title: [Costs of hospitalisation for exacerbations of COPD in patients receiving domiciliary rehabilitation].
abstract: BACKGROUND
  The aim of this study was to estimate the costs related to hospitalisation for exacerbations of COPD in patients who received domiciliary rehabilitation.
  
  
  METHODS
  The hospital costs (obtained from the health insurance office of Bayonne) of 31 patients suffering from COPD of all stages, were analysed for the year of rehabilitation and for the preceding year. All the patients had access to the same management programme in a health care system: domiciliary bicycle ergometry, collective gymnastics, dietary advice, psychological support and education.
  
  
  RESULTS
  The analysis of the costs of respiratory care revealed two populations: a minority in whom costs were increased (two end of life situations requiring palliative care and two severe episodes requiring intensive care), and a majority in whom domiciliary rehabilitation led to a reduction of over 60% in the costs related to hospitalisation.
  
  
  CONCLUSIONS
  Respiratory rehabilitation reduces the costs of hospitalisation secondary to exacerbations in patients suffering from COPD but does not reduce the high costs related to severe episodes of respiratory failure or terminal care. It is important that rehabilitation is adapted to the needs of each patient until the end of his life.
authors.affiliation: Réseau de réhabilitation respiratoire de ville du Pays-Basque et des Landes, résidence le Futura, 62, avenue de Bayonne, 64600 Anglet, France. r3v.pbl@wanadoo.fr
authors.forename: D
authors.initials: D
authors.lastname: Romain
authors.forename: A
authors.initials: A
authors.lastname: Bernady
authors.forename: E
authors.initials: E
authors.lastname: Etchamendy
authors.forename: T
authors.initials: T
authors.lastname: Barokas
authors.forename: P
authors.initials: P
authors.lastname: Pignede
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy / Q000191:economics; D015897:Comorbidity; D017046:Cost Savings / Q000706:statistics & numerical data; D003376:Counseling; D005081:Exercise Therapy; D005260:Female; D005602:France; D018575:Home Care Services, Hospital-Based / Q000191:economics*; D017722:Hospital Charges / Q000706:statistics & numerical data*; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000191:economics; D010353:Patient Education as Topic / Q000191:economics; D011613:Psychotherapy / Q000191:economics; D029424:Pulmonary Disease, Chronic Obstructive / Q000145:classification / Q000178:diet therapy / Q000191:economics* / Q000534:rehabilitation / Q000628:therapy; D012138:Respiratory Therapy / Q000191:economics*; D012139:Respiratory Therapy Department, Hospital / Q000191:economics; D013727:Terminal Care / Q000191:economics