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Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD

Background: Pulmonary rehabilitation (PR) improves physical and mental performance as well as quality of life in patients with chronic obstructive pulmonary disease (COPD). However, data on outcomes in very old patients are insufficient. We analyzed whether the elderly with COPD benefit in a similar...

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Autores principales: Spielmanns, Marc, Schulze, Sofia-Theresia, Guenes, Erhan, Pekacka-Falkowska, Katarzyna, Windisch, Wolfram, Pekacka-Egli, Anna Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095259/
https://www.ncbi.nlm.nih.gov/pubmed/37048597
http://dx.doi.org/10.3390/jcm12072513
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author Spielmanns, Marc
Schulze, Sofia-Theresia
Guenes, Erhan
Pekacka-Falkowska, Katarzyna
Windisch, Wolfram
Pekacka-Egli, Anna Maria
author_facet Spielmanns, Marc
Schulze, Sofia-Theresia
Guenes, Erhan
Pekacka-Falkowska, Katarzyna
Windisch, Wolfram
Pekacka-Egli, Anna Maria
author_sort Spielmanns, Marc
collection PubMed
description Background: Pulmonary rehabilitation (PR) improves physical and mental performance as well as quality of life in patients with chronic obstructive pulmonary disease (COPD). However, data on outcomes in very old patients are insufficient. We analyzed whether the elderly with COPD benefit in a similar way to younger patients from participation in an inpatient PR according to the assessments usually collected. Methods: Data from 3173 patients with COPD were retrospectively analyzed. Patients were referred to PR at the Zurich RehaZentren, Switzerland, between January 2013 and December 2019. PR was performed 6 days per week with an average duration of 18.85 days. Functional Independence Measurement (FIM), Feeling Thermometer (FT), and 6-Minute Walk Test (6MWT) were recorded on admission and discharge. Results: In all age groups, the 6MWT and FT improved significantly. FIM results also showed a significant increase. The results of the different age groups showed no significant differences in percentage improvements according to the assessments that were considered. Conclusions: All patient groups with COPD, even the oldest (>85 years), benefited from PR regardless of their age and according to the assessments. Prospective studies are needed to support this hypothesis.
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spelling pubmed-100952592023-04-13 Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD Spielmanns, Marc Schulze, Sofia-Theresia Guenes, Erhan Pekacka-Falkowska, Katarzyna Windisch, Wolfram Pekacka-Egli, Anna Maria J Clin Med Article Background: Pulmonary rehabilitation (PR) improves physical and mental performance as well as quality of life in patients with chronic obstructive pulmonary disease (COPD). However, data on outcomes in very old patients are insufficient. We analyzed whether the elderly with COPD benefit in a similar way to younger patients from participation in an inpatient PR according to the assessments usually collected. Methods: Data from 3173 patients with COPD were retrospectively analyzed. Patients were referred to PR at the Zurich RehaZentren, Switzerland, between January 2013 and December 2019. PR was performed 6 days per week with an average duration of 18.85 days. Functional Independence Measurement (FIM), Feeling Thermometer (FT), and 6-Minute Walk Test (6MWT) were recorded on admission and discharge. Results: In all age groups, the 6MWT and FT improved significantly. FIM results also showed a significant increase. The results of the different age groups showed no significant differences in percentage improvements according to the assessments that were considered. Conclusions: All patient groups with COPD, even the oldest (>85 years), benefited from PR regardless of their age and according to the assessments. Prospective studies are needed to support this hypothesis. MDPI 2023-03-27 /pmc/articles/PMC10095259/ /pubmed/37048597 http://dx.doi.org/10.3390/jcm12072513 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Spielmanns, Marc
Schulze, Sofia-Theresia
Guenes, Erhan
Pekacka-Falkowska, Katarzyna
Windisch, Wolfram
Pekacka-Egli, Anna Maria
Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title_full Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title_fullStr Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title_full_unstemmed Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title_short Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD
title_sort clinical effects of pulmonary rehabilitation in very old patients with copd
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095259/
https://www.ncbi.nlm.nih.gov/pubmed/37048597
http://dx.doi.org/10.3390/jcm12072513
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