DICLE KAYMAZ1, NURSEL TÜRKOĞLU SELÇUK2, PINAR ERGÜN1, PERVIN DEMIR3, İPEK CANDEMIR1, FILIZ TAŞDEMIR1, FATMA
ŞENGÜL1, NURCAN EGESEL1
1Department of Pulmonary Rehabilitation and Home Care, Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey - 2Department of Pulmonary Medicine, Antalya Training and Research Hospital, Antalya, Turkey -3Department of Biostatistics, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
Introduction: We investigated the effectiveness of multidisciplinary, 8 weeks, outpatient Pulmonary rehabilitation (PR) in old elderly patients with chronic obstructive pulmonary disease (COPD). And also we aimed to compare the outcomes of multidisciplinary, 8 weeks, outpatient PR programme in young elderly and old elderly patients with COPD.
Methods: Patients underwent multidisciplinary PR in a hospital outpatient programme twice weekly for 8 weeks. Dyspnea, incremental shuttle walk test (ISWT) distance, endurance time (ET) health status with SGRQ, anxiety and depression scores and body compositions were assessed before and after PR.
Results: Subjects were divided in two groups: group A (young elderly) (n = 33,mean age 62.39 ± 5.66 years) and group B (old elderly) (n = 16,mean age 77.34 ± 2.52 years). ISWT distance increased significantly (P < 0.001) by a median 40 m in group A and 65 m in group B. There were significant improvements in HAD (Hospital Anxiety Depression) scores within the young and old elderly groups.
Conclusions: With PR; except for the improvement in exercise capacity, old elderly patients with COPD improved dyspnea, health related quality of life, anxiety and depression as much as the young elderly ones. PR should be integrated to the treatment of symptomatic patients who is 75 years and older with decreased exercise capacity, daily activities and quality of life as an effective approach. Age should not be an exclusion criteria for comprehensive outpatient PR programmes.Out patient PR is an effective treat- ment strategy for old elderly patients with COPD.
chronic obstructive pulmonary disease, pulmonary rehabilitation, elderly, treatment, outcome.