Impacto das comorbilidades num programa de reabilitação respiratória em doentes com doença pulmonar obstrutiva crónica
Autor(a) principal: | |
---|---|
Data de Publicação: | 2013 |
Outros Autores: | , |
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. |
id |
RCAP_ebc4a224622db310779f5759e84fc4f6 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/174074 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/174074 |
url |
http://hdl.handle.net/10362/174074 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
0873-2159 PURE: 231932 https://doi.org/10.1016/j.rppneu.2012.12.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
8 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
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 |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
_version_ |
1817548629039120384 |