PMID- 30595047
OWN - NLM
STAT- MEDLINE
DCOM- 20191017
LR  - 20191017
IS  - 1541-2563 (Electronic)
IS  - 1541-2563 (Linking)
VI  - 15
IP  - 6
DP  - 2018 Dec
TI  - The Role of Cardiopulmonary Exercise Testing (CPET) in Pulmonary Rehabilitation 
      (PR) of Chronic Obstructive Pulmonary Disease (COPD) Patients.
PG  - 621-631
LID - 10.1080/15412555.2018.1550476 [doi]
AB  - Chronic obstructive pulmonary disease (COPD) is a common multisystem inflammatory 
      disease with ramifications involving essentially all organ systems. Pulmonary 
      rehabilitation is a comprehensive program designed to prevent and mitigate these 
      disparate systemic effects and improve patient quality of life, functional 
      status, and social functioning. Although initial patient assessment is a 
      prominent component of any pulmonary rehabilitation (PR) program, cardiopulmonary 
      exercise testing (CPET) is not regularly performed as a screening physiologic 
      test prior to PR in COPD patients. Further, CPET is not often used to assess or 
      document the improvement in exercise capacity related to completion of PR. In 
      this review we will describe the classic physiologic abnormalities related to 
      COPD on CPET parameters, the role of CPET in Risk Stratification/Safety prior to 
      PR, the physiologic changes that occur in CPET parameters with PR, and the 
      literature regarding the use of CPET to assess PR results. Finally, we will 
      compare CPET to 6MW in COPD PR, the common minimal clinically important 
      difference (MCID) is associated with CPET, and the potential future roles of CPET 
      in PR and Research.
FAU - Stringer, William
AU  - Stringer W
AD  - a Chronic Diseases Clinical Research Center (CDCRC), Los Angeles Biomedical 
      Institute at Harbor-UCLA Medical Center , David Geffen School of Medicine at UCLA 
      , Torrance , CA , USA.
FAU - Marciniuk, Darcy
AU  - Marciniuk D
AD  - b Respiratory Research Center, Royal University Hospital , University of 
      Saskatchewan , Saskatoon , Canada.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20181230
PL  - England
TA  - COPD
JT  - COPD
JID - 101211769
SB  - IM
MH  - Exercise/*physiology
MH  - *Exercise Therapy
MH  - Exercise Tolerance
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - Patient Safety
MH  - Pulmonary Disease, Chronic Obstructive/*physiopathology/*rehabilitation
MH  - Risk Assessment
MH  - *Walk Test
OTO - NOTNLM
OT  - Chronic obstructive pulmonary disease
OT  - cardiopulmonary exercise testing
OT  - pulmonary rehabilitation
EDAT- 2019/01/01 06:00
MHDA- 2019/10/18 06:00
CRDT- 2019/01/01 06:00
PHST- 2019/01/01 06:00 [pubmed]
PHST- 2019/10/18 06:00 [medline]
PHST- 2019/01/01 06:00 [entrez]
AID - 10.1080/15412555.2018.1550476 [doi]
PST - ppublish
SO  - COPD. 2018 Dec;15(6):621-631. doi: 10.1080/15412555.2018.1550476. Epub 2018 Dec 
      30.