Abstract
Aim: The aim of this study is to examine the impact of the outpatient PR program applied to patients with COPD on 3-year mortality.
Methods: 447 patients with COPD who were eligible for the PR program between January 2012 and December 2015 were included in the study. Smoking history, emergency admissions and hospital admissions in the last year were questioned. Pulmonary function tests were performed. Dyspnea perceptions and QoLwere evaluated by mMRC scale and St. George Respiratory Questionnaire (SGRQ). 6-minute walking test (6MWT) was performed to determine exercise capacities. While 288 patients with COPD (8 weeks, 2 times a week) completed the program, 159 patients did not start the program at all or quit half. 3 year mortality was obtained from the health insurance system. The results were analyzed in 2 different groups, the patients who completed and did not complete the program.
Results: The age and gender distribution, BMI, smoking habits, and the number of emergency admissions in the last year were similar in both groups (Table 1). The number of hospitalizations, FEV1%, exercise capacity and SGRQ total score was worse in the group which did not complete the PR program (Table 1). After 3 year follow up the mortality of the patients who completed the program were statistically significantly lower than those who did not. (Figure 1) As a result of the cox regression analysis to measure the effect of PR, the mortality of patients who did not complete the PR was 1.9 times higher than those who completed it (p=0.004HR:1.2-3)
Conclusion: The mortality rate of patients with COPD who completed the PR program was found to be lower. We believe that COPD patients should be motivated to complete PR.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 2680.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020