Chest
Clinical InvestigationsCOPDLong-term Effects of Outpatient Rehabilitation of COPD: A Randomized Trial
Section snippets
Patients
We enrolled 60 COPD patients5 from among those presenting to our hospital's outpatient clinic. Participants were age≤ 75 years and had an FEV1 < 70% of reference values, FEV1/FVC < 65%, and Pao2 > 55 mm Hg at rest with no indication for prescribing home oxygen therapy. None had experienced an exacerbation or been hospitalized in the previous month; all were free of clinically apparent heart disease or relevant bone or joint disease. We enrolled consecutive eligible patients interested in
Patient Demographics, Enrollment, and Compliance
We randomly assigned 30 patients to the control group and 30 to rehabilitation. All 60 patients were men whose mean age was 65 ± 7 years (range, 46 to 74 years) and mean lung function values were FVC, 63 ± 15% of reference value (33 to 94%); FEV1, 35 ± 14% of reference value (15 to 68%); FEV1/FVC, 40 ± 11% (23 to 64%); RV, 179 ± 45% of reference value (87 to 278%); total lung capacity, 112 ± 20% of reference value (82 to 190%); Pao2, 70 ± 9 mm Hg (56 to 89 mm Hg); and Paco2, 44 ± 5 mm Hg (34 to
Discussion
This study is consistent with previous reports,1, 23 showing that a PR program for COPD patients encompassing education, breathing retraining, and chest physiotherapy followed by exercise training leads to improvement in dyspnea, functional exercise capacity, and HRQL. The strengths of our study include the randomized design, the blinding of supervisors and technicians who measured outcome variables, and our maintenance of long-term follow-up in a population likely to have many reasons for
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2020, Journal of Pain and Symptom ManagementCitation Excerpt :Long-term oxygen therapy should be prescribed for all stable patients with COPD who have chronic severe hypoxemia at rest (arterial oxygen tension ≤55 mm Hg or oxygen saturation measured by pulse oximetry <88% or arterial oxygen tension ≤59 with evidence of cor pulmonale).137 Comprehensive pulmonary rehabilitation has been shown to improve exercise capacity, improve HRQL, increase activity levels and skeletal muscle function, and decrease dyspnea and health care utilization in patients with COPD.138–142 Pulmonary rehabilitation initiated within four weeks after a COPD exacerbation has been demonstrated to improve respiratory symptoms, HRQL, and exercise capacity.143–145
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2024, Primary Health Care Research and DevelopmentPulmonary Rehabilitation for Adults with Chronic Respiratory Disease An Official American Thoracic Society Clinical Practice Guideline
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