title: [A comparison of pulmonary rehabilitation delivered in the home or at a centre for patients with COPD].
abstract: OBJECTIVE
  There are few data showing how pulmonary rehabilitation (PR) for COPD patients carried out at home impacts on health-related quality of life (HRQL). The aim of this study was to determine if PR conducted at home improves quality of life.
  
  
  METHODS
  We compared the results of home-based PR versus PR performed in an outpatient center. The outcomes were the HRQL measured by the Saint-George's Hospital questionnaire and the 6-minute walk test distance (6MWT). Fifty-six COPD patients were included for PR either at home (n=27) or in the outpatient center (n=29) depending on distance from the center and patients preference. The two groups were similar for sex, age, BMI, lung function, and initial peak oxygen uptake.
  
  
  RESULTS
  6MWT showed a similar non-significant improvement in both groups after PR (+12±46m in home-based PR,+13±34m in outpatient center). HRQL was significantly improved in the home-based group in 2 domains : "Activity" (-8.6±6.4 vs -0.7±17.7, P<0.05), "Impact" (-8.4±6.5 vs 1.6±11.7, P<0.001) and total score (-8.2±4.0 vs 0.0±8.8, P<0.001).
  
  
  CONCLUSIONS
  Pulmonary rehabilitation at home is associated with improvements in health-related quality of life, and thus can be considered where availability of treatment in specialized centers is limited.
authors.affiliation: Unité de physiologie respiratoire et sportive, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France. Electronic address: david.debeaumont@chu-rouen.fr.
authors.forename: D
authors.initials: D
authors.lastname: Debeaumont
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; Service de pneumologie et soins intensifs respiratoires, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France.
authors.forename: J
authors.initials: J
authors.lastname: Dupuis
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; Service de pneumologie et soins intensifs respiratoires, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France.
authors.forename: C
authors.initials: C
authors.lastname: Viacroze
authors.affiliation: CRMPR Les Herbiers, 111, rue Herbeuse, 76235 Bois-Guillaume, France.
authors.forename: S
authors.initials: S
authors.lastname: Demangeon
authors.affiliation: ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; Service de pneumologie et soins intensifs respiratoires, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; UPRES EA3830, université de Rouen, 76031 Rouen cedex, France.
authors.forename: J F
authors.initials: JF
authors.lastname: Muir
authors.affiliation: Unité de physiologie respiratoire et sportive, CHU de Rouen, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; ADIR association, 147, avenue du Maréchal-Juin, 76230 Bois-Guillaume, France; UPRES EA3830, université de Rouen, 76031 Rouen cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Tardif
mesh_terms: D000368:Aged; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D005080:Exercise Test; D017079:Exercise Tolerance; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data; D018575:Home Care Services, Hospital-Based / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
keywords: BPCO; COPD; Exercice; Exercise; Peak oxygen uptake; Pulmonary rehabilitation; Quality of life; Qualité de vie; Réhabilitation respiratoire; VO(2)pic