Health care utilization among chronic obstructive pulmonary disease patients and the effect of pulmonary rehabilitation

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
Mohamed S Al Moamary

Abstract

The present study aimed to analyze the utilization of health care resources among patients with chronic obstructive pulmonary disease (COPD) and to evaluate the effect of adherence to a pulmonary rehabilitation (PR) program on the utilization of these resources. A retrospective review of medical charts of a group of patients with COPD who were enrolled in a standard outpatient PR program at a tertiary care teaching hospital was conducted. Eligible patients were above the age of 18 years with a history of dyspnea, chronic cough and/or exposure to a disease risk factor with a postbronchodilator FEV(1)/FVC ratio <0.7. Fifty patients were referred to the PR program. The average number of emergency department visits was 1.4 +/- 1.6 days, the length of stay in the hospital was 1.7 +/- 3.8 days, the pulmonary clinic scheduled visits were 3.9 +/- 2.2, the use of combined inhalers was 9.0 +/- 3.9 canisters, the use of short-acting bronchodilator was 9.0 +/- 5.6 canisters, the cumulative prednisone doses were 427.5 +/- 463 mg, and the use of antibiotic courses was 3.1 +/- 2.9. Of the referred patients, 27 (54%) were adherent and 23 (46%) were not. Except for the use of combined inhalers, all parameters were significantly reduced in the a...Continue Reading

Citations

Feb 23, 2012·Journal of Cardiopulmonary Rehabilitation and Prevention·Uta OchmannDennis Nowak
Jan 1, 1997·Annual Review of Medicine·S S LefrakJ D Cooper
May 3, 2014·Annals of Thoracic Medicine·Javed H KhanMohamed S Al-Hajjaj
Feb 20, 2014·Annals of Thoracic Medicine·Mohamed S Al MoamaryMohamed S Al-Hajjaj
May 12, 2016·Annals of Thoracic Medicine·Mohammed E AlsubaieiTanja W Effing
Jun 17, 2016·The Quarterly Journal of Experimental Psychology : QJEP·Marin PuskaricJörg Rieskamp
Jul 31, 2021·Annals of Physical and Rehabilitation Medicine·Sara Souto-MirandaAlda Marques

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