The effect of pulmonary rehabilitation on physical performance and health related quality of life in patients with chronic lung disease
| Autor: | Shengping Yang, Myrian Vinan-Vega, Kenneth Nugent, Barbara Mantilla |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung Diseases Male medicine.medical_specialty medicine.medical_treatment Walk Test Logistic regression Sex Factors Quality of life Surveys and Questionnaires medicine Humans Pulmonary rehabilitation Patient participation Aged Retrospective Studies Aged 80 and over business.industry Medical record Minimal clinically important difference Age Factors Emergency department Middle Aged Physical Functional Performance Psychosocial Functioning Chronic Disease Physical therapy Quality of Life Female business Psychosocial |
| Zdroj: | Respiratory medicine. 186 |
| ISSN: | 1532-3064 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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