PMID- 27621338
OWN - NLM
STAT- MEDLINE
DCOM- 20180709
LR  - 20191210
IS  - 0029-2559 (Print)
IS  - 0029-2559 (Linking)
VI  - 77
IP  - 5
DP  - 2016 Sep-Oct
TI  - Pulmonary Rehabilitation: A Retrospective Study in Eastern North Carolina.
PG  - 314-8
LID - 10.18043/ncm.77.5.314 [doi]
AB  - BACKGROUND: Pulmonary rehabilitation (PR) is an evidence-based measure to benefit 
      chronic obstructive pulmonary disease (COPD) patients. Many patients have 
      benefitted from our robust university hospital-based PR program. We have 
      objectively assessed the benefit of our PR program for COPD patients in Eastern 
      North Carolina. METHODS: We used retrospective chart review to collect data from 
      all the patients who completed PR from January 1, 2012 through December 31, 2013. 
      Data collection included quality-of-life scores using short-form 36 (SF-36) and 
      6-minute walk distance (6MWD) to measure exercise capacity before and after PR. 
      We also collected data on COPD exacerbation frequency 1 year before and 1 year 
      after PR. The data were analyzed using the statistical software Statistical 
      Package for the Social Sciences version 22.0. RESULTS: We analyzed data from 51 
      patients with 4 categories of COPD: mild (n = 2), moderate (n = 12), severe (n = 
      23), and very severe (n = 14). The PR program resulted in improvement in 6MWD of 
      an average of 263.8 feet (P < .01) and a decrease in COPD exacerbation frequency 
      by 0.3 events per year (P < .05). There were mixed results for quality-of-life 
      scores. LIMITATIONS: Our study was conducted at 1 center and thus involved a 
      single COPD patient population with limited sample size. We did not follow 
      patients long term to see whether the benefits were sustained. CONCLUSIONS: Our 
      PR program resulted in a positive impact on exercise capacity, COPD exacerbation 
      rate, and some aspects of quality of life.
CI  - (c)2016 by the North Carolina Institute of Medicine and The Duke Endowment. All 
      rights reserved.
FAU - Chalise, Som N
AU  - Chalise SN
AD  - fellow, Pulmonary and Critical Care Medicine, Vidant Medical Center, East 
      Carolina University, Greenville, North Carolina Chalises14@ecu.edu.
FAU - Shaheen, Haitham T
AU  - Shaheen HT
AD  - fellow, Pulmonary and Critical Care Medicine, Vidant Medical Center, East 
      Carolina University, Greenville, North Carolina.
FAU - Rizwan, Muhammad Z
AU  - Rizwan MZ
AD  - fellow, Pulmonary and Critical Care Medicine, Vidant Medical Center, East 
      Carolina University, Greenville, North Carolina.
FAU - O'Brien, Kevin
AU  - O'Brien K
AD  - professor, Department of Biostatistics, East Carolina University, Greenville, 
      North Carolina.
FAU - Shaw, Robert
AU  - Shaw R
AD  - clinical associate professor and attending physician, Pulmonary, Critical Care 
      and Sleep Medicine, Vidant Medical Center, East Carolina University, Greenville, 
      North Carolina.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - N C Med J
JT  - North Carolina medical journal
JID - 2984805R
SB  - IM
MH  - Aged
MH  - Exercise Tolerance
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - North Carolina/epidemiology
MH  - Outcome Assessment, Health Care
MH  - *Pulmonary Disease, Chronic 
      Obstructive/diagnosis/epidemiology/psychology/rehabilitation
MH  - *Quality of Life
MH  - Rehabilitation Research/methods/statistics & numerical data
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Treatment Outcome
MH  - Walk Test/methods
EDAT- 2016/09/14 06:00
MHDA- 2018/07/10 06:00
CRDT- 2016/09/14 06:00
PHST- 2016/09/14 06:00 [entrez]
PHST- 2016/09/14 06:00 [pubmed]
PHST- 2018/07/10 06:00 [medline]
AID - 77/5/314 [pii]
AID - 10.18043/ncm.77.5.314 [doi]
PST - ppublish
SO  - N C Med J. 2016 Sep-Oct;77(5):314-8. doi: 10.18043/ncm.77.5.314.