Is a pulmonary rehabilitation program effective in COPD patients with chronic hypercapnic failure?
Autor: | Fevziye Tuksavul, Hulya Sahin, Yelda Varol, Ilknur Naz, Ayşe Özsöz, Nimet Aksel |
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Rok vydání: | 2016 |
Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Copd patients medicine.medical_treatment Emotional functioning Pulmonary function testing Hypercapnia Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Immunology and Allergy Pulmonary rehabilitation 030212 general & internal medicine Depression (differential diagnoses) Aged COPD business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Exercise Therapy Treatment Outcome 030228 respiratory system Exercise Test Physical therapy Anxiety Female medicine.symptom business |
Zdroj: | Expert Review of Respiratory Medicine. 10:593-598 |
ISSN: | 1747-6356 1747-6348 |
DOI: | 10.1586/17476348.2016.1164041 |
Popis: | Our study aimed to compare the effectiveness of a pulmonary rehabilitation (PR) program between hypercapnic and normocapnic patients with chronic obstructive pulmonary disease (COPD).Hypercapnic (Group 1) and normocapnic (Group 2) patients with COPD who participated in this study underwent a comprehensive 8-week out-patient PR program.A total of 122 patients were enrolled in the study; (n:86, n:36 groups 1 and 2, respectively.) After PR, both groups had better symptom scores as well as physical, social and emotional functioning. In addition, the groups had reduced dyspnea, anxiety and depression scores. After PR, the hypercapnic group improved significantly more in exercise capacity (∆6 MWT 50 m. vs 40 m.) compared with normocapnic patients (p=0.044). The hypercapnic group demonstrated a significant reduction in the PaCO2 levels after PR within (p0.05) and between groups (p0.0001).Given the significant reductions in pCO2 levels and significant increases in exercise capacity and QoL parameters after PR, the patients with chronic hypercapnic failure apparently benefited from the PR. |
Databáze: | OpenAIRE |
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