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The Effectiveness of Home-Based Pulmonary Rehabilitation in Elderly Patients with COVID-19 Infection

Year 2022, Volume: 44 Issue: 1, 13 - 18, 14.01.2022
https://doi.org/10.20515/otd.943990

Abstract

While Coronavirus disease-2019 (COVID-19) affects the whole world, most affected group is geriatric individuals. There is a need for strategies for geriatric individuals returning to society and their social life. The aim of this study is to investigate the effect of an 8-week home-based Pulmonary Rehabilitation program on quality of life, depression, anxiety and functional capacity in geriatric individuals with COVID-19. Twenty-five patients were included in this prospective study. Patients over 65 years of age with COVID-19 were evaluated. Physical capacity with the 6-minute walking test (6MWT), dyspnea status with the Medical Research Council Dyspnea Scale, quality of life with the Short Form-36 (SF-36), depression and anxiety with the Hospital Anxiety and Depression Scale were evaluated. The mean age of the patients included in the study was 68.9 ± 6.4 years. 56% of the patients were men and 44% were women. When pre-treatment and post-treatment values were compared, a significant improvement was found in the 6MWT, dyspnea scores, SF-36 and all subgroups, anxiety and depression scores (p <0.05). This study shows that the home-based Pulmonary Rehabilitation program is an effective method on parameters such as quality of life, depression and physical capacity in geriatric individuals with COVID-19. Prospective large-scale studies are needed to validate our current results.

References

  • 1. Gao Y, Yan L, Huang Y, et al. Structure of the RNA-dependent RNA polymerase from COVID-19 virus. Science. 2020;368(6492):779-782.
  • 2. Coronavirus Disease 2019 (COVID-19) Technical Guidance. Available at: https://www.who.int/health-topics/ coronavirus#tab=tab_1
  • 3. Li JY, You Z, Wang Q, et al. The epidemic of 2019-novel-coronavirus (2019-nCoV) pneumonia and insights for emerging infectious diseases in the future. Microbes Infect. 2020;22(2):80-85.
  • 4. Jia N, Feng D, Fang LQ, et al. Case fatality of SARS in mainland China and associated risk factors. Trop Med Int Health. 2009;14 Suppl 1(Suppl 1):21-27.
  • 5. Cao M, Zhang D, Wang Y, et al. Clinical Features of Patients Infected with the 2019 Novel Coronavirus (COVID-19) in Shanghai, China. Preprint. medRxiv. 2020;2020.03.04.20030395. Published 2020 Mar 6. doi:10.1101/2020.03.04.20030395
  • 6. Garrod R, Lasserson T. Role of physiotherapy in the management of chronic lung diseases: an overview of systematic reviews. Respir Med. 2007;101(12):2429-2436.
  • 7. Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783-785.
  • 8. Kim S, Oh J, Kim YI, et al. Differences in classification of COPD group using COPD assessment test (CAT) or modified Medical Research Council (mMRC) dyspnea scores: a cross-sectional analyses. BMC Pulm Med. 2013;13:35.
  • 9. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370.
  • 10. Boueri FM, Bucher-Bartelson BL, Glenn KA, Make BJ. Quality of life measured with a generic instrument (Short Form-36) improves following pulmonary rehabilitation in patients with COPD. Chest. 2001;119(1):77-84.
  • 11. Polastri M, Nava S, Clini E, Vitacca M, Gosselink R. COVID-19 and pulmonary rehabilitation: preparing for phase three. Eur Respir J. 2020;55(6):2001822.
  • 12. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34:101623.
  • 13. Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39:101166.
  • 14. Pepin V, Saey D, Laviolette L, Maltais F. Exercise capacity in chronic obstructive pulmonary disease: mechanisms of limitation. COPD. 2007;4(3):195-204.
  • 15. Kortebein P, Symons TB, Ferrando A, et al. Functional impact of 10 days of bed rest in healthy older adults. J Gerontol A Biol Sci Med Sci. 2008;63(10):1076-1081.
  • 16. Reidy PT, McKenzie AI, Mahmassani Z, et al. Skeletal muscle ceramides and relationship with insulin sensitivity after 2 weeks of simulated sedentary behaviour and recovery in healthy older adults. J Physiol. 2018;596(21):5217-5236.
  • 17. Khan S, Siddique R, Li H, et al. Impact of coronavirus outbreak on psychological health. J Glob Health. 2020;10(1):010331.
  • 18. Deng, J., Zhou, F., Hou, W., et al. The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis. Annals of the New York Academy of Sciences. 2020.
  • 19. Paz-Díaz H, Montes de Oca M, López JM, Celli BR. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Am J Phys Med Rehabil. 2007;86(1):30-36.
  • 20. von Leupoldt A, Taube K, Lehmann K, Fritzsche A, Magnussen H. The impact of anxiety and depression on outcomes of pulmonary rehabilitation in patients with COPD. Chest. 2011;140(3):730-736.
  • 21. Brooks D, Sottana R, Bell B, et al. Characterization of pulmonary rehabilitation programs in Canada in 2005. Can Respir J. 2007;14(2):87-92.
  • 22. Vieira DS, Maltais F, Bourbeau J. Home-based pulmonary rehabilitation in chronic obstructive pulmonary disease patients. Curr Opin Pulm Med. 2010;16(2):134-143.

