Effectiveness of Pulmonary Rehabilitation in Reducing Health Resources Use in Chronic Obstructive Pulmonary Disease

Rubí, Mateu; Renom, Feliu; Ramis, Ferran; Medinas, Magdalena; Centeno, María J.; Gorriz, Maite; Crespí, Eulàlia; Martín, Belén; Soriano, Joan B.

doi:10.1016/j.apmr.2009.09.025

Cited by 57 publications

(44 citation statements)

References 37 publications

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“…Pulmonary rehabilitation has been shown to improve health-related quality of life (HRQoL) [1] and exercise capacity, as well as reduce hospital admissions and length of stay in people with chronic obstructive pulmonary disease (COPD) [2][3][4]. Globally, the demand for pulmonary rehabilitation far outweighs the availability of programmes [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Ground-based walking training improves quality of life and exercise capacity in COPD

et al. 2014

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This study was designed to determine the effect of ground-based walking training on healthrelated quality of life and exercise capacity in people with chronic obstructive pulmonary disease (COPD).People with COPD were randomised to either a walking group that received supervised, ground-based walking training two to three times a week for 8-10 weeks, or a control group that received usual medical care and did not participate in exercise training.130 out of 143 participants (mean¡SD age 69¡8 years, forced expiratory volume in 1 s 43¡15% predicted) completed the study. Compared to the control group, the walking group demonstrated greater improvements in the St George's Respiratory Questionnaire total score (mean difference -6 points (95% CI -10--2), p,0.003), Chronic Respiratory Disease Questionnaire total score (mean difference 7 points (95% CI 2-11), p,0.01) and endurance shuttle walk test time (mean difference 208 s (95% CI 104-313), p,0.001).This study shows that ground-based walking training is an effective training modality that improves quality of life and endurance exercise capacity in people with COPD. @ERSpublications Walking training improves quality of life and endurance exercise capacity compared to usual medical care in COPD

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Section: Introductionmentioning

confidence: 99%

Ground-based walking training improves quality of life and exercise capacity in COPD

et al. 2014

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“…Participation in pulmonary rehabilitation decreases health-care utilization for at least 1 y after participation, 3,[37][38][39][40] and our findings show that fewer subjects visited the emergency department or required hospitalization after pulmonary rehabilitation over an extended period of time. This effect was especially evident in subjects who continued to exercise regularly after pulmonary rehabilitation.…”

Section: Discussionmentioning

confidence: 50%

“…3,[37][38][39][40] We sought to extend those findings by analyzing the effect of ongoing exercise after pulmonary rehabilitation. Contrary to the findings of Heppner et al, 41 who found that subjects who continued to walk regularly after a pulmonary rehabilitation program utilized health care as often as those who did not, our findings show that fewer subjects visited the emergency department or required hospitalization after pulmonary rehabilitation.…”

Section: Long-term Exercise Adherence and Health-care Utilizationmentioning

confidence: 99%

Additional Evidence for the Long-Term Benefits of Pulmonary Rehabilitation

et al. 2015

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BACKGROUND: Pulmonary rehabilitation programs document outcomes to prepare for program certification, to demonstrate the value of the program to upper management, and to provide feedback to pulmonary rehabilitation staff regarding the efficacy of the program. The overall goal of this study was to evaluate the feasibility of using non-research-generated clinical data to report long-term outcomes following a pulmonary rehabilitation program. METHODS: Using a longitudinal descriptive design, all subjects who completed pulmonary rehabilitation at one communitybased pulmonary rehabilitation program in the San Francisco Bay Area were asked to complete a 6-month and subsequent yearly questionnaires. Adherence to pulmonary rehabilitation techniques was described for 7 y following pulmonary rehabilitation participation, health-care utilization from 1 y before pulmonary rehabilitation was compared with subsequent years, and health-care utilization was compared between those who participated in ongoing regular exercise after pulmonary rehabilitation and those who did not exercise. RESULTS: More than 70% of subjects who completed the questionnaire reported adherence to pulmonary rehabilitation techniques, including exercise for at least 7 y following pulmonary rehabilitation. Health-care utilization declined after pulmonary rehabilitation. Subjects who did not exercise regularly required significantly more health care than those who exercised regularly (P < .05). CONCLUSIONS: This study demonstrated the ability of one pulmonary rehabilitation program to accurately monitor extended longterm follow-up after pulmonary rehabilitation. Implementing this long-term monitoring methodology consistently in pulmonary rehabilitation programs could contribute to evaluation of the comparative effectiveness of various treatment options.

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“…Ellos atribuyen estos cambios en el índice BODE principalmente a características como la duración de la enfermedad, tabaquismo actual, el aumento de la tasa de hospitalización, una peor calidad de vida, la ansiedad y la depresión al inicio del estudio. Otros autores como Rubí et al (2010) realizaron un estudio prospectivo con 72 pacientes con EPOC que terminaron el programa de RP, en ellos encontraron un cambio en el índice BODE significativamente estadístico, con un valor pre 5 ± 2,0, a un valor al finalizar la RP de 4,4 ± 1.7, valor p(0,002). Las variables que se ven modificadas notoriamente en los pacientes es la distancia recorrida en el test de caminata de los 6 minutos, seguido de la escala mMRC y también cambios menos drásticos en el índice de masa corporal.…”

Section: Discussionunclassified

Cambios En El Bode-Bodex De Pacientes Con Epoc Al Culminar Un Programa De Rehabilitación Pulmonar

Ávila-Valencia

Muñoz-Erazo²,

Sarria

et al. 2017

Rev. Colomb. Rehabil.

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La Enfermedad Pulmonar Obstructiva Crónica (EPOC) es una de las principales causas de morbimortalidad en todo el mundo. Representa un alto nivel de discapacidad afectando al individuo en todas sus áreas y determinando el deterioro funcional en sus actividades básicas cotidianas y en la relación con su entorno. El propósito fue determinar los cambios en el BODE-BODEX de pacientes con EPOC que culminaron un programa de Rehabilitación Pulmonar (RP) en la ciudad de Cali Colombia. Se realizó un estudio cuasiexperimental en 28 pacientes con diagnóstico de EPOC mayormente mujeres quienes ingresaron a un programa de RP entre enero de 2013 y julio de 2015. Se tuvo en cuenta la espirometría, el test de caminata de 6 minutos (6MWT), la valoración de la disnea y el índice de masa corporal. El grupo se clasificó principalmente en EPOC moderada. Con respecto a los valores pre y post RP, hubo cambios significativos en Disnea medida con la escala mMRC y la tolerancia al esfuerzo valorada con el 6MWT. No se encontraron variaciones respecto al IMC. La rehabilitación pulmonar generó cambios con significancia clínica y estadística en la tolerancia al esfuerzo reflejado en la distancia recorrida en el 6MWT, así como en la disnea según la mMRC y la fatiga de miembros inferiores, esta situación también generó cambios multidimensionales en la puntuación de los índices BODE-BODEX.

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Effectiveness of Pulmonary Rehabilitation in Reducing Health Resources Use in Chronic Obstructive Pulmonary Disease

Cited by 57 publications

References 37 publications

Ground-based walking training improves quality of life and exercise capacity in COPD

Ground-based walking training improves quality of life and exercise capacity in COPD

Additional Evidence for the Long-Term Benefits of Pulmonary Rehabilitation

Cambios En El Bode-Bodex De Pacientes Con Epoc Al Culminar Un Programa De Rehabilitación Pulmonar

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