Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/15537
Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial
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eISSN: 1471-2296
WOS ID: 000315115400001
Scopus EID: 2-s2.0-84874159050
PMID: 23399113
Embase PUI: L369160620
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2013-02-11Document type
research articleCitation
Roman M, Larraz C, Gomez A, Ripoll J, Mir I, Miranda EZ, et al. Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial. BMC Fam Pract. 2013 Feb 11;14:21.Abstract
Background: Pulmonary Rehabilitation for moderate Chronic Obstructive Pulmonary Disease in primary care could improve patients' quality of life. Methods: This study aimed to assess the efficacy of a 3 month Pulmonary Rehabilitation (PR) program with a further 9 months of maintenance (RHBM group) compared with both PR for 3 months without further maintenance (RHB group) and usual care in improving the quality of life of patients with moderate COPD. We conducted a parallel-group, randomized clinical trial in Majorca primary health care in which 97 patients with moderate COPD were assigned to the 3 groups. Health outcomes were quality of life, exercise capacity, pulmonary function and exacerbations. Results: We found statistically and clinically significant differences in the three groups at 3 months in the emotion dimension (0.53; 95%CI0.06-1.01) in the usual care group, (0.72; 95%CI0.26-1.18) the RHB group (0.87; 95%CI 0.44-1.30) and the RHBM group as well as in fatigue (0.47; 95%CI 0.17-0.78) in the RHBM group. After 1 year, these differences favored the long-term rehabilitation group in the domains of fatigue (0.56; 95%CI 0.22-0.91), mastery (0.79; 95%CI 0.03-1.55) and emotion (0.75; 95%CI 0.17-1.33). Between-group analysis only showed statistically and clinically significant differences between the RHB group and control group in the dyspnea dimension (0.79 95%CI 0.05-1.52). No differences were found for exacerbations, pulmonary function or exercise capacity. Conclusions: We found that patients with moderate COPD and low level of impairment did not show meaningful changes in QoL, exercise tolerance, pulmonary function or exacerbation after a one-year, community based rehabilitation program. However, long-term improvements in the emotional, fatigue and mastery dimensions (within intervention groups) were identified.
Publisher version
https://dx.doi.org/10.1186/1471-2296-14-21Keywords
Chronic obstructive pulmonary diseasePulmonary rehabilitation
Quality of life
Clinical trial
Primary care
MeSH
Disease ProgressionAged
Analysis of Variance
Dyspnea
Pulmonary Disease, Chronic Obstructive
Humans
Forced Expiratory Volume
Fatigue
Middle Aged
Male
Quality of Life
Severity of Illness Index
Female
Walking
Exercise Test
Exercise Tolerance
Primary Health Care
Vital Capacity
DeCS
Prueba de EsfuerzoCapacidad Vital
Caminata
Femenino
Fatiga
Masculino
Volumen Espiratorio Forzado
Enfermedad Pulmonar Obstructiva Crónica
Humanos
Persona de Mediana Edad
Calidad de Vida
Anciano
Índice de Severidad de la Enfermedad
Progresión de la Enfermedad
Disnea
Atención Primaria de Salud
Tolerancia al Ejercicio
Análisis de Varianza
This item appears in following Docusalut collections
Atención Primaria de Mallorca - APMALL > Comunicación científicaHospital Universitario Son Llàtzer - HUSLL > Comunicación científica