PMID- 34246874
OWN - NLM
STAT- MEDLINE
DCOM- 20220207
LR  - 20220207
IS  - 1532-3064 (Electronic)
IS  - 0954-6111 (Linking)
VI  - 186
DP  - 2021 Sep
TI  - The effect of pulmonary rehabilitation on physical performance and health related 
      quality of life in patients with chronic lung disease.
PG  - 106533
LID - S0954-6111(21)00239-0 [pii]
LID - 10.1016/j.rmed.2021.106533 [doi]
AB  - Pulmonary rehabilitation (PR) is a multidisciplinary approach that improves 
      exercise capacity and health-related quality of life in patients with chronic 
      lung disease. We retrospectively reviewed the medical records of the patients 
      with chronic lung disease who participated in the PR program at University 
      Medical Center in Lubbock, Texas, between 2014 and 2019. Clinical information, 
      6-min walk test (6 MW T) results, the number of emergency department (ED) visits 
      and hospitalizations, and psychosocial questionnaires (CAT score, PHQ9 and mMRC 
      dyspnea score) were recorded before and after the completion of the program. 
      Multiple variable linear regression and logistic regression were used to analyze 
      the relationships between patient characteristics and changes in the 6-min walk 
      distance and the achievement of a minimal clinically important differences (MCID) 
      in the 6-min walk distance, the CAT score, the PHQ-9, and the mMRC. 279 patients 
      enrolled in pulmonary rehabilitation; 144 patients (52%) completed the program. 
      After completion of the program, 84 patients increased their 6 MW T distance to 
      exceed the MCID with a mean increase of 178 feet, and the number of ED visits and 
      hospitalizations decreased from 0.80 +/- 1.11 to 0.55 +/- 0.87 (p < 0.05) in the six 
      months before and after rehabilitation. There were statistically significant 
      improvements in all three psychosocial scores. Factors associated with 
      non-completion included younger age, female gender, and shorter baseline 6 MW T 
      distances. The MCID helps evaluate patient outcomes following pulmonary 
      rehabilitation and provide more definite assessment of benefits. The high dropout 
      rate indicates that programs must continuously monitor patient participation and 
      interest.
CI  - Copyright (c) 2021 Elsevier Ltd. All rights reserved.
FAU - Vinan-Vega, Myrian
AU  - Vinan-Vega M
AD  - Department of Internal Medicine, Texas Tech University Health Sciences Center, 
      Lubbock, TX, USA.
FAU - Mantilla, Barbara
AU  - Mantilla B
AD  - Department of Internal Medicine, Texas Tech University Health Sciences Center, 
      Lubbock, TX, USA. Electronic address: barbara.mantilla@jhsmiami.org.
FAU - Yang, Shengping
AU  - Yang S
AD  - Department of Biostatistics, Pennington Biomedical Research Center, 6400 Perkins 
      Road, Baton Rouge, LA, 70808, USA.
FAU - Nugent, Kenneth
AU  - Nugent K
AD  - Department of Internal Medicine, Texas Tech University Health Sciences Center, 
      Lubbock, TX, USA.
LA  - eng
PT  - Journal Article
DEP - 20210706
PL  - England
TA  - Respir Med
JT  - Respiratory medicine
JID - 8908438
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Chronic Disease
MH  - Female
MH  - Humans
MH  - Lung Diseases/*physiopathology/psychology/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - *Physical Functional Performance
MH  - Psychosocial Functioning
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Sex Factors
MH  - Surveys and Questionnaires
MH  - Walk Test
OTO - NOTNLM
OT  - 6-Min walk test distance
OT  - Chronic lung disease
OT  - Chronic obstructive lung disease
OT  - Minimal clinically important difference
OT  - Pulmonary rehabilitation
EDAT- 2021/07/12 06:00
MHDA- 2022/02/08 06:00
CRDT- 2021/07/11 20:43
PHST- 2021/04/02 00:00 [received]
PHST- 2021/06/23 00:00 [revised]
PHST- 2021/06/25 00:00 [accepted]
PHST- 2021/07/12 06:00 [pubmed]
PHST- 2022/02/08 06:00 [medline]
PHST- 2021/07/11 20:43 [entrez]
AID - S0954-6111(21)00239-0 [pii]
AID - 10.1016/j.rmed.2021.106533 [doi]
PST - ppublish
SO  - Respir Med. 2021 Sep;186:106533. doi: 10.1016/j.rmed.2021.106533. Epub 2021 Jul 
      6.