Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases

Abstract

Data of an outpatient pulmonary rehabilitation program(OPR) 2000-2008 based on a non university hospital are presented. 253 patients(pts) (65+-10years; FEV1: 1.45 L(+-0.63)=58%; 61% men) with COPD(74%), asthma(14%) and others(12%) were included. OPR following the guidelines of the Swiss society of pulmonary physicians consisted in cycling, gymnastics and information 3 times a week 2 hours for 3 months. Spirometry, incremental cycle-ergometer test (CET), 6-min walk distance(6-MWD), chronic respiratory disease questionnaire(CRQ) and SF-36 were assessed before and after the program. Lung volumes and CET did not change significantly. 6-MWD improved significantly from 366m(+-97) to 406m(+-103) (p<.001) after OPR. All domains of the CRQ improved significantly(p<.001). All domains of the SF-36 improved, 50% of them significantly(p<.05). 32/253 pts(13%) dropped out due to lack of motivation(9), medical(9) or unknown reasons(14). 91/253 pts(36%) participated in a follow-up program(FUP). Pts participating in the FUP had better results in lung function, exercise capacity, CRQ and SF-36 score before and after OPR compared to pts who did not attend the FUP. Feasibility and attendance rate of our OPR was very good and the drop out rate was low. As in other OPR COPD was the most frequent diagnosis. Postoperative pts were underrepresented. Exercise capacity (endurance performance more than maximum workload), quality of life and overall performance in daily life improved after OPR. Participation in the FUP was relatively low and represented a selection of the anyway better pts. Offering additional locations for FUP nearer to the pts home may ameliorate its attendance rate.

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H. Borer, G. Burkhardt, P. Mueller, P. Leuenberger, T. Schmid (Solothurn, Switzerland). Feasibility and outcome of an outpatient pulmonary rehabilitation programme based on a non university hospital in Switzerland. Eur Respir J 2009; 34: Suppl. 53, 533

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