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Home versus outpatient pulmonary rehabilitation in COPD: a propensity-matched cohort study.
Nolan, Claire Marie; Kaliaraju, Djeya; Jones, Sarah Elizabeth; Patel, Suhani; Barker, Ruth; Walsh, Jessica A; Wynne, Stephanie; Man, William.
Afiliação
  • Nolan CM; Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Royal Brompton and Harefield NHS Foundation Trust, London, UK c.nolan@rbht.nhs.uk.
  • Kaliaraju D; Harefield Pulmonary Rehabilitation Unit, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK.
  • Jones SE; Harefield Pulmonary Rehabilitation Unit, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK.
  • Patel S; Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
  • Barker R; National Heart and Lung Institute, Imperial College London, London, UK.
  • Walsh JA; Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
  • Wynne S; Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
  • Man W; National Heart and Lung Institute, Imperial College London, London, UK.
Thorax ; 74(10): 996-998, 2019 10.
Article em En | MEDLINE | ID: mdl-31278173
ABSTRACT
Home-based exercise has been proposed as an equivalent treatment strategy to supervised outpatient pulmonary rehabilitation (PR), but it is not known whether its implementation into clinical practice produces similar benefits to those observed in trials. We compared the real-world responses of 154 patients with COPD undergoing home-based exercise with a matched group attending supervised PR. We observed smaller improvements in exercise capacity with home-based exercise compared with PR, but similar improvements in quality of life. We propose that supervised PR remains the standard of care, with home-based exercise a less effective alternative for those unable to attend PR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Tolerância ao Exercício / Doença Pulmonar Obstrutiva Crônica / Terapia por Exercício / Pontuação de Propensão / Serviços de Assistência Domiciliar Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Thorax Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Reino Unido
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Tolerância ao Exercício / Doença Pulmonar Obstrutiva Crônica / Terapia por Exercício / Pontuação de Propensão / Serviços de Assistência Domiciliar Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Thorax Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Reino Unido