Long-Term Effectiveness of a Home-Based Pulmonary Rehabilitation in Older People with Chronic Obstructive Pulmonary Disease: A Retrospective Study
Résumé
Background: Long-term effectiveness of pulmonary rehabilitation (PR) is still uncertain in
older people with severe chronic obstructive pulmonary disease (COPD). The objective was
to compare the effects of home-based PR in people with COPD above and below the age of
70 years.
Methods: In this retrospective study, 480 people with COPD were recruited and divided into
those ≤70 (n=341) and those >70 years of age (n=139). All participants underwent an
8 weeks of home-based PR, consisting of a weekly supervised 90-minute home session. Sixminute stepper test (6MST), timed-up and go test (TUG), Hospital Anxiety and Depression
Scale, and Visual Simplified Respiratory Questionnaire (VSRQ) were assessed at baseline
(M0), at 2 (M2), 8 (M8), 14 (M14) months after baseline.
Results: The older group was described by fewer current smokers (p <0.001), more longterm oxygen therapy use (p = 0.024), higher prevalence of comorbidities (p<0.001), lower
6MST score and higher TUG score (p<0.001), compared to the younger group. Both groups
improved every outcome at M2 compared to baseline. At M2, 88% of people ≤70 years of
age and 79% of those above 70 were considered as responders in at least one evaluated
parameter (p = 0.013). Both groups maintained the benefits at M14, except for the VSRQ
score and the number of responders to this outcome in the older group.
Conclusion: Regardless of the age, personalized home-based PR was effective for people
with COPD in the short term. Above 70 years, an ageing effect appeared on the long-term
effectiveness of quality of life benefit.
Domaines
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