Most Read Articles
3 days ago
Older women with longer endogenous oestrogen exposure and hormone therapy use are at much higher odds of having favourable cognitive status in late life, a recent study suggests.
Yesterday
In patients with atrial fibrillation (AF) and stable coronary artery disease (CAD), rivaroxaban monotherapy is noninferior to combination treatment with an antiplatelet therapy in terms of cutting the risk of cardiovascular events and mortality, according to data from the AFIRE trial.
Elvira Manzano, 2 days ago
Supplementation with omega-3 fatty acids or vitamin D3 for up to 5 years has no effect on kidney function in adults with type 2 diabetes (T2D), the VITAL-DKD* ancillary study has shown.
3 days ago
Better sleep appears to weaken pain and fatigue in older, community-dwelling adults with hip or knee osteoarthritis (OA), reports a recent study.

Loneliness in COPD patients related to worse health perceptions, increased ED visits

08 Sep 2019

Patients with chronic obstructive pulmonary disease (COPD) who feel lonely and socially isolated are more likely to visit the emergency department (ED), with their perceived health status being poor, a study has shown.

Researchers looked at 1,217 patients (mean age, 65 years; 47 percent female) with moderate-to-severe COPD who participated in the National Emphysema Treatment Trial (NETT).  Mean forced expiratory volume in 1 second (FEV1)% predicted was 41.

Of the patients who completed the Quality of Wellbeing questionnaires, which asked about loneliness and social isolation, 96 (7.9 percent) reported feeling lonely. These patients were more likely to be women (11 percent vs 6 percent) and have lower 6-minute walk test (6MWT) distances, poorer overall health ratings and increased breathlessness.

Logistic regression analysis revealed loneliness to be significantly associated with increased healthcare utilization, as represented by the likelihood of visiting the ED in the 5 years of follow-up. Relative to those who were not lonely, patients who felt lonely were about 50-percent more likely to make an ED visit (odds ratio [OR], 1.57, 95 percent CI, 1.005–2.466; p=0.04).

Furthermore, loneliness negatively affected the overall perception of general health (p0.0001), with lonely patients having health ratings of 9.9 points lower than those of other patients.

In light of the present data, the researchers called for frequent assessment of loneliness in COPD patients in routine practice. They believe that addressing loneliness in the outpatient setting may ultimately contribute to reducing ED visits and improved quality of life in this population.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Psychiatry - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
3 days ago
Older women with longer endogenous oestrogen exposure and hormone therapy use are at much higher odds of having favourable cognitive status in late life, a recent study suggests.
Yesterday
In patients with atrial fibrillation (AF) and stable coronary artery disease (CAD), rivaroxaban monotherapy is noninferior to combination treatment with an antiplatelet therapy in terms of cutting the risk of cardiovascular events and mortality, according to data from the AFIRE trial.
Elvira Manzano, 2 days ago
Supplementation with omega-3 fatty acids or vitamin D3 for up to 5 years has no effect on kidney function in adults with type 2 diabetes (T2D), the VITAL-DKD* ancillary study has shown.
3 days ago
Better sleep appears to weaken pain and fatigue in older, community-dwelling adults with hip or knee osteoarthritis (OA), reports a recent study.