RT Journal Article
SR Electronic
T1 Changes in the CRQ, CAT and updated BODE index by pulmonary rehabilitation
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p3627
VO 38
IS Suppl 55
A1 Armin Stucki
A1 Yvonne Van der Feijst
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p3627.abstract
AB Background: It is unclear to which extend a standardised in-hospital rehabilitation program may change the new COPD assessment test (CAT) score and the updated BODE Index in severe and very-severe COPD patients.Method: In a prospective study we assessed the CRQ, CAT and updated BODE scores in severe and very-severe COPD patients before and after attending a multidisciplinary in-hospital pulmonary rehabilitation program of a approximately 3 week's duration. The assessment comprised in addition sociodemographic and health data.According to the initial BODE Index and due to statistical reasons we formed two BODE severity groups; group one with 0-7 points and group two with 8-15 points.Results: 315 patients attending a pulmonary rehabilitation program were assessd between first of July and end of December 2010. Thereof 132 patients presented with severe or very-severe COPD. The mean age was 69.2 years, exactly one third female, mean duration of stay 19.7 days.I. Both groups showed a significant improvement for all four CRQ domains. Only for the domain dyspnea the improvement was significant smaller for patients with a higher BODE score (second group).II. The CAT score showed a similar significant improvement in both groups (reduction of 4.5 and 5 points respectively)III. Also the updated BODE Index showed a significant reduction in both groups, however, this reduction was significant less for the second group.Conclusion: The CAT and the updated Bode Index might both provide a valid assessment for changes in an inpatient pulmonary rehabilitation program for severe and very-severe COPD patients.