STUDY OBJECTIVES: A prospective longitudinal study to investigate if a simple outpatient-based pulmonary rehabilitation program (PRP) can improve health outcome and hospital utilization in patients with COPD. PATIENTS: Patients with COPD and FEV(1) < 60% predicted. SETTING: Outpatient physiotherapy department at a district general hospital (Fairfield Hospital, Sydney, Australia). INTERVENTION: Completion of a simple PRP. RESULTS: Thirty-six patients with COPD completed the PRP. Improved exercise endurance (mean +/- SD 6-min walking distance increased from 333 +/- 76 to 423 +/- 107 m [p < 0.001]), reduced dyspnea scale, and improved quality-of-life measurements were found. There was no improvement in lung functions (FEV(1) preprogram mean, 0.97 +/- 0.43 L; postprogram mean, 0.96 +/- 0.42 L). In the 12 months following completion of program, hospitalization and length of stay were reduced compared to prior to starting the program (preprogram, 7.4 days; postprogram, 3.3 days; p < 0.005). CONCLUSIONS: A simple, low-cost, outpatient PRP was able to improve health outcome for patients with COPD. Hospital utilization and health cost were reduced as well.
STUDY OBJECTIVES: A prospective longitudinal study to investigate if a simple outpatient-based pulmonary rehabilitation program (PRP) can improve health outcome and hospital utilization in patients with COPD. PATIENTS: Patients with COPD and FEV(1) < 60% predicted. SETTING:Outpatient physiotherapy department at a district general hospital (Fairfield Hospital, Sydney, Australia). INTERVENTION: Completion of a simple PRP. RESULTS: Thirty-six patients with COPD completed the PRP. Improved exercise endurance (mean +/- SD 6-min walking distance increased from 333 +/- 76 to 423 +/- 107 m [p < 0.001]), reduced dyspnea scale, and improved quality-of-life measurements were found. There was no improvement in lung functions (FEV(1) preprogram mean, 0.97 +/- 0.43 L; postprogram mean, 0.96 +/- 0.42 L). In the 12 months following completion of program, hospitalization and length of stay were reduced compared to prior to starting the program (preprogram, 7.4 days; postprogram, 3.3 days; p < 0.005). CONCLUSIONS: A simple, low-cost, outpatient PRP was able to improve health outcome for patients with COPD. Hospital utilization and health cost were reduced as well.
Authors: Denis E O'Donnell; Shaw Aaron; Jean Bourbeau; Paul Hernandez; Darcy D Marciniuk; Meyer Balter; Gordon Ford; Andre Gervais; Rogers Goldstein; Rick Hodder; Alan Kaplan; Sean Keenan; Yves Lacasse; Francois Maltais; Jeremy Road; Graeme Rocker; Don Sin; Tasmin Sinuff; Nha Voduc Journal: Can Respir J Date: 2007-09 Impact factor: 2.409
Authors: Andreas von Leupoldt; Erika Hahn; Karin Taube; Stephan Schubert-Heukeshoven; Helgo Magnussen; Bernhard Dahme Journal: Lung Date: 2008-04-12 Impact factor: 2.584
Authors: Ignasi Bolíbar; Vicente Plaza; Mariantònia Llauger; Ester Amado; Pedro A Antón; Ana Espinosa; Leandra Domínguez; Mar Fraga; Montserrat Freixas; Josep A de la Fuente; Iskra Liguerre; Casimira Medrano; Meritxell Peiro; Mariantònia Pou; Joaquin Sanchis; Ingrid Solanes; Carles Valero; Pepi Valverde Journal: BMC Public Health Date: 2009-02-24 Impact factor: 3.295
Authors: Daniel S March; Adam W Hurt; Charlotte E Grantham; Darren R Churchward; Hannah M L Young; Patrick J Highton; Maurice Dungey; Nicolette C Bishop; Alice C Smith; Matthew P M Graham-Brown; Nicola J Cooper; James O Burton Journal: Kidney Int Rep Date: 2021-04-08