Access to this item is restricted until 12 months after publication by the request of the publisher.. Restriction lift date: 2017-12-20
Outcomes of pulmonary rehabilitation for COPD in older patients: a comparative study
Loading...
Files
Accepted Version
Date
2016-12-20
Authors
Bennett, Deirdre
Bowen, Bernadette
McCarthy, Padriac
Subramaniam, Abi
O'Connor, Michael
Henry, Michael T.
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor & Francis
Published Version
Abstract
Pulmonary rehabilitation (PR) is established as an effective intervention in optimising function and quality of life in patients with chronic obstructive pulmonary disease (COPD). However, there are very limited data on the effectiveness of PR in older patients with COPD. We reviewed all patients attending an 8-week outpatient programme. Patients were divided into two groups; Group A (n = 202), below 70 years, and Group B (n = 122), above 70 years of age. Outcomes in both patient subgroups were compared using FEV1, Incremental Shuttle Walk Test (ISWT), Endurance Shuttle Walk Test (ESWT), Grip Strength, St. George's Respiratory Questionnaire (SGRQ), Hospital Anxiety and Depression Score (HADS), and COPD Assessment Test (CAT) score. Statistical analysis was conducted using Mann-Whitney non-parametric testing and chi-square testing for comparison of clinically relevant improvements between groups. There was no significant difference in PR outcomes between Group A and Group B using absolute values. Mean changes in ISWT for Groups A and B 39.7 m vs. 32.8 m (p = 0.63), respectively, SGRQ −2.5 vs. −2.8 (p = 0.95), HADS anxiety score −0.83 vs. −0.57 (p = 0.43) and HADS depression score −0.69 vs. −0.39 (p = 0.48), respectively. There was no difference in the proportion of patients who achieved the minimal clinically significant improvement in Group A versus Group B for parameters ISWT (38.6% vs 42.7%), SGRQ (27.8% vs 21.3%), and HADS total score (20.5% vs 28.1%). These data suggest that benefits of PR in COPD are not age dependent. Age should not be a barrier to enrolling patients with COPD in PR programmes.
Description
Keywords
Pulmonary rehabilitation , COPD , Older patients , Exercise
Citation
Bennett, D., Bowen, B., McCarthy, P., Subramaniam, A., O'Connor, M. and Henry, M. T. (2016) 'Outcomes of Pulmonary Rehabilitation for COPD in Older Patients: A Comparative Study', COPD: Journal of Chronic Obstructive Pulmonary Disease, pp. 1-6.
Collections
Copyright
© 2016 Taylor & Francis Group, LLC. http://www.tandfonline.com/10.1080/15412555.2016.1258051