PMID- 25856732
OWN - NLM
STAT- MEDLINE
DCOM- 20160317
LR  - 20150626
IS  - 1932-751X (Electronic)
IS  - 1932-7501 (Linking)
VI  - 35
IP  - 4
DP  - 2015 Jul-Aug
TI  - Effectiveness of Repeated Courses of Pulmonary Rehabilitation on Functional 
      Exercise Capacity in Patients With COPD.
PG  - 272-7
LID - 10.1097/HCR.0000000000000115 [doi]
AB  - PURPOSE: To determine whether an as-needed repeated pulmonary rehabilitation (PR) 
      intervention produces a clinically important improvement in exercise capacity. 
      METHODS: The study included a retrospective analysis of characteristics and 
      6-minute walk distance (6MWD) of patients with chronic obstructive pulmonary 
      disease (COPD) who completed PR at 2 centers. Data were abstracted from all 
      patients with COPD completing 2 courses of rehabilitation and those of randomly 
      sampled patients completing only 1 course of PR. RESULTS: We identified 37 
      repeaters and selected 69 nonrepeaters for analysis. No significant differences 
      between the 2 groups with regard to age, FEV1 percent predicted, gender, initial 
      6MWD, improvement in 6MWD, and the percentage of patients achieving the minimal 
      important difference (MID) of >/= 35 m were observed with the completion of the 
      first rehabilitation. The time between the first and second PR interventions was 
      a mean of 45 +/- 24 months. Repeating patients had a decrease of 90 +/- 76 m in 6MWD 
      at the beginning of the second rehabilitation course compared with the end of the 
      first intervention (P = .001). Twenty-four (65%) of repeating patients achieved 
      the MID in 6MWD at the end of the second course of PR. Those who achieved the MID 
      in 6MWD during the second course of rehabilitation also tended to have attained 
      greater improvement in this outcome during the first course (P = .07). 
      CONCLUSION: Two-thirds of patients with COPD undergoing repeat PR experienced 
      significant improvement in exercise capacity. Offering PR to patients with COPD 
      on an as-needed basis appears to be beneficial even after a prolonged period of 
      time between the interventions.
FAU - Atabaki, Ali
AU  - Atabaki A
AD  - Pulmonary, Critical Care, and Sleep Medicine, Norwalk Hospital, Norwalk, 
      Connecticut (Drs Atabaki and Fine, Ms Haggerty, and Mr Yu); Pulmonary, Critical 
      Care, and Sleep Medicine, St. Francis Hospital and Medical Center, Hartford, 
      Connecticut (Ms Marolda and Dr ZuWallack); and Center for Public Health and 
      Health Policy, University of Connecticut Health Center, Farmington (Ms 
      Wakefield).
FAU - Fine, Jonathan
AU  - Fine J
FAU - Haggerty, Margaret
AU  - Haggerty M
FAU - Marolda, Corliss
AU  - Marolda C
FAU - Wakefield, Dorothy
AU  - Wakefield D
FAU - Yu, Andrew
AU  - Yu A
FAU - ZuWallack, Richard
AU  - ZuWallack R
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cardiopulm Rehabil Prev
JT  - Journal of cardiopulmonary rehabilitation and prevention
JID - 101291247
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Exercise Test
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Disease, Chronic Obstructive/*rehabilitation
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Walking/physiology
EDAT- 2015/04/10 06:00
MHDA- 2016/03/18 06:00
CRDT- 2015/04/10 06:00
PHST- 2015/04/10 06:00 [entrez]
PHST- 2015/04/10 06:00 [pubmed]
PHST- 2016/03/18 06:00 [medline]
AID - 10.1097/HCR.0000000000000115 [doi]
PST - ppublish
SO  - J Cardiopulm Rehabil Prev. 2015 Jul-Aug;35(4):272-7. doi: 
      10.1097/HCR.0000000000000115.