Short-term effects of comprehensive pulmonary rehabilitation and its maintenance in patients with idiopathic pulmonary fibrosis: a randomized controlled trial
The recommendation for pulmonary rehabilitation (PR) in idiopathic pulmonary fibrosis (IPF) is weak with low-quality evidence. Therefore, the aim of this study is to investigate short-term PR effects and their maintenance after a 3-month follow-up. Fifty-four IPF patients were randomized into a grou...
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| Hauptverfasser: | , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
21 May 2020
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| In: |
Journal of Clinical Medicine
Year: 2020, Jahrgang: 9, Heft: 5 |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm9051567 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/jcm9051567 Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2077-0383/9/5/1567 
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| Verfasserangaben: | Inga Jarosch, Tessa Schneeberger, Rainer Gloeckl, Michael Kreuter, Marion Frankenberger, Claus Neurohr, Antje Prasse, Julia Freise, Juergen Behr, Wolfgang Hitzl, Andreas R. Koczulla and Klaus Kenn |
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| 245 | 1 | 0 | |a Short-term effects of comprehensive pulmonary rehabilitation and its maintenance in patients with idiopathic pulmonary fibrosis |b a randomized controlled trial |c Inga Jarosch, Tessa Schneeberger, Rainer Gloeckl, Michael Kreuter, Marion Frankenberger, Claus Neurohr, Antje Prasse, Julia Freise, Juergen Behr, Wolfgang Hitzl, Andreas R. Koczulla and Klaus Kenn |
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| 520 | |a The recommendation for pulmonary rehabilitation (PR) in idiopathic pulmonary fibrosis (IPF) is weak with low-quality evidence. Therefore, the aim of this study is to investigate short-term PR effects and their maintenance after a 3-month follow-up. Fifty-four IPF patients were randomized into a group receiving a 3-week comprehensive, inpatient PR (n = 34, FVC: 74 ± 19% pred.) or usual care (UC) (n = 17, FVC: 72 ± 20%pred.). Outcomes were measured at baseline (T1), after intervention (T2), and 3 months after T2 (T3). A 6-min walk distance (6MWD) was used as the primary outcome and chronic respiratory disease questionnaire (CRQ) scores as the secondary outcome. Change in 6MWD from T1 to T2 (Δ = 61 m, 95% CI (18.5–102.4), p = 0.006) but not from T1 to T3 (∆ = 26 m, 95% CI (8.0–61.5), p = 0.16) differed significantly between groups. Higher baseline FVC and higher anxiety symptoms were significant predictors of better short-term 6MWD improvements. For the change in CRQ total score, a significant between-group difference from T1 to T2 (∆ = 3.0 pts, 95% CI (0.7–5.3), p = 0.01) and from T1 to T3 (∆ = 3.5 pts, 95% CI (1.5–5.4), p = 0.001) was found in favour of the PR group. To conclude, in addition to the short-term benefits, inpatient PR is effective at inducing medium-term quality of life improvements in IPF. PR in the early stages of the disease seems to provoke the best benefits. | ||
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