PT  - JOURNAL ARTICLE
AU  - Beatriz Valeiro
AU  - Carme Hernández
AU  - Jesús Aibar
AU  - Llourdes Llop
AU  - Diego A. Rodríguez
AU  - Anael Barberán
AU  - Josep Roca
AU  - Jordi Vilaró
TI  - Home exercise tolerance assessment in acute exacerbated COPD patientes
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P618
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P618.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P618.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - Introduction: Home Hospitalization (HH) is an effective intervention for severe acute exacerbation of COPD (AECOPD). Exercise training after AECOPD treated at HH can be useful to improve functional capacity and quality of live in those patients. Nevertheless, to assess exercise tolerance at home is complex. The modified Glittre ADL-Test is a measure of functional status that we have adapted to patient's home.Objective: Analyze the modified Glittre ADL-Test as a tool to measure exercise tolerance during an AECOPD at HH.Method: 17 AECOPD patients, 15 males (median (ICR): 66 (60-84) years, FEV1 38% (29-44) predicted) attended at HH accepted to participate and completed 3 visits (V1: HH discharge, V2: 10 days post discharge, V3:1 month post discharge). Outcomes: 1) Modified Glittre ADL-Test: laps (n), VO2 and VE; 2)COPD Assessment Test; 3) MMRC and London Chest Activities of Daily Living (LCADL); 4) Modified Baecke (V1 and V3); 5) Handgrip.Results: Modified Glittre ADL-Test laps increased (4 vs 5 vs 5,p<0.005), VO2 per lap (242 vs 229 vs 177 mL/min,p<0.03) and VE per lap decreased (7 vs 7 vs 5 L/min, p<0.01). CAT (18.5 vs 11.5 vs 12, p<0.01), MMRC (2 vs 1.5 vs 1, p<0.01) and Modified Baecke (4 vs 14, p<0.01) also significantly improved between each assessment. There were no differences in Handgrip or LCADL.Conclusion: Modified Glittre ADL-Test was suitable to measure exercise tolerance following an AECOPD attended at patient's home.