Source: Annual Congress 2002 - Chronic care and rehabilitation in the management of acute exacerbations
Disease area: Airway diseases

Abstract

Pulmonary Rehabilitation program (PRP) can improve exercise endurance and quality of life (QOL) in patients with chronic obstructive pulmonary disease (COPD). However, there are scanty data whether PRP has any impact on subsequent hospitalisation. We analyzed hospital utilisation data of all consecutive patients with COPD who completed a course of out-patient based simplified PRP. Hospital admission rate and length of stay (LOS) days for exacerbations of 32 patients with COPD for 12 months before and after completion of PRP were analyzed. As expected from our previous study, there were significant improvements in 6-minutes walking distance, increasing from 342 (76)m to 432 (108)m (p<0.001), and improvements in QOL assessments - CRDIQ scores: dsypnoea scale (p<0.001), fatigue score (p=0.01), emotional (p<0.01)and mastery levels (p<0.005). There were 2.4 episodes of hospital admissions per year for exacerbation of COPD before PRP, falling to 0.4 episodes after PRP (p<0.05). Total length of stay (LOS) days were also significantly reduced from 6.2 days before PRP to 2.6 days after PRP (p<0.01). In conclusion, we have shown that hospital utilization can be reduced for 12 months after completion of a simplified PRP for patients with COPD. In conclusion, PRP is able to improve health outcome for COPD patients, as well as reducing health care cost.

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Citations should be made in the following way:
K. P. Hui, A. Hewitt (Sydney, Australia). Out-patient pulmonary rehabilitation program reduce hospital utilisation in patients with chronic obstructive pulmonary disease. Eur Respir J 2002; 20: Suppl. 38, 3708

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