SESSION TITLE: COPD Treatment Posters
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM
PURPOSE: The COPD patients, especially moderate and severe stage, suffering from dyspnea and decreased activity, which affects quality of life. The goal of pulmonary rehabilitation (PR) is to improve these outcomes. The aim of our study is to present the results of an outpatient rehabilitation program on dyspnea, exercise tolerance and quality of life.
METHODS: Prospective study on 30 moderate to severe COPD patients included in an 8 weeks outpatient rehabilitation program (2 months, 3 sessions / week, including: exercise training, therapeutic education, psychological support). The following parameters were evaluated before and after PR: dyspnea (mMRC, BORG scale), exercise tolerance (6 minutes walk test: 6MWT), quality of life (St. George's Respiratory Questionnaire: SGRQ).
RESULTS: 30 patients, COPD stage III-IV GOLD (mean FEV1 39.4 ± 12% predicted), mean age 63.6±8.7 years, 9 females. Mean 6MWT distance: 375.5 m. All patients had significant dyspnea (3.1 points on MRC scale and 4.71 on BORG scale) and impaired quality of life: SGRQ score 49.2. At the end of PR program: dyspnoea decreased to 2.4 on MRC scale (p = 0.002) and to 3.5 on BORG scale (p=0.01), 6MWT distance increased to 466.05 m (p = 0.001). SGRQ decreased to 40.6 (p = 0.03).
CONCLUSIONS: In our COPD patients, the outpatient rehabilitation program was effective, leading to improvement of symptoms, exercise tolerance and quality of life.
CLINICAL IMPLICATIONS: An 8 weeks outpatient rehabilitation program can be successfully used in the therapy of patients with advanced COPD.
DISCLOSURE: The following authors have nothing to disclose: Alina Croitoru, Diana Ionita, Daniela Gologanu, Irina Pele, Carmen Stroescu, Lucia Marinescu, Paraschiva Postolache, Stefan Dumitrache-Rujinski, Miron Bogdan
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