Relationship between pulmonary rehabilitation and care dependency in COPD

Thorax. 2016 Nov;71(11):1054-1056. doi: 10.1136/thoraxjnl-2016-208836. Epub 2016 Jul 8.

Abstract

The aims of this study were to explore care dependency before and after pulmonary rehabilitation (PR) in patients with COPD (n=331) and to compare the response to PR between care dependent and independent patients. At baseline, 85 (25.7%) patients had a Care Dependency Scale (CDS) score ≤68 points and were considered as care dependent. CDS scores of these patients improved after PR (p<0.001). After PR, CDS score of 38 (44.7%) patients with a baseline CDS score ≤68 points increased to >68 points. Patients with a baseline CDS score ≤68 points or >68 points showed after PR a comparable improvement in COPD Assessment Test, Hospital Anxiety and Depression Scale and 6-min walk distance (all p<0.05).

Trial registration number: NTR3416 (The Netherlands).

Keywords: COPD ÀÜ Mechanisms; Pulmonary Rehabilitation.

Publication types

  • Letter

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / epidemiology
  • Dependency, Psychological*
  • Depression / epidemiology
  • Female
  • Health Status Indicators
  • Humans
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Prospective Studies
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Disease, Chronic Obstructive / psychology*
  • Pulmonary Disease, Chronic Obstructive / rehabilitation*
  • Severity of Illness Index