Feasibility of Home-Based Functional Status Assessment of Chronic Obstructive Pulmonary Disease Patients Recovering From an Exacerbation.

Abstract Introduction The Glittre Activities of Daily Living Test (ADL-Test) is a reliable functional status measurement for stable Chronic Obstructive Pulmonary Disease (COPD) patients in a laboratory setting. We aimed to adapt the test to the home setting (mADL-Test) and to follow-up the functional status recovery of post-exacerbation COPD patients included in a home hospitalization (HH) program. Method We assessed 17 exacerbated moderate-to-very-severe COPD patients in 3 home visits: at discharge to HH (V 0 ), 10 days (V 10post ) and 1 month after discharge (V 30post ). Patients completed the mADL-Test (laps, VO 2 and VE), COPD assessment test (CAT), London Chest ADL Test (LCADL), modified Medical Research Council (mMRC) and upper limb strength (handgrip). Results The number of laps of the mADL-Test (4, 5 and 5, P P P P 0 , V 10post and V 30post , respectively). No significant changes were evidenced in VO 2 , VE or handgrip. Conclusion Our results suggest that the mADL-Test can be performed in the home setting after a COPD exacerbation, and that functional status continues to improve 10 days after HH discharge.