title: Relationship between pulmonary rehabilitation and care dependency in COPD.
abstract: The aims of this study were to explore care dependency before and after pulmonary rehabilitation (PR) in patients with COPD (n=331) and to compare the response to PR between care dependent and independent patients. At baseline, 85 (25.7%) patients had a Care Dependency Scale (CDS) score ≤68 points and were considered as care dependent. CDS scores of these patients improved after PR (p<0.001). After PR, CDS score of 38 (44.7%) patients with a baseline CDS score ≤68 points increased to >68 points. Patients with a baseline CDS score ≤68 points or >68 points showed after PR a comparable improvement in COPD Assessment Test, Hospital Anxiety and Depression Scale and 6-min walk distance (all p<0.05).
  
  
  BACKGROUND
  NTR3416 (The Netherlands).
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Centre of Expertise for Palliative Care, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
authors.forename: D J A
authors.initials: DJ
authors.lastname: Janssen
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: Wilke
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands.
authors.forename: D E
authors.initials: DE
authors.lastname: Smid
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
authors.forename: F M E
authors.initials: FM
authors.lastname: Franssen
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands.
authors.forename: I M
authors.initials: IM
authors.lastname: Augustin
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
authors.forename: E F M
authors.initials: EF
authors.lastname: Wouters
authors.affiliation: Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands.
authors.forename: M A
authors.initials: MA
authors.lastname: Spruit
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology; D003858:Dependency, Psychological; D003863:Depression / Q000453:epidemiology; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000523:psychology* / Q000534:rehabilitation*; D012720:Severity of Illness Index
keywords: COPD ÀÜ Mechanisms; Pulmonary Rehabilitation