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

BMC Research Notes

Ulf Aaseboe³  Elisabeth Kristiansen Benum⁴  Kathrine Meisler Antonsen¹  Marijke Jongsma Risberg⁵  Tormod Brenn²  Audhild Hjalmarsen³ 

[1] Department of Pediatry, Central Hospital of Nordland, Bodoe, Norway;Department of Community Medicine, University of Tromsoe, Tromsoe, Norway;Department of Clinical Medicine, University of Tromsoe, Tromsoe N 9038, Norway;Department of Medicine, General Hospital of Helgeland, Sandnessjoen, Sandnessjoen, Norway;Department of Physioterapy, University Hospital of North Norway, Tromsoe, Norway

关键词: Survival;    ltot;    Pulmonary rehabilitation;    Elderly;    Copd;   

Others  :  1134025
DOI  :  10.1186/1756-0500-7-210

 received in 2013-04-19, accepted in 2014-03-21,  发布年份 2014

【 摘 要 】

Background

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

Results

193 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).

Conclusions

The 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.

【 授权许可】

   
2014 Hjalmarsen et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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