COVID-19: Pneumologische Rehabilitation bei Patienten in der postakuten Phase

2021 ◽  
pp. 1-2
Author(s):  
Daniela Leitl ◽  
Andreas Rembert Koczulla
Keyword(s):  
Physical Performance ◽  
Outcome Measures ◽  
Pulmonary Rehabilitation ◽  
Real Life ◽  
Rehabilitation Program ◽  
Assisted Ventilation ◽  
Walking Distance ◽  
Retrospective Data Analysis ◽  
Real Life Setting ◽  
Pneumologische Rehabilitation

<b>Background:</b>In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment has been observed. <b>Objectives:</b>The aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting. <b>Methods:</b>Retrospective data analysis of patients recovering from COVID-19, including those requiring assisted ventilation or oxygen therapy, consecutively admitted to an in-patient pulmonary rehabilitation program between April 1 and August 15, 2020. Short Physical Performance Battery (SPPB: primary outcome), Barthel Index (BI), and six-min walking distance were assessed as outcome measures. <b>Results:</b>Data of 140 patients were analyzed. After rehabilitation, patients showed improvements in SPPB {from: (median [IQR]) 0.5 (0–7) to 7 (4–10), <i>p</i> &#x3c; 0.001} and BI (from 55 [30–90] to 95 [65–100], <i>p</i> &#x3c; 0.001), as well as in other assessed outcome measures. The proportion of patients unable at admission to stand, rise from a chair and walk was significantly reduced (<i>p</i> &#x3c; 0.00). <b>Conclusions:</b>Pulmonary rehabilitation is possible and effective in patients recovering from COVID-19. Our findings may be useful to guide clinicians taking care of patients surviving COVID-19 infection.

scholarly journals Pulmonary Rehabilitation in Patients Recovering from COVID-19

Respiration ◽  
2021 ◽  
pp. 1-7
Author(s):  
Elisabetta Zampogna ◽  
Mara Paneroni ◽  
Stefano Belli ◽  
Maria Aliani ◽  
Alessandra Gandolfo ◽  
...  
Keyword(s):  
Physical Performance ◽  
Outcome Measures ◽  
Pulmonary Rehabilitation ◽  
Real Life ◽  
Rehabilitation Program ◽  
Assisted Ventilation ◽  
Walking Distance ◽  
Retrospective Data Analysis ◽  
Real Life Setting ◽  
Performance Impairment

<b><i>Background:</i></b> In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment has been observed. <b><i>Objectives:</i></b> The aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting. <b><i>Methods:</i></b> Retrospective data analysis of patients recovering from COVID-19, including those requiring assisted ventilation or oxygen therapy, consecutively admitted to an in-patient pulmonary rehabilitation program between April 1 and August 15, 2020. Short Physical Performance Battery (SPPB: primary outcome), Barthel Index (BI), and six-min walking distance were assessed as outcome measures. <b><i>Results:</i></b> Data of 140 patients were analyzed. After rehabilitation, patients showed improvements in SPPB {from: (median [IQR]) 0.5 (0–7) to 7 (4–10), <i>p</i> &#x3c; 0.001} and BI (from 55 [30–90] to 95 [65–100], <i>p</i> &#x3c; 0.001), as well as in other assessed outcome measures. The proportion of patients unable at admission to stand, rise from a chair and walk was significantly reduced (<i>p</i> &#x3c; 0.00). <b><i>Conclusions:</i></b> Pulmonary rehabilitation is possible and effective in patients recovering from COVID-19. Our findings may be useful to guide clinicians taking care of patients surviving COVID-19 infection.

Pneumologische Rehabilitation bei ILD: Unmittelbar effektive Verbesserung der Lebensqualität, aber wie sieht es langfristig aus?

2021 ◽  
pp. 18-20
Author(s):  
Desiree Faccioli ◽  
Marc Spielmanns
Keyword(s):  
Outcome Measures ◽  
Pulmonary Rehabilitation ◽  
Real Life ◽  
Blood Gases ◽  
Interstitial Lung Diseases ◽  
Walking Distance ◽  
Long Term Effects ◽  
Success Predictors ◽  
Antifibrotic Therapy ◽  
Arterial Blood

<b>Background and aim:</b> Benefits of pulmonary rehabilitation in Interstitial Lung Diseases (ILD) have been reported. The aim of this large multicenter study was to identify the success predictors of pulmonary rehabilitation in a real-life setting. <b>Methods:</b> Data of 240 in-patients (110 idiopathic pulmonary fibrosis (IPF), 106 ILD other than IPF and 24 undetermined ILD) undergoing pulmonary rehabilitation in a 10-year period were retrospectively evaluated. Six minute walking distance (6MWT), body weight-walking distance product tests, dyspnoea and arterial blood gases were assessed at admission and discharge. Differences in post rehabilitation changes in outcome measures as function of baseline characteristics were evaluated. <b>Results:</b>After rehabilitation, patients showed improvements in all outcome measures (p &#x3c; 0.05), regardless of the underlying diagnosis or disease severity. Patients needing oxygen therapy at rest showed reduced benefits. Baseline 6MWD inversely correlated with its changes at discharge. Non-significant greater benefits after rehabilitation were found in IPF patients under antifibrotic therapy. In a subset of 50 patients assessed on average 10.3 ± 3.5 months after discharge, the benefits in 6MWD were not maintained (312.9 ± 139.4, 369.7 ± 122.5 and 310.8 ± 139.6 m at admission, discharge and follow up respectively: <i>p</i> &#x3c; 0.0001). <b>Conclusion:</b> Pulmonary rehabilitation may improve dyspnoea, exercise capacity and fatigue in patients with ILD of different aethiologies and level of severity. The long-term effects need to be established.

