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The effectiveness of pulmonary rehabilitation in COPD outpatients with comorbidities

Nilgün Mendil, Pinar Ergün, Dicle Kaymaz, Selma Aktas, Ezgi Utku
European Respiratory Journal 2011 38: p1235; DOI:
Nilgün Mendil
Pulmonary Rehabilitation and Home Care Department, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Ankara, Turkey
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Pinar Ergün
Pulmonary Rehabilitation and Home Care Department, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Ankara, Turkey
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Dicle Kaymaz
Pulmonary Rehabilitation and Home Care Department, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Ankara, Turkey
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Selma Aktas
Pulmonary Rehabilitation and Home Care Department, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Ankara, Turkey
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Ezgi Utku
Pulmonary Rehabilitation and Home Care Department, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Ankara, Turkey
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Abstract

Aim: Chronic obstructive pulmonary disease (COPD) is often associated with other chronic diseases. The aim of this study was to determine the frequency and prevalence of chronic comorbidities in patients with COPD and to assess their influence on the effects of pulmonary rehabilitation (PR).

Method: 183 patients were included multidisciplinary comprehensive PR program between July 2007 and September 2010 in our outpatient PR center. All patients were grouped according to the following comorbidity categories: 0 (absence of comorbidity), 1 and >=2 (depending on the number of comorbidity). Incremental Shuttle Walking Test (ISWT) and Endurance Shuttle Walking Test (ESWT) was used to evaluate exercise capacity, Medical Research Council (MRC) for the perception of dyspnea, St. George's Respiratory Questionnaire (SGRQ) for quality of life, Hospital Anxiety and Depression Scale (HADS) for psychological evaluation and BMI, fat-free mass (FFM), fat-free mass index (FFMI) analyzing for body composition.

Results: 131 patients reported at least one chronic comorbidity added to COPD. Metabolic (systemic hypertension, diabetes, dyslipidaemia) and heart diseases (chronic heart failure, coronary heart disease) were the most frequently reported comorbid combinations (88 and 23, respectively).Statistically significant improvement was determined in ISWT and ESWT (p<0.01); statistically significant decrease was determined in MRC, SGRQ and HADS (p<0.001) for each comorbid categories.

Conclusion: Chronic comorbidities are very frequent in patients with COPD undergoing PR. Comorbidities does not preclude access to effectiveness of rehabilitation.

  • © 2011 ERS
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The effectiveness of pulmonary rehabilitation in COPD outpatients with comorbidities
Nilgün Mendil, Pinar Ergün, Dicle Kaymaz, Selma Aktas, Ezgi Utku
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1235;

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The effectiveness of pulmonary rehabilitation in COPD outpatients with comorbidities
Nilgün Mendil, Pinar Ergün, Dicle Kaymaz, Selma Aktas, Ezgi Utku
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1235;
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More in this TOC Section

  • Effect of COPD severity on hemodynamic responses to exercise in patients with GOLD stages I-IV
  • Estimation of peak work load based on 6-min walk distance and general demographics in patients with COPD: A new regression equation
  • Effects of pulmonary rehabilitation (PR) on arterial stiffness in patients with COPD: The CIROCO study
Show more 115. Exercise tests and emerging outcomes: defining the impact of pulmonary rehabilitation

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