COPD patients with severe diffusion defect in carbon monoxide diffusing capacity predict a better outcome for pulmonary rehabilitation
AbstractPurposeThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary func...
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Published in | Revista portuguesa de pneumologia (English ed.) Vol. 22; no. 6; pp. 323 - 330 |
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Abstract | AbstractPurposeThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary functions, blood gases analysis, quality of life parameters and psychological symptoms in both groups before and after pulmonary rehabilitation.MethodsPatients with COPD underwent a comprehensive 8-week out-patient PR program participated in this study. Patients grouped according to diffusion capacity as moderate or severe. Outcome measures were exercise capacity (6mWT), dyspnea sensation, pulmonary function tests, blood gases analysis, quality of life (QoL) and psychological symptoms.ResultsA total of 68 patients enrolled in the study. Thirty-two (47%) of them had moderate diffusion defect [T lCO; 52 (47–61) mmol/kPa] and 36 (53%) of them had severe diffusion defect [T lCO; 29 (22–34) mmol/kPa]. At the end of the program, PaO 2 ( p= 0.001), Modified Medical Research Council dyspnea scale ( p= 0.001), 6mWT ( p< 0.001) and quality of life parameters improved significantly in both groups ( p< 0.05). Also the improvement in D lCO ( p= 0.04) value and FEV 1% ( p= 0.01) reached a statistically significant level in patients with severe diffusion defect. When comparing changes between groups, dyspnea reduced significantly in patients with severe diffusion defect ( p= 0.04). ConclusionPulmonary rehabilitation improves oxygenation, severity of dyspnea, exercise capacity and quality of life independent of level of carbon monoxide diffusion capacity in patents with COPD. Furthermore pulmonary rehabilitation may improve D lCO values in COPD patients with severe diffusion defect. |
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AbstractList | The aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary functions, blood gases analysis, quality of life parameters and psychological symptoms in both groups before and after pulmonary rehabilitation.
Patients with COPD underwent a comprehensive 8-week out-patient PR program participated in this study. Patients grouped according to diffusion capacity as moderate or severe. Outcome measures were exercise capacity (6mWT), dyspnea sensation, pulmonary function tests, blood gases analysis, quality of life (QoL) and psychological symptoms.
A total of 68 patients enrolled in the study. Thirty-two (47%) of them had moderate diffusion defect [Tl
; 52 (47-61)mmol/kPa] and 36 (53%) of them had severe diffusion defect [Tl
; 29 (22-34)mmol/kPa]. At the end of the program, PaO
(p=0.001), Modified Medical Research Council dyspnea scale (p=0.001), 6mWT (p<0.001) and quality of life parameters improved significantly in both groups (p<0.05). Also the improvement in Dl
(p=0.04) value and FEV
% (p=0.01) reached a statistically significant level in patients with severe diffusion defect. When comparing changes between groups, dyspnea reduced significantly in patients with severe diffusion defect (p=0.04).
Pulmonary rehabilitation improves oxygenation, severity of dyspnea, exercise capacity and quality of life independent of level of carbon monoxide diffusion capacity in patents with COPD. Furthermore pulmonary rehabilitation may improve Dl
values in COPD patients with severe diffusion defect. AbstractPurposeThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary functions, blood gases analysis, quality of life parameters and psychological symptoms in both groups before and after pulmonary rehabilitation.MethodsPatients with COPD underwent a comprehensive 8-week out-patient PR program participated in this study. Patients grouped according to diffusion capacity as moderate or severe. Outcome measures were exercise capacity (6mWT), dyspnea sensation, pulmonary function tests, blood gases analysis, quality of life (QoL) and psychological symptoms.ResultsA total of 68 patients enrolled in the study. Thirty-two (47%) of them had moderate diffusion defect [T lCO; 52 (47–61) mmol/kPa] and 36 (53%) of them had severe diffusion defect [T lCO; 29 (22–34) mmol/kPa]. At the end of the program, PaO 2 ( p= 0.001), Modified Medical Research Council dyspnea scale ( p= 0.001), 6mWT ( p< 0.001) and quality of life parameters improved significantly in both groups ( p< 0.05). Also the improvement in D lCO ( p= 0.04) value and FEV 1% ( p= 0.01) reached a statistically significant level in patients with severe diffusion defect. When comparing changes between groups, dyspnea reduced significantly in patients with severe diffusion defect ( p= 0.04). ConclusionPulmonary rehabilitation improves oxygenation, severity of dyspnea, exercise capacity and quality of life independent of level