Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica

Detalhes bibliográficos
Autor(a) principal: Carreiro, A
Data de Publicação: 2013
Outros Autores: Santos, J, Rodrigues, Fátima
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/174074
Resumo: Background: Chronic Obstructive Pulmonary Disease (COPD) represents an increasing burden worldwide. COPD can no longer be considered a disease which only involves the lungs, its systemic consequences make it an important risk factor for other chronic comorbidities. Aim: To determine the frequency of comorbidities in patients with COPD undergoing a pulmonary rehabilitation. program (PRP) and to evaluate the influence of baseline characteristics as well as comorbidities on the outcomes of PRP. Methods: The present study included all COPD patients that were admitted to a PRP in our unit. The response to PR was measured by the improvement in exercise tolerance (6 minute walk test), dyspnea (Mahler's Dyspnea Index) and health status (St. George's Respiratory Questionnaire). Results: 114 patients with COPD were included. Most patients (96,5\%) had at least one comorbidity. Metabolic diseases (71.1\%), cardiovascular diseases (67.5\%), other respiratory conditions (57.9\%) and anxiety/depression (21.1\%) were the most prevalent ones. 64.9\%, 64.9\% and 51.1\% of the patients improved in terms of exercise tolerance, quality of life and dyspnea, respectively. The overall results were similar in all levels of the disease and in all comorbid subgroups. Logistic regression analysis showed that respiratory failure and ischemic heart disease negatively influenced improvement in health status and anxiety/depression predicted lower improvement in dyspnea. Conclusion: PR was associated with improvements in all comorbid subgroups of patients, underlining the important role of exercise training in rehabilitation of those chronic diseases associated with COPD. On the other hand, the presence of comorbidities in COPD patients, if clinically controlled, should not preclude access to PR. (C) 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.
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spelling Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónicaImpact of comorbidities in pulmonary rehabilitation outcomes in patients with chronic obstructive pulmonary diseaseExerciseCOPDANXIETYSYSTEMIC MANIFESTATIONSFREQUENCYPulmonary rehabilitationMORTALITYSTATEMENTComorbiditiesChronic obstructive pulmonary diseaseMETABOLIC SYNDROMEINFLAMMATIONDEPRESSIONQUALITY-OF-LIFEPulmonary rehabilitationExerciseComorbiditiesChronic obstructive pulmonary diseaseSDG 3 - Good Health and Well-beingBackground: Chronic Obstructive Pulmonary Disease (COPD) represents an increasing burden worldwide. COPD can no longer be considered a disease which only involves the lungs, its systemic consequences make it an important risk factor for other chronic comorbidities. Aim: To determine the frequency of comorbidities in patients with COPD undergoing a pulmonary rehabilitation. program (PRP) and to evaluate the influence of baseline characteristics as well as comorbidities on the outcomes of PRP. Methods: The present study included all COPD patients that were admitted to a PRP in our unit. The response to PR was measured by the improvement in exercise tolerance (6 minute walk test), dyspnea (Mahler's Dyspnea Index) and health status (St. George's Respiratory Questionnaire). Results: 114 patients with COPD were included. Most patients (96,5\%) had at least one comorbidity. Metabolic diseases (71.1\%), cardiovascular diseases (67.5\%), other respiratory conditions (57.9\%) and anxiety/depression (21.1\%) were the most prevalent ones. 64.9\%, 64.9\% and 51.1\% of the patients improved in terms of exercise tolerance, quality of life and dyspnea, respectively. The overall results were similar in all levels of the disease and in all comorbid subgroups. Logistic regression analysis showed that respiratory failure and ischemic heart disease negatively influenced improvement in health status and anxiety/depression predicted lower improvement in dyspnea. Conclusion: PR was associated with improvements in all comorbid subgroups of patients, underlining the important role of exercise training in rehabilitation of those chronic diseases associated with COPD. On the other hand, the presence of comorbidities in COPD patients, if clinically controlled, should not preclude access to PR. (C) 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCarreiro, ASantos, JRodrigues, Fátima2024-10-25T23:51:29Z2013-01-012013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article8application/pdfhttp://hdl.handle.net/10362/174074por0873-2159PURE: 231932https://doi.org/10.1016/j.rppneu.2012.12.004info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-11-11T01:39:02Zoai:run.unl.pt:10362/174074Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-11-11T01:39:02Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
