| Titre : | Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation : a randomised controlled trial. (2000) |
| Auteurs : | T.L. GRIFFITHS ; M.L. BURR ; J.A. CAMPBELL ; V. LEWIS-JENKINS ; A.A. LONESCU ; J. MULLINS ; R.G. NEWCOMBE ; N. PAYNE ; K. SHIELS ; J. Thomas ; J. TUNBRIDGE ; P.J. TURNER-LAWLOR ; Department of Medlcal Computing and Statistics. University of Wales College of Medicine. Cardiff. GBR ; Section of Respiratory Medicine. Department of Medicine. University of Wales College of Medicine. Llandough Hospital. Penarth. GBR ; University Hospital of Wales and Llandough Hospital Nhs Trust. Penarth. GBR |
| Type de document : | Article |
| Dans : | Lancet (The) (vol. 355, n° 9201, 2000) |
| Pagination : | 362-368 |
| Langues: | Anglais |
| Mots-clés : | Bronchopneumopathie obstructive ; Etude comparée ; Programme ; Symptôme ; Utilisation ; Thérapeutique ; Questionnaire ; Homme ; Symptôme respiratoire ; Appareil respiratoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST AR0xNCtk. Diffusion soumise à autorisation]. Background Pulmonary rehabilitation seems to be an effective intervention in patients with chronic obstructive pulmonary disease. We undertook a randomised controlled trial to assess the effect of outpatient pulmonary rehabilitation on use of health care and patients'wellbeing over 1 year. Methods 200 patients with disabling chronic lung disease (the majority with chronic obstructive pulmonary disease) were randomly assigned a 6-week multidisciplinary rehabilitation programme (18 visits) or standard medical management. Use of health services was assessed from hospital and general-practice records. Analysis was by intention to treat. Findings There was no difference between the rehabilitation (n=99) and control (n=101) groups in the number of patients admitted to hospital (40 vs 41) but the number of days these patients spent in hospital differed significantly (mean 10.4 [SD 9.7] vs 21.0 [20.7], p=0.022). The rehabilitation group had more primary-care consultations at the general-practitioner's premises than did the control group (8.6 [6.8] vs 7.3 [8.3], p=0.033) but fewer primary-care home visits (1.5 [2.8] vs 2.8 [4.6], p=0.037). Compared with control, the rehabilitation group also showed greater improvements in walking ability and in general and disease-specific health status. (...) |
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