Retrospective survival in elderly COPD patients receiving pulmonary rehabilitation; a study including maintenance rehabilitationReport as inadecuate




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BMC Research Notes

, 7:210

First Online: 03 April 2014Received: 19 April 2013Accepted: 21 March 2014DOI: 10.1186-1756-0500-7-210

Cite this article as: Hjalmarsen, A., Brenn, T., Jongsma Risberg, M. et al. BMC Res Notes 2014 7: 210. doi:10.1186-1756-0500-7-210

Abstract

BackgroundThe aim of this study was to examine retrospective survival in elderly chronic obstructive pulmonary disease COPD patients receiving three different pulmonary rehabilitation PR programs.

Results193 patients m - f 92 - 101, mean age 69.2 standard deviation 8.6 receiving PR were studied with lifetable and Cox regression analyses. Forced expiratory volume in 1 second FEV1 % pred. was significantly different in the in-patient n = 72, out-patient n = 72, and maintenance group n = 49 mean 54.5 21.8, 52.2 17.7, and 42.9 15.0, respectively p = 0.004. PR days were 30.3 20.4, 18.9 10.4 and 30.0 20.3, respectively p < 0.001. Median survival rate was nine years in the in-patient, eight years in the out-patient and seven years in the maintenance group. Hospital stays and days were significantly increased in the maintenance group compared with the other groups p = 0.003 and 0.010, respectively. The impact of evaluated variables on survival in the three PR groups was significant for age, FEV1 as well as the use of long-term oxygen therapy LTOT HR 1.06, for five years, p < 0.001, HR 0.98, p = 0.01, and HR 2.18, p = 0.005, respectively.

ConclusionsThe COPD patients in the maintenance group showed a worse survival, but after correction for gender, age and severity of obstruction, the difference was not statistically significant.

KeywordsCopd Elderly Pulmonary rehabilitation ltot Survival Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-7-210 contains supplementary material, which is available to authorized users.

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Author: Audhild Hjalmarsen - Tormod Brenn - Marijke Jongsma Risberg - Kathrine Meisler Antonsen - Elisabeth Kristiansen Benum - Ulf 

Source: https://link.springer.com/







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