What is it about?

Life-space is a measure of community mobility reflecting how far and how frequently one moves about with or without use of assistance from another person or a device to help with mobility. Older persons with reduced life-space mobility experience social isolation and lower quality of life. This study provides evidence that persons with chronic lung disease and low life-space mobility are at greater risk in the following year of having to go to the emergency room or be hospitalized for lung disease. Persons with chronic lung disease and with lower life-space also walked slower, had more shortness of breath, lower quality of life and had more depressive symptoms

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Why is it important?

Life-space can be assessed during in-person interviews, using the telephone, or written questionnaires. This patient-reported outcome does not require any special instrument or equipment, and provides a reliable assessment of community mobility, an outcome of utmost importance to maintaining social participation and enhancing quality of life. This is the first study to show that among persons with moderate to severe lung, disease, life-space predicts subsequent use of emergency room care or need for hospitalization for the lung disease. Life-space can help identify persons that may benefit from enhanced care for their lung disease.

Perspectives

The ability of life-space to predict bad outcomes for persons with lung disease in this small study suggests that it can be an important assessment to identify those at highest risk for bad outcomes. Such a tool can facilitate more proactive care to prevent the need for hospitalizations among persons with lung disease. Moreover, life-space can be an important outcome when comparing the impact of different treatments for lung disease. Life-space can detect important changes in community mobility. Life-space predicts outcomes such as nursing home admission or death in older adults.

Dr. Richard M Allman
George Washington University

Read the Original

This page is a summary of: Life-Space mobility and clinical outcomes in COPD, International Journal of Chronic Obstructive Pulmonary Disease, September 2018, Dove Medical Press,
DOI: 10.2147/copd.s170887.
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