Pulmonary Rehabilitation: Pulmonary Rehabilitation |

Role of Bode Index in Predicting Participation in Structured Pulmonary Rehabilitation Programs With Ambulatory Follow-up FREE TO VIEW

Tugba Goktalay, MD; Secil Sari; Yavuz Havlucu, MD; Fikret Kurhan, MD; Aysin Coskun, MD; Pinar Celik, MD; Arzu Yorgancioglu, MD
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Celal Bayar University, Manisa, Turkey

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

Chest. 2016;150(4_S):1119A. doi:10.1016/j.chest.2016.08.1228
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SESSION TITLE: Pulmonary Rehabilitation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Structured Pulmonary Rehabilitation (PR) program with ambulatory follow-up is used in all patients with respiratory symptoms, especially in those with chronic obstructive pulmonary disease (COPD). These programs being applied for periods of 4 to 12 weeks are structured so that they are given in hospital under observation for twice weekly and in home at least once weekly. We aimed at investigating whether BODE index which is one of the mortality indexes in the patients with COPD has a role in predicting participation in structured PR programs.

METHODS: All patients admitted for exacerbation of COPD in our clinic, which was a tertiary university hospital, were recommended to participate in structured PR program. Those participating in the programs for 6 weeks or more and undergoing termination evaluation tests were considered to complete the program. They were evaluated within 15 days after they had been discharged. Socio-demographical characteristics and components of the BODE index were recorded. BODE index was calculated. Dependent variable of the study was participating in the PR program and independent variables included duration of smoking in years, FEV1%, 6-minutes walking distance, mMRC, and BODE index. Chi-square and correlation analyses were done.

RESULTS: The present study included a total of 52 patients whose 29 (55.8%) completing PR program. There was no statistically significant difference in age, sex, presence of co-morbidities, smoking, and numbers of hospitalization and exacerbations of COPD during the last one year between the groups completing and not completing the PR program. Those not participating in the PR program had smoked for longer time, their 6-minutes walking distance was shorter, and mMRC value was poorer (p=0.038). Furthermore, their BODE index score was higher. There wasn’t, however, statistically significant difference in this parameter.

CONCLUSIONS: It was concluded that degree of dyspnea perception which was one of the components of BODE index, and exercise capacity in addition to difficulties in transportation of the patients might be influential in participation in the structured PR program, although not being statistically significant.Thus, it was predicted that giving the patients detailed information on participating in the program and clearly defining the acquisition targets could contribute to adaptation to the program.

CLINICAL IMPLICATIONS: It was predicted that giving the patients detailed information on participating in the program and clearly defining the acquisition targets could contribute to adaptation to the program.

DISCLOSURE: The following authors have nothing to disclose: Tugba Goktalay, Secil Sari, Yavuz Havlucu, Fikret Kurhan, Aysin Coskun, Pinar Celik, Arzu Yorgancioglu

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