Chest
Clinical Investigations: COPD/REHABA Comparison Between an Outpatient Hospital-Based Pulmonary Rehabilitation Program and a Home-Care Pulmonary Rehabilitation Program in Patients With COPD: A Follow-up of 18 Months
Section snippets
MATERIALS AND METHODS
Fifty outpatients (43 male) in a stable phase of their disease were selected for the study. They all met the following inclusion criteria: COPD as evidenced by history, physical examination, chest radiograph, and pulmonary function test results; dyspnea on exertion, limiting activities of daily living; PaCO2 at rest of less than 6.5 kPa, and PaO2 at rest of more than 7.5 kPa; FEV1 postbronchodilatation between 600 and 1800 mL and less than 65% of predicted FEV1; and no evidence of ischemic
Subjects
Fifty patients entered in the study. Forty-one completed the full study period of 18 months.
Hospital Outpatient Rehabilitation Group: Eighteen patients were allocated to this group; 5 of them dropped out during the study. Three dropped out in the first 3 months: two patients stopped due to lack of motivation, and one person died after a car accident. After 14 months, two more patients dropped out: one died due to respiratory failure during an exacerbation, and the other was diagnosed with
DISCUSSION
This present study confirms the observations of previous investigators that patients with COPD derive subjective and objective benefits such as improved exercise tolerance from a pulmonary rehabilitation program. Yet our results add new knowledge in that patients exercising at home maintained and progressively strengthened the exercise improvement over 18 months after finishing the home-care program. In contrast, improvements were maintained only for 3 to 6 months in those who received the
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This study was supported by a grant of the Dutch Asthma Foundation.