TY - JOUR
T1 - Comparação entre os métodos subjetivo e objetivo para avaliação da capacidade funcional durante tratamento clínico em pacientes com claudicação intermitente
AU - Cucato, Gabriel Grizzo
AU - Zerati, Antônio Eduardo
AU - Chehuen, Marcel da Rocha
AU - Ritti-Dias, Raphael Mendes
AU - Saez, Glauco
AU - Ragazzo, Luciana
AU - Puech-Leão, Pedro
AU - Wolosker, Nelson
PY - 2013/12
Y1 - 2013/12
N2 - OBJECTIVE: To analyze if there is any relation between functional capacity assessed by subjective and objective methods regarding the current state and after clinical treatment in patients with intermittent claudication.METHODS: A total of 500 patients with intermittent claudication were enrolled. All patients underwent clinical examination and a functional evaluation by subjective (clinical visit) and objective method (treadmill test). Additionally, 50 patients were selected to evaluate the effect of clinical treatment by subjective and objective methods in relation to functional capacity.RESULTS: Out of 500 patients, only 60 (12.0%) had similar results in both methods. The remaining, that is 440 patients (88.0%) had subject values in disagreement with stress test findings. Regarding the clinical effect of the treatment on the functional outcomes, results were similar in both methods (χ²=1.7; p=0.427).CONCLUSION: Although the subjective method overestimates the functional capacity when compared to the objective method, no significant differences were observed between both methods when analyzing the effect of clinical treatment. Thus, the subjective method provides similar information as compared with objective method, in monitoring the clinical treatment of patients with intermittent claudication.
AB - OBJECTIVE: To analyze if there is any relation between functional capacity assessed by subjective and objective methods regarding the current state and after clinical treatment in patients with intermittent claudication.METHODS: A total of 500 patients with intermittent claudication were enrolled. All patients underwent clinical examination and a functional evaluation by subjective (clinical visit) and objective method (treadmill test). Additionally, 50 patients were selected to evaluate the effect of clinical treatment by subjective and objective methods in relation to functional capacity.RESULTS: Out of 500 patients, only 60 (12.0%) had similar results in both methods. The remaining, that is 440 patients (88.0%) had subject values in disagreement with stress test findings. Regarding the clinical effect of the treatment on the functional outcomes, results were similar in both methods (χ²=1.7; p=0.427).CONCLUSION: Although the subjective method overestimates the functional capacity when compared to the objective method, no significant differences were observed between both methods when analyzing the effect of clinical treatment. Thus, the subjective method provides similar information as compared with objective method, in monitoring the clinical treatment of patients with intermittent claudication.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Diagnostic Self Evaluation
KW - Exercise Test
KW - Exercise Tolerance
KW - Female
KW - Humans
KW - Intermittent Claudication/diagnosis
KW - Male
KW - Middle Aged
KW - Peripheral Vascular Diseases/complications
KW - Symptom Assessment/methods
KW - Walking
U2 - 10.1590/S1679-45082013000400016
DO - 10.1590/S1679-45082013000400016
M3 - Article
C2 - 24488391
VL - 11
SP - 495
EP - 499
JO - Einstein (Sao Paulo, Brazil)
JF - Einstein (Sao Paulo, Brazil)
SN - 1679-4508
IS - 4
ER -