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Prevalence and burden of loneliness in COPD: A systematic review and meta-analysis.
Alqahtani, Jaber S; Arowosegbe, Abayomi; Aldhahir, Abdulelah M; Alghamdi, Saeed M; Alqarni, Abdullah A; Siraj, Rayan A; AlDraiwiesh, Ibrahim A; Alwafi, Hassan; Oyelade, Tope.
Afiliación
  • Alqahtani JS; Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia. Electronic address: Alqahtani-Jaber@hotmail.com.
  • Arowosegbe A; School of Arts & Creative Technologies, University of Bolton, Bolton, BL3 5AB, United Kingdom; Information School, University of Sheffield, Sheffield, S10 2SJ, United Kingdom.
  • Aldhahir AM; Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, 45142, Saudi Arabia.
  • Alghamdi SM; Respiratory Care Program, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, 24382, Saudi Arabia.
  • Alqarni AA; Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
  • Siraj RA; Respiratory Therapy Department, King Faisal University, Al-Ahsa, 31982, Saudi Arabia.
  • AlDraiwiesh IA; Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia.
  • Alwafi H; Faculty of Medicine, Umm Al Qura University, 21514, Mecca, Saudi Arabia.
  • Oyelade T; UCL Division of Medicine, London, United Kingdom.
Respir Med ; 233: 107768, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39142595
ABSTRACT

BACKGROUND:

Loneliness poses significant public health concerns on a global scale. Being alone and lacking social connections have been proven to impact prognosis and response to treatment in different diseases, including COPD. Yet, the prevalence and burden of loneliness on COPD outcomes remain unclear.

METHODS:

Various relevant databases were systematically searched in March 2024. The quality of the studies included was assessed using a modified Newcastle-Ottawa Scale. The random effect model was used to compute the pooled prevalence and associated 95 % confidence intervals (95%CI) of loneliness and living alone in COPD patients.

RESULTS:

After reviewing 256 studies, 11 studies, including 4644 COPD patients, met the inclusion criteria and were included in the systematic review. Of the included studies, 5/11 (45.5%) reported the prevalence of loneliness or lone living among COPD patients and were included in the meta-analysis. The prevalence of loneliness and lone living among COPD patients was 32% (95% CI = 16%-48%) and 29% (95% CI = 16%-41%), respectively. The Three-item UCLA loneliness scale was the most often used loneliness assessment tool (5/11, 45.5%). Loneliness and lone living were associated with poor outcomes, including emergency department visits, readmissions, depression, and reduced pulmonary rehabilitation response.

CONCLUSION:

Despite one-third of COPD patients experiencing loneliness, researchers have not consistently documented its impact on COPD outcomes. More studies are needed to assess the impact of loneliness on COPD and how to mitigate the negative effects on patients' outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad Pulmonar Obstructiva Crónica / Soledad Límite: Aged / Female / Humans / Male Idioma: En Revista: Respir Med Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad Pulmonar Obstructiva Crónica / Soledad Límite: Aged / Female / Humans / Male Idioma: En Revista: Respir Med Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido