A Simple Pulmonary Rehabilitation Program Improves Health Outcomes and Reduces Hospital Utilization in Patients with COPD.

STUDY OBJECTIVES A prospective longitudinal study to investigate if a simple outpatient-based pulmonary rehabilitation program (PRP) can improve health outcome and hospital utilization in patients with COPD. PATIENTS Patients with COPD and FEV(1) < 60% predicted. SETTING Outpatient physiotherapy department at a district general hospital (Fairfield Hospital, Sydney, Australia). INTERVENTION Completion of a simple PRP. RESULTS Thirty-six patients with COPD completed the PRP. Improved exercise endurance (mean +/- SD 6-min walking distance increased from 333 +/- 76 to 423 +/- 107 m [p < 0.001]), reduced dyspnea scale, and improved quality-of-life measurements were found. There was no improvement in lung functions (FEV(1) preprogram mean, 0.97 +/- 0.43 L; postprogram mean, 0.96 +/- 0.42 L). In the 12 months following completion of program, hospitalization and length of stay were reduced compared to prior to starting the program (preprogram, 7.4 days; postprogram, 3.3 days; p < 0.005). CONCLUSIONS A simple, low-cost, outpatient PRP was able to improve health outcome for patients with COPD. Hospital utilization and health cost were reduced as well.

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