[Pulmonary Rehabilitation after Acute Exacerbation of COPD Reduces the Rate of Reexacerbations].

Spielmanns, Marc; Meier, Andrea; Winkler, Aurelia; Glöckl, Rainer; Nell, Christoph; Koczulla, Andreas Rembert; Boeselt, Tobias; Alter, Peter; Magnet, Friederike; Storre, Jan Hendrik; Windisch, Wolfram

doi:10.1055/s-0042-121346

journal article

Title:: [Pulmonary Rehabilitation after Acute Exacerbation of COPD Reduces the Rate of Reexacerbations].
Document type:: Controlled Clinical Trial; Journal Article; Article
Author(s):: Spielmanns, Marc; Meier, Andrea; Winkler, Aurelia; Glöckl, Rainer; Nell, Christoph; Koczulla, Andreas Rembert; Boeselt, Tobias; Alter, Peter; Magnet, Friederike; Storre, Jan Hendrik; Windisch, Wolfram
Abstract:: Objective Acute exacerbation of COPD (AECOPD) provides for patients a significant hazard and is crucial for the prognosis. Data on the effects of pulmonary rehabilitation (PR) on the frequency of reexacerbations after AECOPD are inconsistent. A prospective, case-control study was conducted with the aim of measuring the impact of PR on the frequency of reexacerbations after AECOPD. Patients and Methods A PR was performed in 57 patients with COPD after AECOPD. 30 participants were followed-up after one year and compared to 32 Control-Group (KG = hospitalized for AECOPD without PR). The rate of reexacerbations was both retrospectively in the year preceding the AECOPD, and prospectively in the year after AECOPD analyzed within groups and between groups. Results In the intra group comparison the exacerbation rate was significantly lower in the PR-group in the year after rehabilitation (0.97 ± 2.67 vs. 1.52 ± 1.12; p < 0.001). The intergroup comparison also showed a significantly lower number of exacerbations for the PR-group (0.97 ± 1.52 vs 2.16 ± 1.25; p < 0.001). Conclusion It was shown that the exacerbation rate after an AECOPD could be significantly reduced in the PR-group in comparison to the KG-group during the investigation period of one year by PR. More prospective studies are required to define the value of PR in the context of AECOPD.
Journal title abbreviation:: Dtsch Med Wochenschr
Year:: 2017
Journal volume:: 142
Journal issue:: 2
Pages contribution:: e10-e19
Language:: de
Fulltext / DOI:: doi:10.1055/s-0042-121346
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/28114711
Print-ISSN:: 0012-0472
TUM Institution:: Poliklinik für Präventive und Rehabilitative Sportmedizin
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Poliklinik für Präventive Sportmedizin und Sportkardiologie (Prof. Halle)2017