Effect of 8-week Pulmonary Rehabilitation Program on Dyspnea and Functional Capacity of Patients on Waiting List for Lung Transplantation

Overview

Journal Turk Thorac J

Publisher Aves

Specialty Pulmonary Medicine

Date 2020 Mar 24

PMID 32203001

Citations 4

Authors

Lutfiye Kilic

Esra Pehlivan

Arif Balci

Nur Dilek Bakan

Affiliations

Soon will be listed here.

Abstract

Objectives: The aim of this study was to evaluate the effect of comprehensive, 8-week outpatient pulmonary rehabilitation (PR) programme consisting of 60-min sessions twice a week under supervision on dyspnea and exercise capacity of patients who were lung transplantation (LTx) candidates.

Materials And Methods: Between March 2012 and December 2014, medical data of 23 patients on the waiting list for LTx who were referred to our PR unit and completed 16-session outpatient under direct supervision were retrospectively analyzed. Data on exercise capacity as assessed by 6-minute walking test (6MWT) and the rate of perceived dyspnea as assessed by the Borg scale and Medical Research Council (MRC) dyspnea scale were recorded.

Results: Of 23 patients 57% were males; the mean age was 35±10 (range: 16-48) years. Four patients were operated early, as an appropriate donor was available. Diagnosis was as follows: bronchiectasis (n=10, 44%), silicosis (n=7, 30%), sarcoidosis (n=2, 9%), idiopathic pulmonary fibrosis (n=1, 4%), chronic obstructive pulmonary disease (n=1, 4%), and others (n=2, 9%). At the end of the program, there was a significant improvement (median: 60 m) in 6MWT scores (360 [70-254] m vs. 300 [139-489] m; p=0.018). In addition, a clinical improvement was observed in Borg (p=0.000) and MRC scores (p=0.008).

Conclusion: Our study results suggest that 8-week outpatient PR programme consisting of training twice a week is effective to decrease perceived dyspnea and to improve exercise capacity in patients who are on the waiting list for LTx.

Citing Articles

Virtual Physical Prehabilitation in Lung Transplant Candidates: A Proof-of-Concept Study.

Bourgeois N, Lands L, Prevost K, Poirier C, Janaudis-Ferreira T Transpl Int. 2024; 37:12355.

PMID: 38433973 PMC: 10904465. DOI: 10.3389/ti.2024.12355.

European Society of Organ Transplantation (ESOT) Consensus Statement on Prehabilitation for Solid Organ Transplantation Candidates.

Annema C, De Smet S, Castle E, Overloop Y, Klaase J, Janaudis-Ferreira T Transpl Int. 2023; 36:11564.

PMID: 37547750 PMC: 10401602. DOI: 10.3389/ti.2023.11564.

Lung Transplant Rehabilitation-A Review.

Abidi Y, Kovats Z, Bohacs A, Fekete M, Naas S, Madurka I Life (Basel). 2023; 13(2).

PMID: 36836863 PMC: 9962622. DOI: 10.3390/life13020506.

Exercise-Based Rehabilitation for Pre- and Post-Solid Organ Transplant Patients.

Nery R Arq Bras Cardiol. 2022; 119(2):255-256.

PMID: 35946687 PMC: 9363049. DOI: 10.36660/abc.20220373.

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