Comparison of Compliance Rates and Treatment Efficiency in Home-Based with Hospital-Based Pulmonary Rehabilitation in COPD

Özet

OBJECTIVES: The aim of the present study was to compare the home-based pulmonary rehabilitation (PR) with the hospital-based PRwith respect to exercise compliance rates and efficiency of therapy in stable chronic obstructive pulmonary disease (COPD).MATERIALS AND METHODS: Patients with stable severe and very severe COPD who were admitted consequently to our PR clinic wereprospectively included in the study. Patients who completed the home-based PR for at least 4 days/week for 2 months as recommendedwere classified as the study group. Patients who completed the hospital-based PR in our clinic before the present study were classifiedas the control group.RESULTS: Thirty-five patients were included in the home-based PR, but 10 patients were incompatible with the exercise training, and fourpatients were out of follow-up. Twenty-one patients successfully completed the home-based PR (study group), and compliance rate was60%. Thirty-seven patients previously underwent the hospital-based PR, and 25 patients completed the exercise program (control group);thus, their compliance rate was 67%. There was no difference between the two groups with respect to treatment compliance rates. Thesignificant improvement in six-minute walking distance, modified Medical Research Council dyspnea, and COPD Assessment Test scoreswere observed after PR in both groups, and there was no difference with respect to the levels of improvement.CONCLUSION: The present study showed that approximately two-thirds of patients with COPD successfully completed the home-basedPR, and that this program also provided similar benefits with respect to the quality of life and exercise capacity compared with thehospital-based PR.