title: [Pulmonary Rehabilitation after Acute Exacerbation of COPD Reduces the Rate of Reexacerbations].
abstract: ObjectiveAcute exacerbation of COPD (AECOPD) provides for patients a significant hazard and is crucial for the prognosis. Data on the effects of pulmonary rehabilitation (PR) on the frequency of reexacerbations after AECOPD are inconsistent. A prospective, case-control study was conducted with the aim of measuring the impact of PR on the frequency of reexacerbations after AECOPD.Patients and MethodsA PR was performed in 57 patients with COPD after AECOPD. 30 participants were followed-up after one year and compared to 32 Control-Group (KG = hospitalized for AECOPD without PR). The rate of reexacerbations was both retrospectively in the year preceding the AECOPD, and prospectively in the year after AECOPD analyzed within groups and between groups.ResultsIn the intra group comparison the exacerbation rate was significantly lower in the PR-group in the year after rehabilitation (0.97 ± 2.67 vs. 1.52 ± 1.12; p < 0.001). The intergroup comparison also showed a significantly lower number of exacerbations for the PR-group (0.97 ± 1.52 vs 2.16 ± 1.25; p < 0.001).ConclusionIt was shown that the exacerbation rate after an AECOPD could be significantly reduced in the PR-group in comparison to the KG-group during the investigation period of one year by PR. More prospective studies are required to define the value of PR in the context of AECOPD.
authors.forename: Marc
authors.initials: M
authors.lastname: Spielmanns
authors.forename: Andrea
authors.initials: A
authors.lastname: Meier
authors.forename: Aurelia
authors.initials: A
authors.lastname: Winkler
authors.affiliation: Abteilung Pneumologie, Allergologie, Schlaf- und Beatmungsmedizin, Schön Klinik Berchtesgadener Land, Schönau am Königssee.
authors.forename: Rainer
authors.initials: R
authors.lastname: Glöckl
authors.affiliation: Philipps Universität Marburg, Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin.
authors.forename: Christoph
authors.initials: C
authors.lastname: Nell
authors.affiliation: Philipps Universität Marburg, Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin.
authors.forename: Andreas Rembert
authors.initials: AR
authors.lastname: Koczulla
authors.affiliation: Philipps Universität Marburg, Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin.
authors.forename: Tobias
authors.initials: T
authors.lastname: Boeselt
authors.affiliation: Philipps Universität Marburg, Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin.
authors.forename: Peter
authors.initials: P
authors.lastname: Alter
authors.affiliation: Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln.
authors.forename: Friederike
authors.initials: F
authors.lastname: Magnet
authors.affiliation: Universitätsklinikum Freiburg.
authors.forename: Jan Hendrik
authors.initials: JH
authors.lastname: Storre
authors.affiliation: Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln.
authors.forename: Wolfram
authors.initials: W
authors.lastname: Windisch
mesh_terms: D000368:Aged; D018450:Disease Progression; D005081:Exercise Therapy / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000517:prevention & control* / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life / Q000523:psychology*; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome