NEADL

AcronymDefinition
NEADLNottingham Extended Activities of Daily Living (questionnaire)
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Although most participants were independent in ADL, results of the NEADL showed that many required assistance with instrumental activities required for living at home, such as preparing hot drinks and snacks, washing up, washing clothes and doing the housework.
According to the NEADL, few participants had independently participated in activities outside the home, such as doing their own shopping and going out unassisted socially.
The NEADL identifies actual performance rather than ability and does not distinguish between limitations of innate disability and environmental restrictions.
Participants who performed items on the NEADL independently Participants (N=46) n (%) Mobility Walk outside 32 (69.6) Get in and out of car 32 (69.6) Walk over uneven ground 27 (58.7) Cross roads 25 (54.3) Climb stairs 18 (39.1) Travel on public transport 16 (34.8) Household Feed yourself 46 (100.0) Make a hot drink 29 (63.0) Take hot drink from one room to another 28 (60.9) Manage own money when out 28 (60.9) Wash up 26 (56.5) Make a hot snack 22 (47.8) Wash small items of clothing 19 (41.3) Do own housework 18 (39.1) Wash a full load of clothes 13 (28.3) Own shopping 9 (19.6) Leisure Use telephone 37 (80.4) Read newspaper/book 33 (71.7) Manage own garden 12 (26.1) Go out socially 12 (26.1) Write letter 8 (17.4) Drive a car 2 (4.3) Table 3.
Mean value (SD), by group COPD NC Age (years) 78 (5) 78 (5) [FEV.sub.1] (1) 0.95 (0.36) 1.96 (0.52) [FEV.sub.1] (% of predicted level) 51 (20) 107 (24) 6-min walk (m) 212 (96) 373 (84) NEADL 12.9 (4.9) 19.1 (2.2) Total CRQ 78 (23.2) 116 (117.3) DC P value(a) Age (years) 78(5) NS [FEV.sub.1] (1) 1.43(0.46) <0.0001 [FEV.sub.1] (% of predicted level) 82(25) <0.0001 6-min walk (m) -(b) <0.0001 NEADL 9.6 (4.2) <0.0001 Total CRQ 102 (25) <0.0001 [FEV.sub.1] (%), forced expiratory volume in 1-s percentage; NEADL, Nottingham extended activities of daily living score; CRQ, Chronic Respiratory Questionnaire score.
The dependent variable was BASDEC and the independent variables were dyspnoea score, total CRQ, [FEV.sub.1] (% of predicted level), age, household composition (living alone versus living with others), previous occupation (social class scale), body mass index, gender, 6-min walk score and NEADL. Dyspnoea score, body mass index, previous occupation, age, sex, physiological measurements and 6-min walk distance did not help to predict BASDEC.
Variable B SE t-score P value Total CRQ -0.10 0.02 -4.29 <0.0001 NEADL -0.36 0.11 -3.16 0.00 [FEV.sub.1] (%) 0.01 0.07 0.62 0.53 Age -0.05 0.07 -0.81 0.41 Household composition(a) 1.19 0.74 1.62 0.1 Dyspnoea CRQ 0.06 0.07 0.85 0.39 Body mass index 0.004 0.06 0.06 0.95 Sex 1.02 0.71 1.43 0.15 6-min walking test 0.005 0.004 1.17 0.24 Previous occupation(b) -0.38 0.49 -0.78 0.43 Total [R.sup.2] = 0.50.
Where the patient was confused or dysphasic, the carer completed the Barthel and NEADL. Data were less complete for the subjective outcome measures because this strategy was inappropriate.
Predictors of a good outcome were the Guy's score and pre-morbid NEADL. The odds ratio for a good outcome associated with admission to District 2 rather than District 1 was 0.71 (95% confidence interval 0.39, 1.30) suggesting a trend for poorer outcomes in District 2.
1 month 15% 17% -6%, 10% 6 month 33% 40% -3%, 17% Survivor outcomes (n = 107) (n = 84) Median Barthel score 13 13 -1.3, 1.9 Median NEADL 5 3 -1.0, 2.5 Median GDS 8 7 -0.7, 1.7 NHP (means) Energy 59 54 -6, 17 Pain 26 26 -8, 8 Emotion 32 29 -5, 11 Sleep 34 30 -6, 13 Social isolation 31 23 -1, 16 Physical mobility 52 52 -8, 9 Satisfaction (hospital) 54% 49% -21%, 11% Satisfaction (community) 46% 48% -16%, 20%