Comprehensive Lung Function Assessment Does not Allow to Infer Response to Pulmonary Rehabilitation in Patients with COPD

被引：23

作者：

Augustin, Ingrid M. L. ^{[1
,2
]}

Wouters, Erniel E. M. ^{[1
,3
]}

Houben-Wilke, Sarah ^{[1
]}

Gaffron, Swetlana ^{[4
]}

Janssen, Daisy J. A. ^{[1
]}

Franssen, Frits M. E. ^{[1
,3
]}

Spruit, Martijn A. ^{[1
,2
,3
]}

机构：

[1] Ctr Expertise Chron Organ Failure, CIRO, NL-6085 NM Horn, Netherlands

[2] Maastricht Univ, NUTRIM Sch Nutr & Translat Res Metab, Med Ctr, NL-6229 ER Maastricht, Netherlands

[3] Maastricht Univ, Dept Resp Med, Med Ctr, NL-6229 HX Maastricht, Netherlands

[4] Viscovery Software GmbH, A-1130 Vienna, Austria

来源：

JOURNAL OF CLINICAL MEDICINE | 2019年 / 8卷 / 01期

关键词：

pulmonary rehabilitation; COPD; response; FIELD WALKING TESTS; HEALTH-STATUS;

D O I：

10.3390/jcm8010027

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

The degree of lung function is frequently used as referral criterion for pulmonary rehabilitation. The efficacy of pulmonary rehabilitation was assessed in 518 chronic obstructive pulmonary disease (COPD) patients, after clustering based on a comprehensive pre-rehabilitation lung function assessment. Mean improvements in dyspnea, exercise performance, health status, mood status and problematic activities of daily life after pulmonary rehabilitation were mostly comparable between the seven clusters, despite significant differences in the degree of lung function. The current study demonstrates no significant relationship between the seven lung-function-based clusters and response to pulmonary rehabilitation. Therefore, baseline lung function cannot be used to identify those who will respond well to pulmonary rehabilitation, and moreover, cannot be used as a criterion for referral to pulmonary rehabilitation in patients with COPD.

引用

页数：11

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