Impact of recent pulmonary exacerbations on quality of life in patients with cystic fibrosis

Maria T. Britto, Uma R. Kotagal, Harry D. Atherton, Robert W. Wilmott, Richard W. Hornung, Joel Tsevat

Research output: Contribution to journalArticle

212 Scopus citations

Abstract

Objective: To compare the health-related quality of life (HRQOL) of people with cystic fibrosis (CF) to the general population, and to determine the relationship between HRQOL and clinical and demographic factors. Design: Cross-sectional analysis of observational cohort. Setting: Outpatient clinics of a Midwestern CF center. Subjects: One hundred sixty-two subjects with CF aged 5 to 45 years. Main outcome measures: Physical and psychosocial summary scores and individual scale scores for the Child Health Questionnaire and Short Form-36. Results: Compared with the general population, people with CF reported similar scores for most psychosocial measures, but lower scores for most physical measures, with the lowest scores on the general health perceptions scale. In multivariable analyses, pulmonary exacerbations in the past 6 months were strongly associated with the physical (p = 0.001) and psychosocial (p = 0.0003) scores. The physical score fell, on average, 6 points per exacerbation and the psychosocial score fell 3 points. Lung function, nutrition, 6-min walk distance, age, gender, and insurance status were not significantly associated with HRQOL in this study population. Those who declined to participate had significantly lower FEV1 percent predicted and nutritional indexes. Our findings may not be generalizable to the entire CF population. Conclusion: Recent pulmonary exacerbations have a profound negative impact on HRQOL that is not explained by differences in lung function, nutritional status, or demographic factors.

Original languageEnglish (US)
Pages (from-to)64-72
Number of pages9
JournalChest
Volume121
Issue number1
DOIs
StatePublished - Jan 2002
Externally publishedYes

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Keywords

  • Child Health Questionnaire
  • Health status
  • Health-related quality of life
  • Questionnaire
  • Short Form-36

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Britto, M. T., Kotagal, U. R., Atherton, H. D., Wilmott, R. W., Hornung, R. W., & Tsevat, J. (2002). Impact of recent pulmonary exacerbations on quality of life in patients with cystic fibrosis. Chest, 121(1), 64-72. https://doi.org/10.1378/chest.121.1.64