The Efficacy Of Outpatient Pulmonary Rehabilitation After Bilateral Lung Transplantation; Case Series

The effective intervention for selected patients with end-stage pulmonary disease is lung transplantation (LTx). Pulmonary rehabilitaion (PR), as a comprehensive, multidisplinary approach, is required not only pre-LTx but also post-LTx period. The aim of this study was to investigate the efficacy of outpatient, multidisplinary, comprehensive PR program in LTx recipients after discharge from hospital. The number of 23 LTx recipients were refered to PR center between 2013-2017. The previous diagnosis, age, history of smoking, the values of ISWT, ESWT, FEV1, FVC, MIP, MEP, MRC, SGRQ, CRQ, BMI, FFMI, HAD before and after PR were recorded. PR program was supervised multidisplinary, comprehensive outpatients and 8 week duration. Seventeen of tweenty-three recipients (74%) were completed PR. The initiation of program was on 75 ± 15 days after LTx. 15 male, 2 female patients were mean age of 47±10 years. 5 (29%) patients with COPD, 6 (35%) with IPF, 2 (11%) with histiozis-X, 2 (%11) with silicosis, 2 (11%) with bronchiectasis had been underwent bilateral LTx. While ISWT distance was predicted of 23% before PR, it was increased by %36 after PR (p<0.001). Furthermore both ISWT (p<0.001) and ESWT (p=0.005) values increased after PR. Additionally SGRQ (p=0.001), CRQ (p<0.001), HAD (p=0.001, p=0.002) scores, BMI (p<0.001), FFMI (p=0.011), MIP (p=0.001), MEP (p=0.008) values were improved, but; value of FEV1, FVC predicted%, MRC scores did not change significantly...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Rehabilitation and Chronic Care Source Type: research