title: [The effects of a pulmonary rehabilitation program in relation to the severity of COPD].
abstract: BACKGROUND
  The aim of this study is to assess the effects of in-patient pulmonary rehabilitation in relation to the stages of COPD according to GOLD and the BODE index.
  
  
  METHODS
  A prospective cohort study over 4 weeks. The 6-minute walk test, the relationship dyspnoea (EVA)/walking distance, dyspnoea (MRC scale), the Saint-George's respiratory questionnaire and the BODE index were estimated at the beginning and end of a pulmonary rehabilitation programme.
  
  
  RESULTS
  Fifty patients with COPD were included, distributed according to GOLD (II: 30%; III: 32%; IV: 38%) and BODE (quartile 1: 22%; quartile 2: 36%; quartile 3: 26%; quartile 4: 16%). All the patients benefited from the programme. For the GOLD classification, there was no significant difference between stages. For the BODE classification, a significant difference existed between quartiles concerning the evolution of dyspnoea (P=0,025), the relationship dyspnoea/walking distance (P<0,001) and BODE index (P<0,001), to the advantage of patients in quartiles 3 and 4.
  
  
  CONCLUSIONS
  All patients benefit from rehabilitation in hospital; the most severe benefit the most. The BODE index seems to predict those who make the greatest improvement.
authors.affiliation: Service de réhabilitation respiratoire, centre hospitalier des Pays-de-Morlaix, Kersaint Gilly, Morlaix cedex, France. beaumont.marc2@orange.fr
authors.forename: M
authors.initials: M
authors.lastname: Beaumont
authors.forename: G
authors.initials: G
authors.lastname: Reychler
authors.forename: C
authors.initials: C
authors.lastname: Le Ber-Moy
authors.forename: L
authors.initials: L
authors.lastname: Peran
mesh_terms: D000368:Aged; D018450:Disease Progression; D004417:Dyspnea / Q000534:rehabilitation; D017079:Exercise Tolerance; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000534:rehabilitation*; D011788:Quality of Life; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D013147:Spirometry; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D016138:Walking