To study the impact of pulmonary rehabilitation on health-related quality of life among chronic obstructive pulmonary disease patients in a tertiary care center
DOI:
https://doi.org/10.71152/ajms.v16i8.4488Keywords:
Chronic obstructive pulmonary disease; Pulmonary rehabilitation; Health-related quality of life; Body mass index, degree of airflow obstruction, dyspnea level, and exercise capacity index (BODE); Exacerbation frequency; Hospital admissionsAbstract
Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable disease characterized by persistent, often progressive, airflow limitation. Pulmonary rehabilitation (PR) plays an important role in the management of symptomatic patients with COPD. Health-related quality of life is used to evaluate the impact of chronic diseases and the efficacy of medical interventions.
Aims and Objectives: To study the impact of PR on COPD patients by observing changes in common admission test (CAT) scores, body mass index, degree of airflow obstruction, dyspnea level, and exercise capacity (BODE) index, exacerbation frequency and hospital metrics across outpatient (OP), home-based, and non-rehabilitation groups.
Materials and Methods: This prospective study was conducted at Kempegowda Institute of Medical Sciences Bangalore, PR performed on COPD patients and health outcomes compared among OP, home-based, and non-rehabilitation groups.
Results: Of the total 72 patients, 91.6% were males, whereas 8.33% were females, with a mean age of 57.17 years. In OPs, rehabilitation reduced CAT scores from 7 to 4 and scores from 1 to 0. In home-based rehab, it is from 6 to 4 and 3 to 0. In non-rehab, it is from 8 to 6 and 8 to 5. BODE index scores showed OP rehabilitation decreased from 6 to 3, and home-based from 4 to 3, in non-rehabilitation from 17 to 15. Exacerbation frequencies dropped (OP from 7 to 3, home-based from 8 to 3), and the duration of hospital stays shortened.
Conclusion: This study highlights the benefits of PR for COPD patients, positioning home-based programs as an effective alternative to traditional OP settings.
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