COVID-19 Geçirmiş Geriatrik Hastalarda Ev-Temelli Pulmoner Rehabilitasyonun Etkinliği

Year 2022, Volume: 44 Issue: 1, 13 - 18, 14.01.2022
https://doi.org/10.20515/otd.943990

Abstract

Coronavirüs hastalığı-2019 (COVID-19) tüm dünyayı etkilerken en çok etkilenen grup geriatrik bireylerdir. Geriatrik bireylerin topluma ve sosyal yaşamlarına dönmeleri için bazı stratejilere ihtiyaç vardır. Bu çalışmanın amacı, COVID-19'lu geriatrik bireylerde 8 haftalık ev temelli Pulmoner Rehabilitasyon programının yaşam kalitesi, depresyon, anksiyete ve fonksiyonel kapasite üzerine etkisini araştırmaktır. Bu prospektif çalışmaya 25 hasta dahil edildi. COVID-19 geçirmiş 65 yaş üstü hastalar değerlendirildi. Fiziksel kapasite 6 dakikalık yürüme testi (6DYT) ile, dispne durumlar Medical Research Council Dispne Skalası ile, yaşam kalitesi Kısa Form-36 (KF-36) ile, depresyon ve anksiyete durumları ise Hastane Anksiyete ve Depresyon Ölçeği ile değerlendirildi. Çalışmaya dahil edilen hastaların ortalama yaşı 68.9 ± 6.4 idi. Hastaların% 56'sı erkek,% 44'ü kadındı. Tedavi öncesi ve tedavi sonrası değerler karşılaştırıldığında 6DYT, dispne skorları, SF-36, anksiyete ve depresyon skorlarında anlamlı iyileşme saptandı (p <0.05). Bu çalışma, ev tabanlı Pulmoner Rehabilitasyon programının COVID-19'lu geriatrik bireylerde yaşam kalitesi, depresyon ve fiziksel kapasite gibi parametreler üzerinde etkili bir yöntem olduğunu göstermektedir. Mevcut sonuçlarımızı doğrulamak için ileriye dönük büyük örneklem büyüklüğüne sahip çalışmalara ihtiyaç vardır.

