Purpose: To determine the prevalence of people with a diagnosis of chronic obstructive pulmonary disease (COPD) among those completing nonpulmonary rehabilitation (NPR) programmes and to describe their characteristics. Methods: Electronic data of participants who completed an in-patient rehabilitation programme between July 1, 2010, and July 1, 2012 were retrospectively reviewed. Data extracted were month and year of birth, sex, height, weight, referral source, admission and discharge dates, programme admitted to, reason for admission, most responsible health condition, number of co-morbidities, referral agency on discharge, and Functional Independence Measure (FIM) scores on admission and discharge. Results: The prevalence of COPD among participants who completed the NPR programmes was 7.5%. The most common reasons for admission were cardiac conditions (n ¼ 69, 20%), followed by post-unilateral hip replacement (n ¼ 40, 11%) and post-unilateral hip fracture (n ¼ 38, 11%). Patients were discharged after an average stay of 20 (SD 13) days. The mean FIM score was 91 (SD 11) at admission and 108 (SD 9) at discharge. Conclusions: The prevalence of a COPD diagnosis among participants in NPR programmes was 7.5%. COPD is a common comorbidity for people in rehabilitation programmes who have had amputations, have a cardiac condition, have undergone organ transplantation, or require complex care.Key Words: chronic obstructive pulmonary disease; prevalence; rehabilitation. RÉ SUMÉObjectif : É tablir la pré valence des personnes atteintes d'une MPOC chez celles qui effectuent un programme de ré adaptation non pulmonaire et dé crire leurs caracté ristiques. Mé thodes : Examen ré trospectif de donné es informatisé es au sujet de participants hospitalisé s ayant terminé un programme de ré adaptation entre le 1 er juillet 2010 et le 1 er juillet 2012. Les donné es extraites é taient les suivantes: mois et anné e de naissance, sexe, grandeur, poids, source de ré fé rence, date d'admission et date du congé , programme effectué , raison de l'admission, problè me de santé principal, nombre de comorbidité s, agence d'aiguillage au moment du congé , note de la mesure d'indé pendance fonctionnelle (MIF) à l'admission et au moment du congé . Ré sultats : La pré valence de MPOC chez les participants ayant terminé un programme de ré adaptation non pulmonaire é tait de 7,5%. La raison la plus fré quente de l'admission é tait un trouble cardiaque (n ¼ 69,20%), suivi d'une arthroplastie unilaté rale de la hanche (n ¼ 40,11%) et d'une fracture unilaté rale à la hanche (n ¼ 38,11%). Les patients ont obtenu leur congé aprè s un sé jour moyen de 20 (13) jours. La note moyenne de la MIF é tait de 91 (ET 11) à l'admission et de 108 (9) au moment du congé . Conclusions : La pré valence de MPOC chez les participants à un programme de ré adaptation non pulmonaire é tait de 7,5%. La MPOC est une comorbidité fré quente dans les programmes de ré adaptation destiné s aux personnes qui ont subi une amputation ou une greffe d'organe, qui sont aux p...
Introduction: Outpatient exercise training has been shown to be beneficial for solid organ transplant recipients. Little is known about the effects of inpatient rehabilitation programs for recipients with a more complicated postoperative course. Research Question: This study was designed to (1) describe the changes in functional outcomes after an inpatient rehabilitation program, and (2) determine whether the changes in lower body strength and quadriceps strength are associated with changes in functional exercise capacity. Design: This was a single-arm prospective longitudinal study. The recipients participated in an inpatient rehabilitation program twice a day, 7 days a week for 3 to 4 weeks. Outcome Measures Included: 2-Minute Walking Test, Timed Up and Go, Berg Balance Scale, 30-Second Sit to Stand, biceps and quadriceps strength, Functional Independence Measure, SF-36, and Canadian Occupational Performance Measure. Results: Twenty-eight patients (54% female, mean age = 55 [11]) completed the study. Participants were mostly liver (42%) and lung recipients (35%). There were statistically significant improvements in all outcomes after the intervention. There was no relationship between changes in functional exercise capacity and quadriceps strength or lower body strength. Conclusion: An inpatient rehabilitation program may improve several functional outcomes and health-related quality of life in transplant recipients with a complicated postoperative course.
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