| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
Heart 1998;80:377-382 ( October )
Department of Geriatric Medicine,
University of Liverpool, Liverpool, UK
Correspondence to: Dr S T O'Keeffe, Department of Geriatric Medicine, St Michael's Hospital, Dun Laoghaire, Co Dublin, Republic of Ireland.
Accepted for publication 16 February 1998
Objective
To examine the reproducibility and
responsiveness to change of a six minute walk test and a quality of
life measure in elderly patients with heart failure.
DesignLongitudinal within patient study.
Subjects60 patients with heart failure (mean age
82 years) attending a geriatric outpatient clinic, 45 of whom underwent
a repeat assessment three to eight weeks later.
Main outcome measuresSubjects
underwent a standardised six minute walk test and completed the chronic
heart failure questionnaire (CHQ), a heart failure specific quality of
life questionnaire. Intraclass correlation coefficients (ICC) were
calculated using a random effects one way analysis of variance as a
measure of reproducibility. Guyatt's responsiveness coefficient and
effect sizes were calculated as measures of responsiveness to change.
Results24 patients reported no major
change in cardiac status, while seven had deteriorated and 14 had
improved between the two clinic visits. Reproducibility was
satisfactory (ICC > 0.75) for the six minute walk test, for the total
CHQ score, and for the dyspnoea, fatigue, and emotion domains of the
CHQ. Effect sizes for all measures were large (> 0.8), and
responsiveness coefficients were very satisfactory (> 0.7). Effect
sizes for detecting deterioration were greater than those for detecting improvement.
ConclusionsQuality of life assessment and
a six minute walk test are reproducible and responsive measures of
cardiac status in frail, very elderly patients with heart failure.
This article has been cited by other articles:
|
|
 |
|
  D. Sumukadas MBBS MD, M. D. Witham MBChB PhD, A. D. Struthers MBChB MD, and M. E.T. McMurdo MBChB MD Effect of perindopril on physical function in elderly people with functional impairment: a randomized controlled trial Can. Med. Assoc. J., October 9, 2007; 177(8): 867 - 874. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Passantino, R. Lagioia, F. Mastropasqua, and D. Scrutinio Short-Term Change in Distance Walked in 6 Min Is an Indicator of Outcome in Patients With Chronic Heart Failure in Clinical Practice J. Am. Coll. Cardiol., July 4, 2006; 48(1): 99 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Chung, L. Shemanski, D. G. Sherman, H. L. Greene, D. B. Hogan, J. C. Kellen, S. G. Kim, L. W. Martin, Y. Rosenberg, D. G. Wyse, et al. Functional Status in Rate- Versus Rhythm-Control Strategies for Atrial Fibrillation: Results of the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) Functional Status Substudy J. Am. Coll. Cardiol., November 15, 2005; 46(10): 1891 - 1899. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. D. Bradley, A. G. Logan, R. J. Kimoff, F. Series, D. Morrison, K. Ferguson, I. Belenkie, M. Pfeifer, J. Fleetham, P. Hanly, et al. Continuous Positive Airway Pressure for Central Sleep Apnea and Heart Failure. N. Engl. J. Med., November 10, 2005; 353(19): 2025 - 2033. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Ingle, R. J. Shelton, A. S. Rigby, S. Nabb, A. L. Clark, and J. G.F. Cleland The reproducibility and sensitivity of the 6-min walk test in elderly patients with chronic heart failure Eur. Heart J., September 1, 2005; 26(17): 1742 - 1751. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. G. Olsson, K. Swedberg, A. L. Clark, K. K. Witte, and J. G.F. Cleland Six minute corridor walk test as an outcome measure for the assessment of treatment in randomized, blinded intervention trials of chronic heart failure: a systematic review Eur. Heart J., April 2, 2005; 26(8): 778 - 793. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A J Baxter, A Spensley, A Hildreth, G Karimova, J E O'Connell, and C S Gray {beta} Blockers in older persons with heart failure: tolerability and impact on quality of life Heart, December 1, 2002; 88(6): 611 - 614. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S D Hutcheon, N D Gillespie, I K Crombie, A D Struthers, and M E T McMurdo Perindopril improves six minute walking distance in older patients with left ventricular systolic dysfunction: a randomised double blind placebo controlled trial Heart, October 1, 2002; 88(4): 373 - 377. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 ATS Statement: Guidelines for the Six-Minute Walk Test Am. J. Respir. Crit. Care Med., July 1, 2002; 166(1): 111 - 117. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Solway, D. Brooks, Y. Lacasse, and S. Thomas A Qualitative Systematic Overview of the Measurement Properties of Functional Walk Tests Used in the Cardiorespiratory Domain Chest, January 1, 2001; 119(1): 256 - 270. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Symptom Assessment Tests Useful in Elderly Heart Failure Patients Journal Watch Cardiology, November 13, 1998; 1998(1113): 2 - 2. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