of carbon monoxide diffusion capacity in patents with COPD. Furthermore pulmonary rehabilitation may improve D lCO values in COPD patients with severe diffusion defect. PURPOSEThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary functions, blood gases analysis, quality of life parameters and psychological symptoms in both groups before and after pulmonary rehabilitation.METHODSPatients with COPD underwent a comprehensive 8-week out-patient PR program participated in this study. Patients grouped according to diffusion capacity as moderate or severe. Outcome measures were exercise capacity (6mWT), dyspnea sensation, pulmonary function tests, blood gases analysis, quality of life (QoL) and psychological symptoms.RESULTSA total of 68 patients enrolled in the study. Thirty-two (47%) of them had moderate diffusion defect [TlCO; 52 (47-61)mmol/kPa] and 36 (53%) of them had severe diffusion defect [TlCO; 29 (22-34)mmol/kPa]. At the end of the program, PaO2 (p=0.001), Modified Medical Research Council dyspnea scale (p=0.001), 6mWT (p<0.001) and quality of life parameters improved significantly in both groups (p<0.05). Also the improvement in DlCO (p=0.04) value and FEV1% (p=0.01) reached a statistically significant level in patients with severe diffusion defect. When comparing changes between groups, dyspnea reduced significantly in patients with severe diffusion defect (p=0.04).CONCLUSIONPulmonary rehabilitation improves oxygenation, severity of dyspnea, exercise capacity and quality of life independent of level of carbon monoxide diffusion capacity in patents with COPD. Furthermore pulmonary rehabilitation may improve DlCO values in COPD patients with severe diffusion defect. Purpose: The aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease (COPD) patients with moderate or severe carbon monoxide diffusion defects. We also evaluated dyspnea sensation, pulmonary functions, blood gases analysis, quality of life parameters and psychological symptoms in both groups before and after pulmonary rehabilitation. Methods: Patients with COPD underwent a comprehensive 8-week out-patient PR program participated in this study. Patients grouped according to diffusion capacity as moderate or severe. Outcome measures were exercise capacity (6mWT), dyspnea sensation, pulmonary function tests, blood gases analysis, quality of life (QoL) and psychological symptoms. Results: A total of 68 patients enrolled in the study. Thirty-two (47%) of them had moderate diffusion defect [TlCO; 52 (47â61) mmol/kPa] and 36 (53%) of them had severe diffusion defect [TlCO; 29 (22â34) mmol/kPa]. At the end of the program, PaO2 (p = 0.001), Modified Medical Research Council dyspnea scale (p = 0.001), 6mWT (p < 0.001) and quality of life parameters improved significantly in both groups (p < 0.05). Also the improvement in DlCO (p = 0.04) value and FEV1% (p = 0.01) reached a statistically significant level in patients with severe diffusion defect. When comparing changes between groups, dyspnea reduced significantly in patients with severe diffusion defect (p = 0.04). Conclusion: Pulmonary rehabilitation improves oxygenation, severity of dyspnea, exercise capacity and quality of life independent of level of carbon monoxide diffusion capacity in patents with COPD. Furthermore pulmonary rehabilitation may improve DlCO values in COPD patients with severe diffusion defect. Keywords: 6-Minute walk test, Pulmonary rehabilitation, Pulmonary function tests, DLCO, Quality of life, Dyspnea |
Author | Tuksavul, F Ozsoz, A Sahin, H Varol, Y Naz, I Aksel, N |
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CitedBy_id | crossref_primary_10_1159_000448847 crossref_primary_10_2147_COPD_S425087 crossref_primary_10_1152_ajplung_00549_2020 |
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Keywords | Pulmonary function tests Dyspnea DLCO 6-Minute walk test Pulmonary rehabilitation Quality of life |
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Snippet | AbstractPurposeThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive... The aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary disease... PURPOSEThe aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary... Purpose: The aim of this study was to compare the effects of pulmonary rehabilitation (PR) on six-minute walk test (6mWT) between chronic obstructive pulmonary... |
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SubjectTerms | Aged Carbon Monoxide - physiology Female Humans Internal Medicine Male Middle Aged Predictive Value of Tests Prospective Studies Pulmonary Diffusing Capacity Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - rehabilitation Pulmonary/Respiratory Respiratory Function Tests Severity of Illness Index Treatment Outcome |
Title | COPD patients with severe diffusion defect in carbon monoxide diffusing capacity predict a better outcome for pulmonary rehabilitation |
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