Fatigue in COPD Patients Often Precedes Hospitalization: Study

THURSDAY, June 14 (HealthDay News) — Fatigue could be used to
predict the risk of hospitalization for people with a lung condition
called chronic obstructive pulmonary disease (COPD), a new study says.

COPD refers to either emphysema or chronic bronchitis. Besides fatigue,
symptoms include coughing, wheezing and shortness of breath. Symptoms can
rapidly worsen, making it hard to breathe, and such COPD flare-ups often
put patients in the hospital.

The new study findings could be used by doctors to reduce hospital
admissions for people with COPD, which could improve patients’ quality of
life and decrease the economic impact of the disease, according to the
researchers.

They assessed 83 COPD patients and found that those with the most
severe fatigue were almost 14 times more likely to be hospitalized within
20 months than those with the least fatigue. And the more severe the
fatigue, the longer the hospital stay.

The results indicate that fatigue levels are associated with COPD
severity and that fatigue is a strong predictor of hospitalization for
COPD patients, the researchers said.

The study was published online June 13 in the European Respiratory
Journal
.

“There has been little research into the clinical significance of
reports of fatigue. Our study has helped to show that patients’
experiences of fatigue could be used as a predictor of hospital
admissions,” lead author Dr. Johanna Paddison, of Repatriation General
Hospital in Adelaide, Australia, said in a journal news release.

“As hospitalizations for COPD can impact upon quality of life and have
economic consequences, the results of this study have significant
implications for the management of COPD,” she added.

Fatigue is the second most common symptom of COPD, after
breathlessness. Symptoms of fatigue can be physical and mental, such as
lack of energy or poor concentration.

More information

The U.S. National Heart, Lung, and Blood Institute has more about COPD.

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