RT Journal Article
SR Electronic
T1 The impact of comorbidities on pulmonary rehabilitation outcomes in patients with COPD
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA3790
DO 10.1183/13993003.congress-2016.PA3790
VO 48
IS suppl 60
A1 Kallianos, Anastasios
A1 Charikiopoulou, Maria
A1 Arapis, Ioannis
A1 Velentza, Lemonia
A1 Kokkolios, Alexandros
A1 Bletsa, Maria
A1 Trakada, Georgia
A1 Rapti, Aggeliki
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA3790.abstract
AB INTRODUCTION: COPD is a disease with comorbidities, which contribute to morbidity and mortality, independently severity.AIM: Study comorbidity patterns of COPD patients, correlation between comorbidities and outcomes of pulmonary rehabilitation.METHODS: 32 patients with COPD, underwent a comprehensive pulmonary rehabilitation program, divided into two groups, according to comorbidities. Patients with none or one comorbidity (n=11) compared to those with two or more , in terms of their response to parameters: mMRC, CAT, SGRQ, 6MWT and CPET. As cardiovascular and metabolic comorbidities were the most frequent (68.8% and 53.1% respectively), we studied the outcomes of the program between two more subgroups of patients, those who presented and those who didn't present those two comorbidities.RESULTS: The presence of comorbidity was reported (n=28, 87.5%) and more frequent were cardiovascular, metabolic, musculoskeletal, psychological, gastroenterological, cancers and sleep disorders. The outcomes of the subgroup of patients with none or one comorbidity and the subgroup of patients with two or more comorbidities did not present statistically significant difference to the following parameters: dyspnea (mMRC , CAT), quality of life (SGRQ),exercise capacity (6MWT). Only significant change was observed on Cardiopulmonary Exercise Testing, where V02MAX showed an important percentage increase of 25.7% in the subgroup of patients with none or one comorbidity compared to the subgroup of patients with two or more (p=0.024).CONCLUSIONS: Pulmonary Rehabilitation in COPD seems to benefit all the subgroups of patients, independently of the presence, the number or the nature of their comorbidities.