Six-minute walk distance in patients with severe end-stage COPD: association with survival after inpatient pulmonary rehabilitation.
The purpose of this study was to evaluate the relationship between the 6-minute walk distance (6MWD) and survival in a cohort of patients with severe end-stage chronic obstructive pulmonary disease (COPD) who received inpatient pulmonary rehabilitation (IPR) from 1995 to 2007. We retrospectively analyzed 815 patients with severe end-stage COPD who received IPR. 6MWDs before [...]
Pulmonary rehabilitation is successful for COPD irrespective of MRC dyspnoea grade.
It is not clear whether the benefits of pulmonary rehabilitation (PR) apply equally to patients with Chronic Obstructive Pulmonary Disease (COPD) with different levels of starting disability. We have therefore investigated the effect of pulmonary rehabilitation stratified by the MRC dyspnoea scale in patients with COPD. This is a retrospective, observational study of data collected [...]
Pulmonary rehabilitation for chronic obstructive pulmonary disease: clinical, economic, and budget impact analysis
The objectives of this assessment were to evaluate the effect of PR programs for COPD on clinical and economic outcomes, and to assess their health services impact. The research questions were: ? What is the clinical effectiveness of PR and pharmacotherapy (together) compared with pharmacotherapy alone for adults with COPD? ? What is the effectiveness [...]
Short- and long-term efficacy of a community-based COPD management programme in less advanced COPD: a randomised controlled trial.
The effectiveness of pulmonary rehabilitation in advanced COPD is well established, but few data are available in less advanced disease. In a 2 year randomised controlled trial, 199 patients with an average moderate airflow obstruction but impaired exercise capacity (mean (SD) forced expiratory volume in 1 s (FEV(1)) 60 (16)%, peak work load (Wmax) <70%) [...]
Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study.
The purpose of this study was to examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n = 55) or a control group (n = [...]
Efficacy and Costs of Nutritional Rehabilitation in Muscle-Wasted Patients With Chronic Obstructive Pulmonary Disease in a Community-Based Setting: A Prespecified Subgroup Analysis of the INTERCOM Trial
In a 2-year RCT, 199 COPD patientswith moderate airflow obstruction  (FEV1%pred. 60%) and impaired exercise capacity were randomized to the interdisciplinary community-based COPD management program (INTERCOM) or usual care (UC). A prescheduled subgroup analysis was performed on 39 of the 199 patients who were muscle wasted and received UC or nutritional therapy in combination with [...]
Inspiratory Muscle Training Improves Oxygen Uptake Efficiency Slope in Patients With Chronic Heart Failure.
Inspiratory muscle training (IMT) improves exercise capacity and ventilatory responses to exercise in patients with chronic heart failure (CHF) with inspiratory muscle weakness (IMW). This stuidy analyzed the effects of IMT on the oxygen uptake efficiency slope (OUES) in this patient population. Thirty-two CHF patients with IMW were randomly assigned to either a 12-week program [...]
Does pulmonary rehabilitation reduce anxiety and depression in chronic obstructive pulmonary disease?
This review examines whether pulmonary rehabilitation can effectively improve psychological status in COPD patients. Over the last decade, evidence has accumulated to show that comprehensive pulmonary rehabilitation, which includes exercise training and disease education or psychosocial support or both, can effectively improve anxiety and depression in COPD. The quality of supporting data varies but indicates [...]
Maintaining benefits following pulmonary rehabilitation: a randomised controlled trial.
Spencer LM, Alison JA, McKeough ZJ The aim of this study was to determine if weekly, supervised, outpatient-based exercise plus unsupervised home exercise following an eight-week pulmonary rehabilitation program would maintain functional exercise capacity and quality of life at twelve months better than standard care of unsupervised home exercise training. COPD subjects completed an eight-week [...]
The 15-step oximetry test: a reliable tool to identify candidates for lung transplantation among patients with idiopathic pulmonary fibrosis.
Shitrit D, Rusanov V, Peled N, Amital A, Fuks L, Kramer MR This study was design to determine whether the simple 15-step climbing exercise oximetry test accurately characterised disease severity and survival in patients with idiopathic pulmonary fibrosis (IPF). Results of performance on the 15-step climbing test, pulmonary function tests, cardiopulmonary exercise test and [...]
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