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

Abstract

Introduction: Among chronic obstructive pulmonary disease (COPD) patients, exacerbation is one of the most frequent causes of deterioration in health related quality of life (HRQL).
Aim: To determine the effect of a hospital-based home-care program (HCP) on the HRQL of COPD patients.
Methods: We prospectively studied 18 patients with COPD; (16 men and 2 women) with a mean age of 69, 4 ± 10,3 years and a body mass index of 26.6± 4.2 kg/m^2. All subjects had severe COPD and at least 2 hospital admissions for exacerbation in the previous year. The HCP consisted of home visits by a nurse every month, telephone calls every 10 days, and home or hospital visits on demand. The program lasted for a period of 12 months. Pulmonary function data, gas exchange and HRQL by Medical Outcomes Study Short Form-36 (SF36) and Saint George Respiratory Questionnaire (SGRQ) were assessed at baseline and at 12-months.
Results: With respect to SGRQ, completing HCP, there were significant improvements in the total score (42,5 ± 8,6 vs 35,5 ± 13,8; p=0,027), activity (14,9 ± 4,8 vs 11,2 ± 4,8; p= 0,031) and impact (17,4 ± 4,6 vs 11,7 ± 4,5; p=0,001) scores but not the symptom score (12,6 ± 4,4 vs 13,6 ± 7,5;p=ns). With respect to SF36, significant improvement was found in mental health (57,1 ± 20,0 vs 75,7 ± 9,2; p=0.01) and energy/vitality dimensions (46,5 ±14,0 vs 54,7 ± 7,2; p = 0.05).
Conclusions: Health-related quality of life of COPD patients improves after hospital based home care program and these changes are clinically relevant in several health dimensions.
Supported by Grant FIS PI051094.

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Citations should be made in the following way:
C. Zamarron, E. Morete, V. Garcia-Paz, C. Rabade, M. Salgueiro (Santiago de Compostela, Spain). Health-related quality of life in patients with chronic obstructive pulmonary disease: effects of hospital-based home-care programme. Eur Respir J 2009; 34: Suppl. 53, 541

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