References

  • 1. Gao Y, Yan L, Huang Y, et al. Structure of the RNA-dependent RNA polymerase from COVID-19 virus. Science. 2020;368(6492):779-782.
  • 2. Coronavirus Disease 2019 (COVID-19) Technical Guidance. Available at: https://www.who.int/health-topics/ coronavirus#tab=tab_1
  • 3. Li JY, You Z, Wang Q, et al. The epidemic of 2019-novel-coronavirus (2019-nCoV) pneumonia and insights for emerging infectious diseases in the future. Microbes Infect. 2020;22(2):80-85.
  • 4. Jia N, Feng D, Fang LQ, et al. Case fatality of SARS in mainland China and associated risk factors. Trop Med Int Health. 2009;14 Suppl 1(Suppl 1):21-27.
  • 5. Cao M, Zhang D, Wang Y, et al. Clinical Features of Patients Infected with the 2019 Novel Coronavirus (COVID-19) in Shanghai, China. Preprint. medRxiv. 2020;2020.03.04.20030395. Published 2020 Mar 6. doi:10.1101/2020.03.04.20030395
  • 6. Garrod R, Lasserson T. Role of physiotherapy in the management of chronic lung diseases: an overview of systematic reviews. Respir Med. 2007;101(12):2429-2436.
  • 7. Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783-785.
  • 8. Kim S, Oh J, Kim YI, et al. Differences in classification of COPD group using COPD assessment test (CAT) or modified Medical Research Council (mMRC) dyspnea scores: a cross-sectional analyses. BMC Pulm Med. 2013;13:35.
  • 9. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370.
  • 10. Boueri FM, Bucher-Bartelson BL, Glenn KA, Make BJ. Quality of life measured with a generic instrument (Short Form-36) improves following pulmonary rehabilitation in patients with COPD. Chest. 2001;119(1):77-84.
  • 11. Polastri M, Nava S, Clini E, Vitacca M, Gosselink R. COVID-19 and pulmonary rehabilitation: preparing for phase three. Eur Respir J. 2020;55(6):2001822.
  • 12. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34:101623.
  • 13. Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39:101166.
  • 14. Pepin V, Saey D, Laviolette L, Maltais F. Exercise capacity in chronic obstructive pulmonary disease: mechanisms of limitation. COPD. 2007;4(3):195-204.
  • 15. Kortebein P, Symons TB, Ferrando A, et al. Functional impact of 10 days of bed rest in healthy older adults. J Gerontol A Biol Sci Med Sci. 2008;63(10):1076-1081.
  • 16. Reidy PT, McKenzie AI, Mahmassani Z, et al. Skeletal muscle ceramides and relationship with insulin sensitivity after 2 weeks of simulated sedentary behaviour and recovery in healthy older adults. J Physiol. 2018;596(21):5217-5236.
  • 17. Khan S, Siddique R, Li H, et al. Impact of coronavirus outbreak on psychological health. J Glob Health. 2020;10(1):010331.
  • 18. Deng, J., Zhou, F., Hou, W., et al. The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis. Annals of the New York Academy of Sciences. 2020.
  • 19. Paz-Díaz H, Montes de Oca M, López JM, Celli BR. Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD. Am J Phys Med Rehabil. 2007;86(1):30-36.
  • 20. von Leupoldt A, Taube K, Lehmann K, Fritzsche A, Magnussen H. The impact of anxiety and depression on outcomes of pulmonary rehabilitation in patients with COPD. Chest. 2011;140(3):730-736.
  • 21. Brooks D, Sottana R, Bell B, et al. Characterization of pulmonary rehabilitation programs in Canada in 2005. Can Respir J. 2007;14(2):87-92.
  • 22. Vieira DS, Maltais F, Bourbeau J. Home-based pulmonary rehabilitation in chronic obstructive pulmonary disease patients. Curr Opin Pulm Med. 2010;16(2):134-143.
There are 22 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section ORİJİNAL MAKALE
Authors

Mazlum Serdar Akaltun 0000-0002-9666-9483

Can Anıl 0000-0001-7996-0546

Özlem Altındağ 0000-0003-1119-2987

Neytullah Turan 0000-0001-6914-1360

Bahadır Demir 0000-0003-2798-6255

Savaş Gürsoy 0000-0002-1673-9905

Ali Gür 0000-0001-9680-6268

Publication Date January 14, 2022
Published in Issue Year 2022 Volume: 44 Issue: 1

Cite

Vancouver Akaltun MS, Anıl C, Altındağ Ö, Turan N, Demir B, Gürsoy S, Gür A. The Effectiveness of Home-Based Pulmonary Rehabilitation in Elderly Patients with COVID-19 Infection. Osmangazi Tıp Dergisi. 2022;44(1):13-8.


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