PMID- 21410900
OWN - NLM
STAT- MEDLINE
DCOM- 20110817
LR  - 20220409
IS  - 1752-699X (Electronic)
IS  - 1752-6981 (Linking)
VI  - 5
IP  - 2
DP  - 2011 Apr
TI  - Results of an outpatient multidisciplinary COPD rehabilitation programme obtained 
      in two settings: primary and secondary health care.
PG  - 84-91
LID - 10.1111/j.1752-699X.2010.00203.x [doi]
AB  - BACKGROUND AND AIMS: There is limited experience with implementation of chronic 
      obstructive pulmonary disease (COPD) rehabilitation in primary care settings. We 
      aimed to evaluate the implementation of a COPD rehabilitation programme in a 
      primary care setting and compare the effects with those obtained in a secondary 
      health-care setting. MATERIALS AND METHODS: The same outpatient multidisciplinary 
      7-week rehabilitation programme was implemented in a primary (day care nursery) 
      and a secondary (hospital) health-care setting. Disease-specific quality of life 
      (QoL) and endurance shuttle walking time (ESWT) was assessed at the start and end 
      of the programme. Additionally, QoL was assessed again at a 3-months follow-up. 
      RESULTS: No serious problems or adverse events were encountered during the 
      training/rehabilitation sessions. A total of 48 patients (81.3%) and 75 patients 
      (84.2%) completed the 7-week rehabilitation programme in the primary and 
      secondary settings, respectively. Within both centres, we found statistically 
      significant improvements of ESWT and total St. George's Respiratory Questionnaire 
      score. The improvement of ESWT was significantly greater in the secondary care 
      setting than in the primary care setting. CONCLUSIONS: we found that it was 
      possible to implement a COPD rehabilitation programme in a Danish primary care 
      setting. In this non-randomised study, improvements of QoL and ESWT obtained in 
      the primary care setting were reasonably similar to those obtained in the 
      secondary care setting.
CI  - (c) 2010 Blackwell Publishing Ltd.
FAU - Vest, Susanne
AU  - Vest S
AD  - Department of internal Medicine M, Glostrup University Hospital, the Capital 
      Region of Denmark.
FAU - Moll, Lill
AU  - Moll L
FAU - Petersen, Marelis
AU  - Petersen M
FAU - Buch, Tove Fedder
AU  - Buch TF
FAU - Bruun, Ditte Marie
AU  - Bruun DM
FAU - Rask, Marie
AU  - Rask M
FAU - Wester, Anette
AU  - Wester A
FAU - Linneberg, Allan
AU  - Linneberg A
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Clin Respir J
JT  - The clinical respiratory journal
JID - 101315570
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Ambulatory Care
MH  - Denmark
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Primary Health Care
MH  - Pulmonary Disease, Chronic Obstructive/*rehabilitation
MH  - Quality of Life
EDAT- 2011/03/18 06:00
MHDA- 2011/08/19 06:00
CRDT- 2011/03/18 06:00
PHST- 2011/03/18 06:00 [entrez]
PHST- 2011/03/18 06:00 [pubmed]
PHST- 2011/08/19 06:00 [medline]
AID - 10.1111/j.1752-699X.2010.00203.x [doi]
PST - ppublish
SO  - Clin Respir J. 2011 Apr;5(2):84-91. doi: 10.1111/j.1752-699X.2010.00203.x.