RT Journal Article
SR Electronic
T1 COPD assessment for symptoms and functional condition in pulmonary rehabilitation
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2218
DO 10.1183/13993003.congress-2015.PA2218
VO 46
IS suppl 59
A1 Maria Kerti
A1 Zsuzsanna Balogh
A1 Adrien Halasz
A1 Krisztina Kelemen
A1 Janos Varga
YR 2015
UL http://erj.ersjournals.com/content/46/suppl_59/PA2218.abstract
AB Rationale: Difficult to find a composite score which characterize COPD symptoms, body mass, muscle strength, lung function, and exercise capacity together. We plan to find an alternative scale to Bode index to characterize the severity of COPD.Materials and methods: 165 patients with COPD (FEV1: 48±21 %pred, age: 64±9 years, BMI:27±8 kg/m2) participated in the study. Patients performed a complex pulmonary rehabilitation program with controlled breathing techniques and training, and a personalized exercise training program (2-3x5-25 minutes cycling and 2x5-20 minutes treadmill) for 4 weeks. Lung function, 6 minutes walking test (6MWD), BMI, quality of life questionnaire (CAT), dyspnea score (mMRC) muscle strength were identified before and after rehabilitation. CAT scale rating was based on mMRC: mMRC: 1=CAT≤10, mMRC: 2=10<CAT≤20, mMRC: 3=20<CAT≤30 and mMRC: 4=30<CAT≤40. Muscle force improvement was determined (0.5kg:4, 1kg:3, 1.5kg:2, 2kg:1). A new composite score was determined in terms of BMI, 6MWD, FEV1, mMRC identified CAT based on Bode index and add muscle strength.Results: Rehabilitation resulted improvement in six 6MWD (352±94 vs. 424±94m; p<0,05), mMRC (2,0±0,8 vs. 1,4±0,8; p<0,05) and CAT (16±7 vs. 12±7; p<0.05). Muscle force (28,2±9,7 vs. 30,1±10,1kg) and FEV1 did not change significantly (46±21 vs. 48±21 %pred). The new scale showed significant improvement as a result of rehabilitation (5.5±1.1 vs. 2.7±1.7, p<0.05).Conlusion: Our new score have multiplex additional information compared to lung function in terms of effetiveness of rehabilitation.