Cangussu-Oliveira LM, Freire Junior RC, Vieira FT, Capato LL, de Oliveira BGM, et al. Relationship between lower limb muscle strength and future falls among community-dwelling older adults with no history of falls: A prospective 1-year study. Journal of applied gerontology. 2021;40(3):339-46.
- Jaitovich A, Barreiro E. Skeletal Muscle Dysfunction in Chronic Obstructive Pulmonary Disease. What We Know and Can Do for Our Patients. Am J Respir Crit Care Med. 2018;198(2):175-86.
- McCrum C, Gerards MH, Karamanidis K, Zijlstra W, Meijer K. A systematic review of gait perturbation paradigms for improving reactive stepping responses and falls risk among healthy older adults. European review of aging and physical activity. 2017;14(1):1-11.
- Zago M, Sforza Ch, Bonardi DR, Guffanti EE, Galli M. Gait analysis in patients with chronic obstructive pulmonary disease: A systematic review. Gait Posture. 2018;61:408-15.
- Fallahtafti F, Curtze C, Samson K, Yentes JM. Chronic obstructive pulmonary disease patients increase medio-lateral stability and limit changes in antero-posterior stability to curb energy expenditure. Gait & posture. 2020;75:142-8.
- Loughran KJ, Atkinson G, Beauchamp MK, Dixon J, Martin D, Rahim S, et al. Balance impairment in individuals with COPD: a systematic review with meta-analysis. Thorax. 2020;75(7):539-46.
- Lamezon AC, Cavon BL, Valderramas S. Balance, falls, and risk of falls in COPD: systematic review of assessment instruments, measurement properties, and clinical utility. Revista Brasileira de Geriatria e Gerontologia. 2024;27:e230189.
- Xiang X, Huang L, Fang Y, Cai S, Zhang M. Physical activity and chronic obstructive pulmonary disease: a scoping review. BMC Pulm Med. 2022;22(1):301.
- Martínez-Gestoso S, García-Sanz MT, Carreira JM, Salgado FJ, Calvo-Álvarez U, Doval-Oubiña L, et al. Impact of anxiety and depression on the prognosis of copd exacerbations. BMC Pulm Med. 2022;22(1):169. doi: 10.1186/s12890-022-01934-y. Erratum in: BMC Pulm Med. 2022;22(1):213.
- Andrianopoulos V, Gloeckl R, Vogiatzis I, Kenn K. Cognitive impairment in COPD: should cognitive evaluation be part of respiratory assessment? Breathe. 2017;13(1):e1-e9.
- Paneroni M, Vitacca M, Venturelli M, Simonelli C, Bertacchini L, Scalvini S, et al. The impact of exercise training on fatigue in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Pulmonology. 2020;26(5):304-13.
- Behrens M, Mau-Moeller A, Lischke A, Katlun F, Gube M, Zschorlich V, et al. Mental fatigue increases gait variability during dual-task walking in old adults. The Journals of Gerontology: Series A. 2018;73(6):792-7.
- Loughran KJ, Tough D, Ryan CG, Wellburn S, Martin D, Dixon J, et al. The Association of Pain with Incident Falls in People with Chronic Obstructive Pulmonary Disease: Evidence from the English Longitudinal Study of Ageing. Int J Environ Res Public Health. 2023;20(13):6236.
PDF: 09 - Vojnović J. MD-Medical Data 2024;16(3) 177-181.pdf