A Comparative Study of Bode Index in Patients with Moderate to Severe COPD, with and without Pulmonary Rehabilitation Programme
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) defined as “a common preventable and treatable disease, is characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. Exacerbations and comorbidities contribute to the overall severity in individual patients”. Most of the COPD patients show extremely poor exercise performance and the exercise capacity declines over time which affects their quality of life and attributes to the early death. Pulmonary rehabilitation participation by COPD patients improves the variables used to grade the severity of COPD and improves the outcome. Material and Methods: In this study, 60 patients presenting with moderate to severe COPD as per GOLD criteria were included. Two groups were formed of 30 patients each; selected randomly. Patients in Group A were given conventional treatment for COPD and pulmonary rehabilitation. Patients in Group B were given conventional treatment for COPD only. The BODE index scoring were calculated. Results: In the case group significant improvement was observed in the BODE index from the time of diagnosis till first week of pulmonary rehabilitation with p value of <0.05 (0.000) and from the first week till the sixth week of pulmonary rehabilitation programme with p value of <0.05 (0.000)and from the time of diagnosis till the sixth week of pulmonary rehabilitation programme with p value of <0.05 (0.000). Conclusion: To conclude pulmonary rehabilitation participation by COPD patients improves BODE and is associated with better outcomes. This programme should be included in the management of COPD patients alongside conventional treatment for better results, although more research is needed in this field.
Authors and Affiliations
Puneet Singh Perhar, Prachi Singhal, Sameer Singhal, Himanshi Perhar, Ankit Sharma, Himanshu Sharma
Keywords
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