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Journals / İzmir Tıp Fakültesi Dergisi / 2026 / Cilt: 4 Sayı: 3

The Link Between Outpatient Pulmonary Rehabilitation and Mortality in Symptomatic COPD Patients: Is PR a possibility in reducing mortality?

Semptomatik KOAH Hastalarında Ayakta Pulmoner Rehabilitasyon ile Mortalite Arasındaki Bağlantı: PR mortaliteyi azaltmada bir olasılık mıdır?

Yelda Varol(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0003-4604-7173
Hülya Şahin(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0001-8652-6211
Özgür Batum(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0002-8353-3421
Günseli Balcı(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR DR. SUAT SEREN GÖĞÜS HASTALIKLARI VE CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-4160-085X
Filiz Güldaval(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0002-7712-5093
Gülru Polat(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0002-2211-1268
Ali Kadri Çırak(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TIP FAKÜLTESİ, İZMİR TIP PR.)0000-0002-0137-1124
Pages
71–81
Publication Date
2025-09-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: COPD, pulmonary rehabilitation, mortality, health status, exercise capacity

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The effect of outpatient pulmonary rehabilitation (OPR) on mortality in COPD patients is little understood.
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Key Findings & Data:The aim of this study was to evaluate the effect of completing an OPR program on 3-year mortality in patients with COPD.
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Conclusion & Impact:Keywords: COPD, pulmonary rehabilitation, mortality, health status, exercise capacity
🔬Design:Klinik Araştırma
📍Scope:2012 Verileri
⚙️Variables:KOAH · pulmoner rehabilitasyon · mortalite

Abstract

Aim: The effect of outpatient pulmonary rehabilitation (OPR) on mortality in COPD patients is little understood. The aim of this study was to evaluate the effect of completing an OPR program on 3-year mortality in patients with COPD. Materials and methods: The study included 447 COPD patients who were eligible for the OPR between January 2012 and December 2015. While 288 COPD patients finished the program (8 weeks, 2 times a week), 159 individuals did not begin the program or dropped out. The findings were classified into three groups: those who completed the program, those who dropped out, and those who did not begin the program. Conclusion: After 3-years follow up, the mortality of the patients who completed the program were statistically significantly lower than those who did not. As a result of the cox regression, multivariate analysis to measure the effect of PR, the mortality of patients who dropped out the PR was 1.93 times higher than those who completed it (p=0.012, HR:1.1-3.2). The mortality of patients who did not start PR was 2.08 times higher than those who completed it (p=0.014, HR:1.1-3.7). The mortality rate of patients with COPD who completed the PR program was found to be lower. Keywords: COPD, pulmonary rehabilitation, mortality, health status, exercise capacity

Özet

Amaç: Ayakta pulmoner rehabilitasyonun (OPR) KOAH hastalarında mortalite üzerindeki etkisi çok az anlaşılmıştır. Bu çalışmanın amacı, OPR programını tamamlamanın KOAH hastalarında 3 yıllık mortalite üzerindeki etkisini değerlendirmektir. Gereç ve yöntem: Çalışmaya Ocak 2012 ile Aralık 2015 tarihleri arasında OPR'ye uygun olan 447 KOAH hastası dahil edilmiştir. 288 KOAH hastası programı tamamlarken (8 hafta, haftada 2 kez), 159 kişi programa başlamamış veya programı bırakmıştır. Bulgular üç gruba ayrılmıştır: programı tamamlayanlar, programı bırakanlar ve programa başlamayanlar. Sonuç: 3 yıllık takip sonucunda, programı tamamlayan hastaların mortalitesi, tamamlamayanlara göre istatistiksel olarak anlamlı derecede düşük bulunmuştur. PR'nin etkisini ölçmek için yapılan Cox regresyon ve çok değişkenli analiz sonucunda, PR'yi bırakan hastaların mortalitesi, programı tamamlayanlara göre 1,93 kat daha yüksek bulunmuştur (p=0,012, HR:1,1-3,2). PR'ye başlamayan hastaların mortalitesi ise programı tamamlayanlara göre 2,08 kat daha yüksek bulunmuştur (p=0,014, HR:1,1-3,7). PR programını tamamlayan KOAH hastalarının mortalite oranının daha düşük olduğu bulunmuştur. Anahtar Kelimeler: KOAH, pulmoner rehabilitasyon, mortalite, sağlık durumu, egzersiz kapasitesi

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Cite This Article

Varol, Y., Şahin, H., Batum, Ö., Balcı, G., Güldaval, F., Polat, G., Çırak, A. K. (2025). The Link Between Outpatient Pulmonary Rehabilitation and Mortality in Symptomatic COPD Patients: Is PR a possibility in reducing mortality?. İzmir Tıp Fakültesi Dergisi, Cilt: 4 Sayı: 3, 71–81. https://doi.org/10.57221/izmirtip.1747163

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