Home versus outpatient pulmonary rehabilitation in COPD: a propensity-matched cohort study.
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.
Palavras-chave
Texto completo:
1
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