Impact of comorbidities in pulmonary rehabilitation outcomes in patients with chronic obstructive pulmonary disease
title Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
spellingShingle Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
Carreiro, A
Exercise
COPD
ANXIETY
SYSTEMIC MANIFESTATIONS
FREQUENCY
Pulmonary rehabilitation
MORTALITY
STATEMENT
Comorbidities
Chronic obstructive pulmonary disease
METABOLIC SYNDROME
INFLAMMATION
DEPRESSION
QUALITY-OF-LIFE
Pulmonary rehabilitation
Exercise
Comorbidities
Chronic obstructive pulmonary disease
SDG 3 - Good Health and Well-being
title_short Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
title_full Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
title_fullStr Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
title_full_unstemmed Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
title_sort Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
author Carreiro, A
author_facet Carreiro, A
Santos, J
Rodrigues, Fátima
author_role author
author2 Santos, J
Rodrigues, Fátima
author2_role author
author
dc.contributor.none.fl_str_mv Centro de Estudos de Doenças Crónicas (CEDOC)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Carreiro, A
Santos, J
Rodrigues, Fátima
dc.subject.por.fl_str_mv Exercise
COPD
ANXIETY
SYSTEMIC MANIFESTATIONS
FREQUENCY
Pulmonary rehabilitation
MORTALITY
STATEMENT
Comorbidities
Chronic obstructive pulmonary disease
METABOLIC SYNDROME
INFLAMMATION
DEPRESSION
QUALITY-OF-LIFE
Pulmonary rehabilitation
Exercise
Comorbidities
Chronic obstructive pulmonary disease
SDG 3 - Good Health and Well-being
topic Exercise
COPD
ANXIETY
SYSTEMIC MANIFESTATIONS
FREQUENCY
Pulmonary rehabilitation
MORTALITY
STATEMENT
Comorbidities
Chronic obstructive pulmonary disease
METABOLIC SYNDROME
INFLAMMATION
DEPRESSION
QUALITY-OF-LIFE
Pulmonary rehabilitation
Exercise
Comorbidities
Chronic obstructive pulmonary disease
SDG 3 - Good Health and Well-being
description Background: Chronic Obstructive Pulmonary Disease (COPD) represents an increasing burden worldwide. COPD can no longer be considered a disease which only involves the lungs, its systemic consequences make it an important risk factor for other chronic comorbidities. Aim: To determine the frequency of comorbidities in patients with COPD undergoing a pulmonary rehabilitation. program (PRP) and to evaluate the influence of baseline characteristics as well as comorbidities on the outcomes of PRP. Methods: The present study included all COPD patients that were admitted to a PRP in our unit. The response to PR was measured by the improvement in exercise tolerance (6 minute walk test), dyspnea (Mahler's Dyspnea Index) and health status (St. George's Respiratory Questionnaire). Results: 114 patients with COPD were included. Most patients (96,5\%) had at least one comorbidity. Metabolic diseases (71.1\%), cardiovascular diseases (67.5\%), other respiratory conditions (57.9\%) and anxiety/depression (21.1\%) were the most prevalent ones. 64.9\%, 64.9\% and 51.1\% of the patients improved in terms of exercise tolerance, quality of life and dyspnea, respectively. The overall results were similar in all levels of the disease and in all comorbid subgroups. Logistic regression analysis showed that respiratory failure and ischemic heart disease negatively influenced improvement in health status and anxiety/depression predicted lower improvement in dyspnea. Conclusion: PR was associated with improvements in all comorbid subgroups of patients, underlining the important role of exercise training in rehabilitation of those chronic diseases associated with COPD. On the other hand, the presence of comorbidities in COPD patients, if clinically controlled, should not preclude access to PR. (C) 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.
publishDate 2013
dc.date.none.fl_str_mv 2013-01-01
2013-01-01T00:00:00Z
2024-10-25T23:51:29Z
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url http://hdl.handle.net/10362/174074
dc.language.iso.fl_str_mv por
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PURE: 231932
https://doi.org/10.1016/j.rppneu.2012.12.004
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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