Table 3.
COPD symptoms | n (%) |
---|---|
MRC Dyspnoea Scale | |
1–3: Breathlessness at worst resulting in slower walking than contemporaries | 12 (8.3] |
4: Stops for breath after walking 100m | 74 (51.0) |
5: Too breathless to leave the house, or breathless dressing and undressing | 59 (40.7) |
Hospital Anxiety and Depression Scale (HADS) | |
High risk of anxiety: HAD-A ≥8b | 51 (35.2) |
High risk of depression: HAD-D ≥8c | 63 (43.4) |
Chronic COPD Questionnaire (CCQ) | |
Overall mean score (SD; range)d | 3.0 |
(1.1; 0.1–5.7) | |
Mobility | |
Able to get out of home | 66(45.5) |
Can get out with the help of portable oxygen | 15 (10.3) |
Difficulty with activities | |
Getting washed or bathing | 110 (75.8) |
Getting dressed | 87 (60.0) |
Doing the housework | 131 (90.3) |
Preparing meals | 93 (64.1) |
Getting around the home | 73 (50.3) |
Looked after or receiving special help | 113 (77.9) |
By person in own household | 65 (44.8) |
By person in another household | 49 (33.7) |
Eastern Cooperative Oncology Group (ECOG) performance status | |
Restricted but ambulatory with light work | 3 (2.1) |
Ambulatory and capable of all self-care | 12 (8.3) |
Capable of limited self-care | 85 (58.6) |
Completely disabled | 45 (31.1) |
MRC = Medical Research Council. aBreathlessness every day and one of ‘breathlessness unrelieved by treatment’, ‘breathlessness needing more help’, ‘breathlessness sitting or talking’.
In a general practice population HAD-A had a prevalence of 18.5% (95% CI = 16.5 to 20.6%) (ref).
In a general practice population HAD-D had a prevalence of 28.8% (95% CI = 26.3 to1.5%) (ref).
Mean score of 3.0 across three domains of symptoms, functional state, and mental state equates to mean frequency of “several times” in the six questions using frequency, and mean severity of ‘moderately limited’ in the four domains using severity.29