RT Journal Article
SR Electronic
T1 Efficacy of preoperative comprehensive pulmonary rehabilitation in patients with lung cancer
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA3578
DO 10.1183/13993003.congress-2016.PA3578
VO 48
IS suppl 60
A1 Dicle Yilmaz Kaymaz
A1 Pinar Ergün
A1 Ipek Candemir
A1 Selim Erkman Gülhan
A1 Göktürk Findik
A1 Nese Demir
A1 Filiz Tasdemir
A1 Nurcan Egesel
A1 Fatma Sengül
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA3578.abstract
AB Low exercise tolerance is associated with poor thoracic surgical outcomes. Preoperative pulmonary rehabilitation (PPR) can optimize individuals' exercise tolerance and overall medical stability before lung cancer resection surgery. Our aim was to evaluate the efficacy of pulmonary rehabilitation before lung cancer surgery.METHODS: A total of 15 male patients (66.6±5.87 years) with the diagnosis of non small cell lung cancer were enrolled a comprehensive, multidisciplinary, supervised inpatient PR program, consisted of bronchial hygiene, breathing control, energy conservation techniques, exercise training (endurance and strength), psychological support, nutritional support. Exercise capacity and VO2 peak were evaluated by using incremental shuttle walk test (ISWT). Dyspnea sensation was assessed with MRC scale, psychological status with Hospital Anxiety and Depression scale, on admission and after PPR. The values before and after PPR was given in View this table:The values before and after PPRRESULTS: After minimum 2 week daily multidisplinary PPR program a significant reduction of MRC and HADS scores were recorded while ISWT and VO2 peak increasedCONCLUSIONS: Thus, pulmonary rehabilitation before lung cancer surgery is potentially an attractive technique for optimizing preoperative exercise capacity, dyspnea sensation and psychological status and conceivably, in turn, reducing postoperative respiratory complications.