Outcome of pulmonary rehabilitation among patients with stable COPD in relation to pulmonary performance and quality of life

Document Type : Original Article

Authors

1 Chest department, Faculty of medicine Zagazig University,Zagazig, Egypt

2 Chest department, Faculty of medicine, Zagazig university, Zagazig, Egypt

3 chest department, Faculty of medicine, Zagazig University, Zagazig,Egypt

Abstract

Background The response to pulmonary rehabilitation varied significantly among studies. Aim To evaluate the outcome of pulmonary rehabilitation among stable COPD patients and its impact on pulmonary performance and quality of life. Methods Ninety stable COPD patients were included. Pulmonary functions and six minute walking test were assessed before and after 12 weeks rehabilitation program. Based on a decrease in SGRQ, the patients classified to failed and successful groups. Results This work reported a 71.1%. prevalence of successful pulmonary rehabilitation among studied patients. The mean age of the studied patients was 61.9±4.7 years , 82.22% were males and 76.67%were smokers with mean BMI about 24 kg/m2. Pulmonary Rehabilitation reported significant improvement of dyspnea scale by 35%, SGRQ by 10%, 6MWD by 9% and all spirometric pulmonary functions by up to 2%. The frequency of successful rehabilitation was significantly higher (100%) in mild and moderate (75.9%) groups of COPD, while failed outcome (55.17%) was significantly associated with severe degree of COPD, P = 0.03.
Conclusions The prevalence of successful pulmonary rehabilitation after short course program (12 week) were high (71%), the impact of pulmonary rehabilitation program was significant as regarding patient's pulmonary function, exercise performance and quality of life

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