Chronic Obstructive Pulmonary Disease
Conditions
Brief summary
Chronic obstructive pulmonary disease is a chronic inflammatory lung disease that causes obstructed airflow from the lung, characterized by chronic cough, dyspnea, and sputum production, which often misunderstood as aging or catching a cold. These symptoms may be progressive over time. To provide better disease management and early detecting, pulmonary rehabilitation is now considered a fundamental component of the integrated disease management of this population. However, few studies have evaluated the beneficial outcomes in patients referred to pulmonary rehabilitation. Therefore, the purpose of this study is to investigate the clinical outcomes in patients referred to pulmonary rehabilitation in National Taiwan University Hospital.
Interventions
OTHERPulmonary rehabilitation
Pulmonary rehabilitation as routine care includes, airway clearance techniques, breathing exercise, and physical training instruction
Sponsors
National Taiwan University Hospital
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. age \> 20 years old 2. patients with chronic respiratory disease diagnosed by physician that referred to pulmonary rehabilitation in National Taiwan University Hospital including, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, bronchiectasis 3. can cooperate with pulmonary rehabilitation clinic
Exclusion criteria
1. angina, acute myocardial infarction in the previous one month 2. pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional exercise capacity using the six-minute walk test | The six-minute walk test needs six minute to complete the test | The six-minute walk test is commonly performed to evaluate functional exercise capacity. The six-minute walk test was performed according to the guidelines, and the distance walked in the test presented as functional exercise capacity. |
| Muscle strength: hand grip | Hand grip of both hands need about three minutes to complete | Hand grip strength is performed by using hand dynamometer |
| Lung hygiene | Lung hygiene is evaluated as the frequency of acute exacerbation in the the past one year | Lung hygiene is evaluated by the frequency of acute exacerbation |
| Home-based physical activity | Record the home-based physical activities everyday that the subjects have in the past one week that lasting for one year. | All subjects were encouraged to increase their daily physical activity and recorded the amount of physical activity on patient-self-record training log. |
| Muscle strength: leg press | Maximum leg press measurement needs about four minutes to complete | Maximum leg press is performed by using seated leg press machine |
| Heart rate | Hospital-based physical training takes 30 minutes, once a week, and it also takes 30 min to measure continuously | Heart rate is measured at rest, during hospital-based physical training. |
| Blood pressure | Hospital-based physical training takes 30 minutes, once a week, and it also takes 30 min to measure continuously | systolic and diastolic pressure are measured at rest, during hospital-based physical training. |
| Perceived dyspnea | It takes less than one minute to evaluate perceived dyspnea. | Rating of perceived dyspnea is measured by using Borg scale at rest, during hospital-based physical training, and home-based physical activity. The most widely used tool is the Borg scale, with rating ranges from 0 (nothing at all) to 10 (extremely dyspnea). |
| Oxygen saturation | Hospital-based physical training takes 30 minutes, once a week, and it also takes 30 min to measure continuously | Oxygen saturation is continuously monitored by pulse oximetry throughout Hospital-based physical training. |
Countries
Taiwan
Contacts
Primary ContactPing-Lun Hsieh
Outcome results
None listed