Article

OBJECTIVE: To describe functioning and disability in patients with stable
ischaemic heart disease (IHD) according to the model endorsed by the
International Classification of Functioning Disability and Health (ICF). DESIGN:
Adult patients with IHD undergoing rehabilitation were consecutively enrolled.
The ICF checklist and the WHO Disability Assessment Schedule II (WHO-DAS II) were
administered in individual sessions. Patients' clinical status was described
following NYAH criteria (New York Heart Association). Descriptive analyses were
performed to report on clinical variables and WHO-DAS II scores. ICF categories
reported as a problem by more than 20% of patients were described in detail.
RESULTS: One hundred patients (mean age 62.9; 91% males, 71% in NYHA class II)
were enrolled. Mean WHO-DAS II score was 23.9, and the most severe limitations
are reported in life activities, getting around and in participation to social
situations. A total of 30 ICF categories reached the threshold of 20%, 17 Body
Functions and Structures, 13 Activities and Participation. CONCLUSIONS: ICF
application in patients with IHD enables to enlarge the perspective on their
health status, and provide useful information to follow the healthcare process
from the acute setting to the outpatient management.

Langue : ANGLAIS