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Relationship between pulmonary rehabilitation and care dependency in COPD
  1. D J A Janssen1,2,
  2. S Wilke1,
  3. D E Smid1,
  4. F M E Franssen1,3,
  5. I M Augustin1,
  6. E F M Wouters1,3,
  7. M A Spruit1
  1. 1Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
  2. 2Centre of Expertise for Palliative Care, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
  3. 3Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
  1. Correspondence to Dr Daisy J A Janssen, Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Hornerheide 1, Horn 6085 NM, The Netherlands; daisyjanssen{at}ciro-horn.nl

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).

  • Pulmonary Rehabilitation
  • COPD ÀÜ Mechanisms

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