Effects of Geriatric COPD rehabilitation on hospital admissions and exercise tolerance: a retrospective observational study

Stephanie Blindenbach, Jisca W.F.A. Vrancken, Hans van der Zeijden, Herre J. Reesink, Folkert Brijker, Martin Smalbrugge, Elizabeth M. Wattel

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Introduction: Frail COPD patients are frequently not accepted for regular pulmonary rehabilitation programs due to low physical condition and functional limitations. Rehabilitation programs in nursing homes for geriatric patients with COPD have been developed. The effects of such programs are largely unknown. Aims: To assess the course of COPD-related hospital admissions and exercise tolerance in a cohort of frail COPD patients participating in geriatric COPD rehabilitation. Methods: Retrospective observational study with a follow up of 12 months after discharge from rehabilitation. COPD related hospital admission days were measured in the year before and after participating rehabilitation. Exercise tolerance was measured by the six minute walk test (6MWT) at admission and at discharge from rehabilitation. Results: Fifty-eight participants accomplished the rehabilitation program. Twelve patients died in the first year after discharge. The median number of hospital admission days in the year before participating rehabilitation was 21 (IQR 10–33). The first year after discharge this was decreased to a median of 6 (IQR 0–12). The 6MWT increased from 194 (SD 85) meters at admission to 274 (SD 95) meters at discharge (mean difference 80 m, SD 72; p < 0.05). Conclusions: Geriatric COPD rehabilitation in a nursing home setting seems to reduce hospital admissions in frail COPD patients and to increase exercise tolerance.

Translated title of the contributionEffects of Geriatric COPD rehabilitation on hospital admissions and exercise tolerance: a retrospective observational study
Original languageDutch
Pages (from-to)112-120
Number of pages9
JournalTijdschrift voor Gerontologie en Geriatrie
Volume48
Issue number3
DOIs
Publication statusPublished - 1 Jun 2017

Cite this

Blindenbach, Stephanie ; Vrancken, Jisca W.F.A. ; van der Zeijden, Hans ; Reesink, Herre J. ; Brijker, Folkert ; Smalbrugge, Martin ; Wattel, Elizabeth M. / Effecten van geriatrische COPD-revalidatie op ziekenhuisopnames en inspanningstolerantie : een retrospectief observationele studie. In: Tijdschrift voor Gerontologie en Geriatrie. 2017 ; Vol. 48, No. 3. pp. 112-120.
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title = "Effecten van geriatrische COPD-revalidatie op ziekenhuisopnames en inspanningstolerantie: een retrospectief observationele studie",
abstract = "Introduction: Frail COPD patients are frequently not accepted for regular pulmonary rehabilitation programs due to low physical condition and functional limitations. Rehabilitation programs in nursing homes for geriatric patients with COPD have been developed. The effects of such programs are largely unknown. Aims: To assess the course of COPD-related hospital admissions and exercise tolerance in a cohort of frail COPD patients participating in geriatric COPD rehabilitation. Methods: Retrospective observational study with a follow up of 12 months after discharge from rehabilitation. COPD related hospital admission days were measured in the year before and after participating rehabilitation. Exercise tolerance was measured by the six minute walk test (6MWT) at admission and at discharge from rehabilitation. Results: Fifty-eight participants accomplished the rehabilitation program. Twelve patients died in the first year after discharge. The median number of hospital admission days in the year before participating rehabilitation was 21 (IQR 10–33). The first year after discharge this was decreased to a median of 6 (IQR 0–12). The 6MWT increased from 194 (SD 85) meters at admission to 274 (SD 95) meters at discharge (mean difference 80 m, SD 72; p < 0.05). Conclusions: Geriatric COPD rehabilitation in a nursing home setting seems to reduce hospital admissions in frail COPD patients and to increase exercise tolerance.",
keywords = "6MWT, COPD, Geriatric rehabilitation, hospital admissions, mortality",
author = "Stephanie Blindenbach and Vrancken, {Jisca W.F.A.} and {van der Zeijden}, Hans and Reesink, {Herre J.} and Folkert Brijker and Martin Smalbrugge and Wattel, {Elizabeth M.}",
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Effecten van geriatrische COPD-revalidatie op ziekenhuisopnames en inspanningstolerantie : een retrospectief observationele studie. / Blindenbach, Stephanie; Vrancken, Jisca W.F.A.; van der Zeijden, Hans; Reesink, Herre J.; Brijker, Folkert; Smalbrugge, Martin; Wattel, Elizabeth M.

