Outcomes of pulmonary rehabilitation for COPD in older patients: a comparative study

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dc.contributor.author Bennett, Deirdre
dc.contributor.author Bowen, Bernadette
dc.contributor.author McCarthy, Padriac
dc.contributor.author Subramaniam, Abi
dc.contributor.author O'Connor, Michael
dc.contributor.author Henry, Michael T.
dc.date.accessioned 2017-01-30T10:26:10Z
dc.date.available 2017-01-30T10:26:10Z
dc.date.issued 2016-12-20
dc.identifier.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. en
dc.identifier.startpage 1 en
dc.identifier.endpage 6 en
dc.identifier.issn 1541-2555
dc.identifier.uri http://hdl.handle.net/10468/3536
dc.identifier.doi 10.1080/15412555.2016.1258051
dc.description.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. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Taylor & Francis en
dc.rights © 2016 Taylor & Francis Group, LLC. http://www.tandfonline.com/10.1080/15412555.2016.1258051 en
dc.subject Pulmonary rehabilitation en
dc.subject COPD en
dc.subject Older patients en
dc.subject Exercise en
dc.title Outcomes of pulmonary rehabilitation for COPD in older patients: a comparative study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Mike T. Henry, Department of Medicine, University College Cork, Cork, Ireland. Email: michael.henry@hse.ie en
dc.internal.availability Full text available en
dc.check.info Access to this item is restricted until 12 months after publication by the request of the publisher. en
dc.check.date 2017-12-20
dc.date.updated 2017-01-30T10:12:05Z
dc.description.version Accepted Version en
dc.internal.rssid 381636891
dc.description.status Peer reviewed en
dc.identifier.journaltitle COPD: Journal Of Chronic Obstructive Pulmonary Disease en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress d.bennett@ucc.ie en

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