Journal of cardiopulmonary rehabilitation and prevention
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J Cardiopulm Rehabil Prev · Sep 2009
Randomized Controlled Trial Comparative StudyPulmonary rehabilitation after acute exacerbation of chronic obstructive pulmonary disease in patients who previously completed a pulmonary rehabilitation program.
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) impair health-related quality of life (HRQL). We evaluated the effect of an abbreviated repeat pulmonary rehabilitation (PR) program on HRQL after an AECOPD. ⋯ The reduction in dyspnea in those who did not experience a second AECOPD provides preliminary evidence for the role of repeat programs. The application of repeat PR should be refined in larger trials.
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J Cardiopulm Rehabil Prev · May 2009
ReviewMeasuring behavioral outcomes in cardiopulmonary rehabilitation: AN AACVPR STATEMENT.
Outcome measurement in cardiopulmonary rehabilitation is required for optimal assessment of program quality, effectiveness of treatments, and evaluation of patient progress. Recent position statements from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), American College of Cardiology, American Heart Association, American Thoracic Society, and American College of Chest Physicians have provided state-of-the-art information on the importance of assessing performance and outcome measures for optimal program effectiveness. Such measures are also required for AACVPR program certification. ⋯ This statement describes 5 common behavioral outcome measures: smoking cessation, medication use, supplemental oxygen use, exercise habits, and nutritional behaviors. Sample questions and calculations for each of these behavioral measures are also provided. By using these measures at program entry and completion, cardiac and pulmonary rehabilitation practitioners can effectively track and document behavioral changes over time for physicians, third-party insurance providers, or hospital administrators and thus demonstrate the effectiveness of exercise and educational interventions on patient overall health and well-being.
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J Cardiopulm Rehabil Prev · Mar 2009
Randomized Controlled Trial Comparative StudyInterval training versus continuous training in patients with chronic obstructive pulmonary disease.
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J Cardiopulm Rehabil Prev · Mar 2009
Clinical manifestations and consequences of obstructive sleep apnea.
Obstructive sleep apnea is a common respiratory disorder that is underdiagnosed and associated with a variety of adverse health and safety consequences. Treatment is effective in improving quality of life and reducing morbidity. This underscores the importance of considering the diagnosis in suitable patients, verifying the diagnosis, and initiating prompt, effective therapy. In this review, the risk factors, symptoms and signs, diagnosis, clinical consequences, and treatment of obstructive sleep apnea are discussed.
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J Cardiopulm Rehabil Prev · Jan 2009
Randomized Controlled Trial Clinical TrialNoninvasive ventilation with continuous positive airway pressure acutely improves 6-minute walk distance in chronic heart failure.
Noninvasive ventilation with continuous positive airway pressure (CPAP) has been used in patients with chronic heart failure (CHF), although its effect on exercise tolerance in these patients is unknown. The aim of this study was to determine the effects of CPAP on exercise tolerance in outpatients with CHF. ⋯ Noninvasive ventilation with CPAP increased exercise tolerance in patients with stable CHF. Future clinical trials should investigate whether this effect is associated with improved clinical outcome.