In: Tijdschrift voor Gerontologie en Geriatrie, Vol. 48, No. 3, 01.06.2017, p. 112-120.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Effecten van geriatrische COPD-revalidatie op ziekenhuisopnames en inspanningstolerantie

T2 - een retrospectief observationele studie

AU - Blindenbach, Stephanie

AU - Vrancken, Jisca W.F.A.

AU - van der Zeijden, Hans

AU - Reesink, Herre J.

AU - Brijker, Folkert

AU - Smalbrugge, Martin

AU - Wattel, Elizabeth M.

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Introduction: Frail COPD patients are frequently not accepted for regular pulmonary rehabilitation programs due to low physical condition and functional limitations. Rehabilitation programs in nursing homes for geriatric patients with COPD have been developed. The effects of such programs are largely unknown. Aims: To assess the course of COPD-related hospital admissions and exercise tolerance in a cohort of frail COPD patients participating in geriatric COPD rehabilitation. Methods: Retrospective observational study with a follow up of 12 months after discharge from rehabilitation. COPD related hospital admission days were measured in the year before and after participating rehabilitation. Exercise tolerance was measured by the six minute walk test (6MWT) at admission and at discharge from rehabilitation. Results: Fifty-eight participants accomplished the rehabilitation program. Twelve patients died in the first year after discharge. The median number of hospital admission days in the year before participating rehabilitation was 21 (IQR 10–33). The first year after discharge this was decreased to a median of 6 (IQR 0–12). The 6MWT increased from 194 (SD 85) meters at admission to 274 (SD 95) meters at discharge (mean difference 80 m, SD 72; p < 0.05). Conclusions: Geriatric COPD rehabilitation in a nursing home setting seems to reduce hospital admissions in frail COPD patients and to increase exercise tolerance.

AB - Introduction: Frail COPD patients are frequently not accepted for regular pulmonary rehabilitation programs due to low physical condition and functional limitations. Rehabilitation programs in nursing homes for geriatric patients with COPD have been developed. The effects of such programs are largely unknown. Aims: To assess the course of COPD-related hospital admissions and exercise tolerance in a cohort of frail COPD patients participating in geriatric COPD rehabilitation. Methods: Retrospective observational study with a follow up of 12 months after discharge from rehabilitation. COPD related hospital admission days were measured in the year before and after participating rehabilitation. Exercise tolerance was measured by the six minute walk test (6MWT) at admission and at discharge from rehabilitation. Results: Fifty-eight participants accomplished the rehabilitation program. Twelve patients died in the first year after discharge. The median number of hospital admission days in the year before participating rehabilitation was 21 (IQR 10–33). The first year after discharge this was decreased to a median of 6 (IQR 0–12). The 6MWT increased from 194 (SD 85) meters at admission to 274 (SD 95) meters at discharge (mean difference 80 m, SD 72; p < 0.05). Conclusions: Geriatric COPD rehabilitation in a nursing home setting seems to reduce hospital admissions in frail COPD patients and to increase exercise tolerance.

KW - 6MWT

KW - COPD

KW - Geriatric rehabilitation

KW - hospital admissions

KW - mortality

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U2 - 10.1007/s12439-017-0214-8

DO - 10.1007/s12439-017-0214-8

M3 - Article

VL - 48

SP - 112

EP - 120

JO - Tijdschrift voor Gerontologie en Geriatrie

JF - Tijdschrift voor Gerontologie en Geriatrie

SN - 0167-9228

IS - 3

ER -