Effectiveness of pulmonary rehabilitation in COPD patients receiving long‐term oxygen therapy

Şahin, Hülya; Varol, Yelda; Naz, İlknur; Tuksavul, Fevziye

doi:10.1111/crj.12680

Cited by 12 publications

(10 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to the results of some studies in the literature and supporting the results of our previous studies, oxygen saturation increased after PR in patients with COPD in this study as well 34‐36 . In studies examining the relationship between the PR programme and smoking in terms of respiratory function test values, it is noteworthy that the results are contradictory 34‐39 .…”

Section: Discussionsupporting

confidence: 90%

“…[34][35][36] In studies examining the relationship between the PR programme and smoking in terms of respiratory function test values, it is noteworthy that the results are contradictory. [34][35][36][37][38][39] In a single study in the literature comparing smoking and non-smoking COPD patients, it was observed that FEV 1 values did not change after PR. 14 However in our study FEV 1 values increased significantly in both groups.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The effect of pulmonary rehabilitation on smoking and health outcomes in COPD patients

Şahin¹,

Naz

2021

Clinical Respiratory J

Self Cite

View full text Add to dashboard Cite

Objectives Although several positive effects of pulmonary rehabilitation (PR) are known in COPD patients, the results of PR in smoker COPD patients are unclear. We aimed to compare the effect of PR on smoking behaviour and health outcomes between COPD patients who are smoker and ex‐smoker. Methods In our study; 62 COPD patients (31 of them active smoker and 31 of them were ex‐smoker) who completed in an 8‐week outpatient PR programme were included. Pulmonary function test, blood gas analysis, mMRC Dyspnoea Scale, 6‐minute walk test, St. George's Respiratory Questionnaire, SF‐36 Quality of Life Questionnaire and Hospital Anxiety Depression Scale were performed. Smoking behaviour and nicotine dependence of the study group was evaluated. Results At baseline assessment; TLCO was found to be lower in the currently smoking group (p = 0.042) and significantly increased after PR (p = 0.012). FEV1, PaO2, arterial saturation, 6‐min walk distance and quality of life improved in both groups (p < 0.05). Anxiety score decreased in both groups; depression score decreased only in the ex‐smoker group. When comparing changes between groups; mMRC score was observed to be decreased more in the smoker group (p = 0.01). At the end of the programme, nicotine dependence score and the daily number of cigarettes were significantly decreased in the smoker group (p < 0.001), also 2 patients completely quit smoking. Conclusion Smoker COPD patients benefited from the PR programme at least as much as the patients who do not smoke. Furthermore, nicotine dependence and amount of cigarette decreased in smoker patients. Therefore, COPD patients who smoke should be referred to the PR programmes.

show abstract

Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

The effect of pulmonary rehabilitation on smoking and health outcomes in COPD patients

Şahin¹,

Naz

2021

Clinical Respiratory J

Self Cite

View full text Add to dashboard Cite

show abstract

“…18,39 The originality of our study was to evaluate the benefits of a home-based PR in people with severe COPD receiving mostly long-term oxygen therapy and/or non-invasive ventilation. Only a few studies have been reported in this specific population, 10,40 but collectively these studies and our highlight that older people with chronic respiratory failure should be considered an appropriate candidate for PR.…”

Section: Dovepressmentioning

confidence: 71%

<p>Long-Term Effectiveness of a Home-Based Pulmonary Rehabilitation in Older People with Chronic Obstructive Pulmonary Disease: A Retrospective Study</p>

Géphine¹,

Machuron²,

Wallaert³

et al. 2020

COPD

View full text Add to dashboard Cite

Background: Long-term effectiveness of pulmonary rehabilitation (PR) is still uncertain in older people with severe chronic obstructive pulmonary disease (COPD). The objective was to compare the effects of home-based PR in people with COPD above and below the age of 70 years. Methods: In this retrospective study, 480 people with COPD were recruited and divided into those ≤70 (n=341) and those >70 years of age (n=139). All participants underwent an 8 weeks of home-based PR, consisting of a weekly supervised 90-minute home session. Sixminute stepper test (6MST), timed-up and go test (TUG), Hospital Anxiety and Depression Scale, and Visual Simplified Respiratory Questionnaire (VSRQ) were assessed at baseline (M0), at 2 (M2), 8 (M8), 14 (M14) months after baseline. Results: The older group was described by fewer current smokers (p <0.001), more longterm oxygen therapy use (p = 0.024), higher prevalence of comorbidities (p<0.001), lower 6MST score and higher TUG score (p<0.001), compared to the younger group. Both groups improved every outcome at M2 compared to baseline. At M2, 88% of people ≤70 years of age and 79% of those above 70 were considered as responders in at least one evaluated parameter (p = 0.013). Both groups maintained the benefits at M14, except for the VSRQ score and the number of responders to this outcome in the older group. Conclusion: Regardless of the age, personalized home-based PR was effective for people with COPD in the short term. Above 70 years, an ageing effect appeared on the long-term effectiveness of quality of life benefit.

show abstract

“…Smoking time and long-term oxygen therapy at home have been demonstrated to improve survival in patients with COPD [ 30 , 31 ]. Our program showed significant effects on smoking cessation and oxygen use in one-year management.…”

Section: Discussionmentioning

confidence: 99%

Intensive Intervention Improves Outcomes for Chronic Obstructive Pulmonary Disease Patients: A Medical Consortium-Based Management

Zhao

Zheng

Zhu

et al. 2022

Canadian Respiratory Journal

View full text Add to dashboard Cite

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality. Strategies involving multidimensional approaches for the treatment of COPD are needed. This study aimed to evaluate the efficiency of medical consortium-based management for COPD. Patients were grouped in accordance with whether the hospitals they went to were under the medical consortium. We enrolled 141 COPD patients in the management group and 147 COPD patients in the control group. There was no predetermined sex and disease severity inclusion or exclusion criteria. Patients in the control group were managed by standard care, while patients in the management group were managed with intensive medical intervention jointly by specialists in the hospital and general practitioners and healthcare workers in community health centers. There was no difference in the basal demographics between the two groups. The basal condition of the management group was worse than that of the control group, demonstrated by a higher CAT score and a lower pulmonary function index. Half-year intensive intervention decreased CAT score from 17.28 to 15.62 and the Barthel ADL index from 73 to 60 in the management group, which was associated with better pulmonary rehabilitation, pursed-lip breathing, oxygen usage, and medicine regularity. The benefits became more obvious after one-year intensive intervention in the management group. There was a difference in mMRC grades and smoking cessation between the two groups. This study shows that a one-year intensive intervention improves the patients’ health status and pulmonary function, suggesting that our medical consortium-based management is effective in the treatment of COPD.

show abstract

Effectiveness of pulmonary rehabilitation in COPD patients receiving long‐term oxygen therapy

Cited by 12 publications

References 28 publications

The effect of pulmonary rehabilitation on smoking and health outcomes in COPD patients

The effect of pulmonary rehabilitation on smoking and health outcomes in COPD patients

<p>Long-Term Effectiveness of a Home-Based Pulmonary Rehabilitation in Older People with Chronic Obstructive Pulmonary Disease: A Retrospective Study</p>

Intensive Intervention Improves Outcomes for Chronic Obstructive Pulmonary Disease Patients: A Medical Consortium-Based Management

Contact Info

Product

Resources

About