PMID- 27997252
OWN - NLM
STAT- MEDLINE
DCOM- 20171201
LR  - 20171201
IS  - 1541-2563 (Electronic)
IS  - 1541-2563 (Linking)
VI  - 14
IP  - 2
DP  - 2017 Apr
TI  - Outcomes of Pulmonary Rehabilitation for COPD in Older Patients: A Comparative 
      Study.
PG  - 170-175
LID - 10.1080/15412555.2016.1258051 [doi]
AB  - Pulmonary rehabilitation (PR) is established as an effective intervention in 
      optimising function and quality of life in patients with chronic obstructive 
      pulmonary disease (COPD). However, there are very limited data on the 
      effectiveness of PR in older patients with COPD. We reviewed all patients 
      attending an 8-week outpatient programme. Patients were divided into two groups; 
      Group A (n = 202), below 70 years, and Group B (n = 122), above 70 years of age. 
      Outcomes in both patient subgroups were compared using FEV(1), Incremental 
      Shuttle Walk Test (ISWT), Endurance Shuttle Walk Test (ESWT), Grip Strength, St. 
      George's Respiratory Questionnaire (SGRQ), Hospital Anxiety and Depression Score 
      (HADS), and COPD Assessment Test (CAT) score. Statistical analysis was conducted 
      using Mann-Whitney non-parametric testing and chi-square testing for comparison 
      of clinically relevant improvements between groups. There was no significant 
      difference in PR outcomes between Group A and Group B using absolute values. Mean 
      changes in ISWT for Groups A and B 39.7 m vs. 32.8 m (p = 0.63), respectively, 
      SGRQ -2.5 vs. -2.8 (p = 0.95), HADS anxiety score -0.83 vs. -0.57 (p = 0.43) and 
      HADS depression score -0.69 vs. -0.39 (p = 0.48), respectively. There was no 
      difference in the proportion of patients who achieved the minimal clinically 
      significant improvement in Group A versus Group B for parameters ISWT (38.6% vs 
      42.7%), SGRQ (27.8% vs 21.3%), and HADS total score (20.5% vs 28.1%). These data 
      suggest that benefits of PR in COPD are not age dependent. Age should not be a 
      barrier to enrolling patients with COPD in PR programmes.
FAU - Bennett, Deirdre
AU  - Bennett D
AD  - a Medical Education Unit, University College Cork , Cork , Ireland.
FAU - Bowen, Bernadette
AU  - Bowen B
AD  - b Department of Respiratory Medicine , Cork University Hospital , Cork , Ireland.
FAU - McCarthy, Padriac
AU  - McCarthy P
AD  - c Department of Medicine , University College Cork , Cork , Ireland.
FAU - Subramaniam, Abi
AU  - Subramaniam A
AD  - b Department of Respiratory Medicine , Cork University Hospital , Cork , Ireland.
FAU - O'Connor, Michael
AU  - O'Connor M
AD  - c Department of Medicine , University College Cork , Cork , Ireland.
AD  - d Department of Medicine for the Elderly , Cork University Hospital , Cork , 
      Ireland.
FAU - Henry, Mike T
AU  - Henry MT
AD  - b Department of Respiratory Medicine , Cork University Hospital , Cork , Ireland.
AD  - c Department of Medicine , University College Cork , Cork , Ireland.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20161220
PL  - England
TA  - COPD
JT  - COPD
JID - 101211769
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Anxiety/etiology
MH  - Depression/etiology
MH  - Forced Expiratory Volume
MH  - Hand Strength
MH  - Humans
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Psychiatric Status Rating Scales
MH  - Pulmonary Disease, Chronic 
      Obstructive/*physiopathology/psychology/*rehabilitation
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Walk Test
OTO - NOTNLM
OT  - COPD
OT  - Pulmonary rehabilitation
OT  - exercise
OT  - older patients
EDAT- 2016/12/21 06:00
MHDA- 2017/12/02 06:00
CRDT- 2016/12/21 06:00
PHST- 2016/12/21 06:00 [pubmed]
PHST- 2017/12/02 06:00 [medline]
PHST- 2016/12/21 06:00 [entrez]
AID - 10.1080/15412555.2016.1258051 [doi]
PST - ppublish
SO  - COPD. 2017 Apr;14(2):170-175. doi: 10.1080/15412555.2016.1258051. Epub 2016 Dec 
      20.