Safety of Rehabilitation Program for COPD Patients

Pleguezuelos, Eulogio; Guirao, Lluís; Moreno, Eva; Samitier, Beatriz; Ortega, Pilar; Vila, Xavier Sánchez; Majo, M.C.; González, Marı́a Victoria; Ovejero, Laura; Juanola, Jordi; Gómez, Alba; Miravitlles, Marc

doi:10.1016/j.arbr.2017.06.008

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…We are implementing a program of telerehabilitation for patients with COPD in order to fulfill the requirements of pulmonary rehabilitation in this new post-COVID period. 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

<p>The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic</p>

Pleguezuelos¹,

Carmen²,

Moreno³

et al. 2020

COPD

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Purpose On March 16, 2020, the Spanish government declared a state of alarm due to the rapid spread of coronavirus disease 2019 (COVID-19). Patients with chronic obstructive pulmonary disease (COPD) were restricted to remain confined at home, and medical visits were cancelled for 3 months. The impact of this lockdown on the manifestations of COPD and the quality-of-life of these patients has not been explored. Patients and Methods One hundred patients with COPD were interviewed by telephone from May 2–18, 2020. The interviews included questions about the lockdown, missed medical appointments, fears of the disease, possible COVID-19 infection, and exacerbations of COPD suffered during this period and their management. In addition, the COPD Assessment Test, the Hospital Anxiety and Depression, and the 5-Dimension Euro Quality-of-Life questionnaires were administered. Results Sixty-four (64%) patients claimed to have strictly complied with the lockdown, and only 42 (42%) stated they had left home at least once during lockdown. Only one patient (1%) was hospitalized due to COVID-19, and 13 (13%) patients presented an exacerbation of COPD self-managed at home with no admissions due to exacerbation of COPD during this period. A medical consultation or complementary test was cancelled in 90% of the patients, but 61% had a medical telephone visit with a high degree of satisfaction (mean 9.3/10). Most patients declared that their feeling regarding lung disease and general health was similar or even better during lockdown (82% and 81%, respectively). Conclusion Our results indicate that in general lockdown had a low impact on COPD patients. Only one patient was affected by COVID-19, but moderate exacerbations of COPD were not infrequent. Although many medical visits and test were cancelled, patients were very satisfied with the medical telephone visits.

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“…We are implementing a program of telerehabilitation for patients with COPD in order to fulfill the requirements of pulmonary rehabilitation in this new post-COVID period. 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

<p>The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic</p>

Pleguezuelos¹,

Carmen²,

Moreno³

et al. 2020

COPD

Self Cite

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“…Muscle performance and adaptation to exercise may favor physical activity in COPD patients [100]. Muscle exercise training, a major component of pulmonary rehabilitation, is a key element in the treatment of patients with COPD [100,101] as it exerts beneficial effects on skeletal muscle performance, while favoring exercise capacity and physical activity in patients with COPD [100][101][102] in a safely manner [103]. Physical activity can be easily assessed in clinical settings…”

Section: Improving Physical Activity In the XXI Centurymentioning

confidence: 99%

Ten Research Questions for Improving COPD Care in the Next Decade

Lόpez-Campos

Rodríguez

Quintana‐Gallego

et al. 2019

COPD: Journal of Chronic Obstructive Pulmonary Disease

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With the 60th anniversary of the CIBA symposium, it is worth evaluating research questions that should be prioritized in the future. Coming research initiatives can be summarized in main areas. 1. From epidemiology the impact of new forms of electronic cigarettes on prevalence and mortality of COPD will be sought. 2. The study of the disease endotypes and its relationship phenotypes will have to be unraveled in the next decade. 3. Diagnosis of COPD faces several challenges opening the possibility of a change in the definition of the disease itself. 4. Patients' classification and risk stratification will need to be clarified and reassessed. 5. The asthma-COPD overlap dilemma will have to be clarified and define whether both conditions represent one only chronic airway disease again. 6. Integrating comorbidities in COPD care will be key in a progressively ageing population to improve clinical care in a chronic care model. 7. Non-pharmacological management have areas for research including pulmonary rehabilitation and vaccines. 8. Improving physical activity should focus research because of the clear prognostic impact. 9. Pharmacological therapies present several challenges including efficacy and safety issues with current medications and the development of biological therapy. 10. The definition, identification, categorization and specific therapy of exacerbations will also be an area of research development.During the next decade we have a window of opportunity to address these research questions that will put us on the path for precision medicine.

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Safety of Rehabilitation Program for COPD Patients

Cited by 2 publications

References 6 publications

<p>The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic</p>

<p>The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic</p>

Ten Research Questions for Improving COPD Care in the Next Decade

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