scholarly journals Nonadherence in Home-Based Pulmonary Rehabilitation Program for COPD Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yi Li ◽  
Hongyu Qian ◽  
Kewei Yu ◽  
Ying Huang
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Walking Distance ◽  
Emotional Function ◽  
Home Based ◽  
Copd Patients ◽  
Multivariable Analyses ◽  
Frequent Exacerbation ◽  
Pulmonary Rehabilitation Program ◽  
Adherence Group

Background. The pulmonary rehabilitation (PR) is beneficial for COPD patients. Due to the poor rate of adherence, we evaluate the factors which will predict the nonadherence of PR. Method. We analyzed the data from a retrospective study of COPD patients who were enrolled to attend the PR program. Patients were classified as the adherence group and the nonadherence group according to completion of over 50% sessions during the 8-week PR program. Demographic characteristics, 6-minute walking distance (6MWD), COPD assessment test (CAT), modified Medical Research Council scale (mMRC), and emotional function were compared between two groups. Univariate and multivariable analyses were performed to determine the factors of poor adherence of PR. Results. Among 418 patients, 170 patients (40.7%) who completed less than 50% sessions of the PR program were categorized as “nonadherence.” Compared to completers, “nonadherence” patients had more cigarette consumption, higher emotional score, less 6MWD, more exacerbation, using nebulizer frequently, and higher rate of smoking at enrollment. On multivariate analysis, more exacerbation frequency (odds ratio (OR) = 1.434, 95% confidence interval (CI): 1.191∼1.796, P=0.046) and smoking at enrollment (OR = 3.349, 95% CI: 1.194∼6.302, P=0.012) were predict factors associated with nonadherence of PR. Conclusion. COPD patients with frequent exacerbation and smoking currently were more likely to be nonadherence during PR.

Predictors of Improvement in the 12-Minute Walking Distance following a Six-Week Outpatient Pulmonary Rehabilitation Program

CHEST Journal ◽  
1991 ◽  
Vol 99 (4) ◽  
pp. 805-808 ◽  
Author(s):  
Richard L. ZuWallack ◽  
Kaushik Patel ◽  
Jane Z. Reardon ◽  
Bernard A. Clark ◽  
Edgar A. Normandin
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Walking Distance ◽  
Pulmonary Rehabilitation Program

scholarly journals Efficacy of a long-term pulmonary rehabilitation maintenance program for COPD patients in a real-life setting: a 5-year cohort study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Léo Blervaque ◽  
Christian Préfaut ◽  
Hélène Forthin ◽  
Francis Maffre ◽  
Marion Bourrelier ◽  
...  
Keyword(s):  
Cohort Study ◽  
Survival Probability ◽  
Pulmonary Rehabilitation ◽  
Real Life ◽  
Self Help ◽  
Maintenance Program ◽  
Copd Patients ◽  
Real Life Setting ◽  
Severe Copd

Abstract Background Pulmonary rehabilitation (PR) improves exercise capacity, health-related quality of life (HRQoL) and dyspnea in chronic obstructive pulmonary disease (COPD) patients. Maintenance programs can sustain the benefits for 12 to 24 months. Yet, the long-term effects (> 12 months) of pragmatic maintenance programs in real-life settings remain unknown. This prospective cohort study assessed the yearly evolution in the outcomes [6-min walking distance (6MWD), HRQoL, dyspnea] of a supervised self-help PR maintenance program for COPD patients followed for 5 years. The aim was to assess the change in the outcomes and survival probability for 1 to 5 years after PR program discharge in COPD patients following a PR maintenance program supported by supervised self-help associations. Methods Data were prospectively collected from 144 COPD patients who followed a pragmatic multidisciplinary PR maintenance program for 1 to 5 years. They were assessed yearly for 6MWD, HRQol (VQ11) and dyspnea (MRC). The 5-year survival probability was compared to that of a control PR group without a maintenance program. A trajectory-based cluster analysis identified the determinants of long-term response. Results Maintenance program patients showed significant PR benefits at 4 years for 6MWD and VQ11 and 5 years for MRC. The 5-year survival probability was higher than for PR patients without PR maintenance. Two clusters of response to long-term PR were identified, with responders being the less severe COPD patients. Conclusions This study provides evidence of the efficacy of a pragmatic PR maintenance program in a real-life setting for more than 3 years. In contrast to short-term PR, long-term PR maintenance appeared more beneficial in less severe COPD patients.

scholarly journals Physiological and clinical characteristics of patients with COPD admitted to an inpatient pulmonary rehabilitation program: A real-life study

Pulmonology ◽  
2019 ◽  
Vol 25 (2) ◽  
pp. 71-78 ◽  
Author(s):  
Roberto Maestri ◽  
Claudio Bruschi ◽  
Claudio Fracchia ◽  
Gian Domenico Pinna ◽  
Francesco Fanfulla ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Clinical Characteristics ◽  
Real Life ◽  
Rehabilitation Program ◽  
Life Study ◽  
Real Life Study ◽  
Pulmonary Rehabilitation Program
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