The effect of pulmonary rehabilitation on physical performance and health related quality of life in patients with chronic lung disease - 21/09/21
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Abstract |
Pulmonary rehabilitation (PR) is a multidisciplinary approach that improves exercise capacity and health-related quality of life in patients with chronic lung disease.
We retrospectively reviewed the medical records of the patients with chronic lung disease who participated in the PR program at University Medical Center in Lubbock, Texas, between 2014 and 2019. Clinical information, 6-min walk test (6 MW T) results, the number of emergency department (ED) visits and hospitalizations, and psychosocial questionnaires (CAT score, PHQ9 and mMRC dyspnea score) were recorded before and after the completion of the program. Multiple variable linear regression and logistic regression were used to analyze the relationships between patient characteristics and changes in the 6-min walk distance and the achievement of a minimal clinically important differences (MCID) in the 6-min walk distance, the CAT score, the PHQ-9, and the mMRC.
279 patients enrolled in pulmonary rehabilitation; 144 patients (52%) completed the program. After completion of the program, 84 patients increased their 6 MW T distance to exceed the MCID with a mean increase of 178 feet, and the number of ED visits and hospitalizations decreased from 0.80 ± 1.11 to 0.55 ± 0.87 (p < 0.05) in the six months before and after rehabilitation. There were statistically significant improvements in all three psychosocial scores. Factors associated with non-completion included younger age, female gender, and shorter baseline 6 MW T distances.
The MCID helps evaluate patient outcomes following pulmonary rehabilitation and provide more definite assessment of benefits. The high dropout rate indicates that programs must continuously monitor patient participation and interest.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Pulmonary rehabilitation increases 6-min walk test distances and improves quality of life questionnaires. |
• | The minimal clinically important difference analysis provides a good method to characterize outcomes following interventions such as pulmonary rehabilitation. |
• | Patients who have dropped out of pulmonary rehabilitation programs tend to be sicker and have shorter 6-min walk test distances. Programs need to identify these patients and develop strategies to maintain their involvement in rehabilitation. |
Keywords : Pulmonary rehabilitation, Chronic obstructive lung disease, Chronic lung disease, 6-Min walk test distance, Minimal clinically important difference
Plan
Vol 186
Article 106533- septembre 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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