Pulmonary Rehabilitation: Pulmonary Rehabilitation |

Comparison of Two Questionnaires CAT and MRF-26 to Assess the Effect of Pulmonary Rehabilitation on Health Related Quality of Life in COPD Patients With Chronic Respiratory Failure FREE TO VIEW

Francesca Gibellino, PhD; Laura Mammana, PhD; Annalisa Rodo, RT
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Respiratory Diseases, “Cannizzaro” Hospital, Catania, Italy

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A491. doi:10.1016/j.chest.2016.02.512
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SESSION TITLE: Pulmonary Rehabilitation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: The effectiveness of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) is well established as well as in patients with chronic respiratory failure. COPD Assessment Test (CAT) is a simple instrument that provides measurement of COPD health status, it is easy to use, can be completed in two minutes and it is responsive to pulmonary rehabilitation. Maugeri Respiratory Failure (MRF-26) Questionnaire is the only questionnaire specifically designed for chronic respiratory failure (CRF), it comprises 26 questions and includes sections to measure daily activity (DA) and self -perceived disability (SD), it is specific and sensitive to evaluate the changes after pulmonary rehabilitation. The aim of the study is to compare CAT and MRF-26 and the response to pulmonary rehabilitation in COPD patients with chronic respiratory failure

METHODS: Thirty-five patients with moderate to very severe COPD (30 males and 6 females, age range 49-78 years old), undergoing long-term oxygen therapy were studied. Spirometry and 6-Minute Walk Test (6MWT) were performed, modified Medical Research Council Dispnea Scale (mMRC), CAT and MRF-26 questionnaires were administered before and after a six week’s rehabilitation program. The sessions included a mixture of aerobic and strength training, a combination of treadmill, upper-extremity exercise, diaphragmatic breathing and controlled coughing exercises

RESULTS: mMRC, 6MWT, CAT, MRF-26, DA and SD, before and after rehabilitation, were significantly different p<0.001, the correlation between pre rehabilitation CAT and MRF-26, CAT and DA, CAT and SD were significant p<0.001, the correlation between post rehabilitation CAT and MRF-26, CAT and DA, CAT and SD were also significant p<0.001.

CONCLUSIONS: These data show that CAT, easy to use, quick to complete and score, is a questionnaire that is able to capture the change in health status after pulmonary rehabilitation and the correlation to MRF-26 total score and daily activity and self -perceived disability scores supports its use also in COPD patients with chronic respiratory failure

CLINICAL IMPLICATIONS: MRF-26 is not the only questionnaire responsive to pulmonary rehabilitation that can be used in CRF, CAT is also valid and less time-consuming.

DISCLOSURE: The following authors have nothing to disclose: Francesca Gibellino, Laura Mammana, Annalisa Rodo

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