Most Read Articles
Roshini Claire Anthony, 11 Sep 2019

Beta-blockers could reduce mortality risk in patients with heart failure with reduced ejection fraction (HFrEF) and moderate or moderately-severe renal dysfunction without causing harm, according to the BB-META-HF* trial presented at ESC 2019.

Elvira Manzano, 4 days ago

The US Preventive Services Task Force (USPSTF), in an update of its 2013 recommendations, called on clinicians to offer risk-reducing medications to women who are at increased risk for breast cancer but at low risk for adverse effects.

Pearl Toh, 5 days ago
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.
14 Sep 2019
In type 2 diabetes patients taking sulfonylureas, hypoglycaemia duration is longer at night and is inversely correlated with the level of glycated haemoglobin (HbA1c), a new study reports.

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
Roshini Claire Anthony, 11 Sep 2019

Beta-blockers could reduce mortality risk in patients with heart failure with reduced ejection fraction (HFrEF) and moderate or moderately-severe renal dysfunction without causing harm, according to the BB-META-HF* trial presented at ESC 2019.

Elvira Manzano, 4 days ago

The US Preventive Services Task Force (USPSTF), in an update of its 2013 recommendations, called on clinicians to offer risk-reducing medications to women who are at increased risk for breast cancer but at low risk for adverse effects.

Pearl Toh, 5 days ago
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.
14 Sep 2019
In type 2 diabetes patients taking sulfonylureas, hypoglycaemia duration is longer at night and is inversely correlated with the level of glycated haemoglobin (HbA1c), a new study reports.