Survival prediction in patients with chronic obstructive pulmonary disease following a pulmonary rehabilitation programme in Hong Kong
Autor: | Sai-On Ling, Hoi Yee Kwan, P Y Yau, Cherry W-L Lau, William Wn Ko, Bobby H. P. Ng, Thomas Y.W. Mok, Irene Hl Chan, Teresa Ts Tsui, Chie Wai Yim, Yik Ning Poon |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Activities of daily living medicine.medical_treatment Pulmonary disease pulmonary rehabilitation programme physical and rehabilitation medicine survival analysis 03 medical and health sciences 0302 clinical medicine Occupational Therapy medicine Pulmonary rehabilitation In patient 030212 general & internal medicine Intensive care medicine Survival analysis COPD Rehabilitation business.industry Chronic obstructive pulmonary disease lcsh:RM1-950 Articles medicine.disease lcsh:Therapeutics. Pharmacology 030228 respiratory system business activities of daily living |
Zdroj: | Hong Kong Journal of Occupational Therapy : HKJOT Hong Kong Journal of Occupational Therapy, Vol 32 (2019) |
ISSN: | 1876-4398 |
Popis: | Background and objective Pulmonary rehabilitation programme (PRP) is an important component in the management of chronic obstructive pulmonary disease (COPD). However, to date so far there has been limited literature on the survival outcomes of patients with COPD after a PRP in Hong Kong. This study aimed to investigate the outcomes of a pulmonary rehabilitation programme on the survival rates of a retrospective cohort of patients with COPD. Methods This was a retrospective study that included subjects who participated in the PRP in a rehabilitation hospital from the year 2003 to 2015. A total of 431 patients with chronic obstructive pulmonary disease were identified from the electronic record system of the hospital. The dataset were split into two age groups for reporting and analysis using the mean age of 72 as the cut-off. Their median survival times were calculated using Kaplan–Meier analysis. Cox-proportional regression model was used to explore factors that predicted better survival. The most significant predictors were used as strata, and their respective effects on survival functions were analysed with Kaplan–Meier analysis again. Results The overall median survival of the cohort was 4.3 years. The median survival times of the younger patient group (aged Conclusion Moser’s Activities of Daily Living class ≥2 and non-completion of PRP for younger group, low exercise capacity with Monitored Functional Task Evaluation score |
Databáze: | OpenAIRE |
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