Langzeiteffekte der pneumologischen Rehabilitation bei COPD und interstitiellen Lungenerkrankungen
Synopse der Datenlage seit 1990Long term outcome of pulmonary rehabilitation in COPD and interstitial lung diseaseReview of studies since 1990U. Ochmann1
, D. Nowak1
1Institut und Poliklinik für Arbeits- und Umweltmedizin der LMU München, München
Die pneumologische Rehabilitation hat sich vor allem bei Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD) als effektive multidisziplinäre Maßnahme erwiesen. Diese Übersicht stellt systematisch die Ergebnisse zur Nachhaltigkeit der Effekte dar, die zeigen, dass für Lebensqualität und Leistungssteigerung auch noch nach einem Jahr signifikante Verbesserungen nachzuweisen sind. Es gibt allerdings noch Forschungsbedarf für mittelbare Effekte wie Anzahl und Dauer von Krankenhausaufenthalten sowie für stationäre und kombinierte Rehabilitationsformen und für Rehabilitation bei nicht COPD-bedingten Lungenerkrankungen.
Summary
The efficacy of pulmonary rehabilitation with a multi-disciplinary approach has been demonstrated especially in patients with chronic obstructive pulmonary disease (COPD). This review focuses particularly on the long-term outcome of pulmonary rehabilitation. Significant improvements have been demonstrated with respect to quality of life and exercise capacity up to one year after rehabilitation. Further investigations are still required on other outcome measures such as effects on repeated hospitalization, different types of rehabilitation (in-patient, out-patient, combined), and on rehabilitation of patients with non-obstructive pulmonary diseases.
1
Bendstrup K E, Ingemann-Jensen J, Holm S. et al .
Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease.
Eur Respir J.
1997;
10
2801-2806
2
Blaukovitsch M, Martina B. et al .
Effects and possible predicting factors of exercise training in lung fibrosis.
Eur Respir J.
2006;
28
(Suppl 50)
369s
3
Bowen J B, Thrall R S, ZuWallack R L. et al .
Long-term benefits of short-stay inpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease.
Monaldi Arch Chest Dis.
1999;
54
189-192
4
Büchi S, Wolf C, Schwarz F. et al .
Sind Rehabilitationsbehandlungen bei Patienten mit chronisch obstruktiver Lungenkrankheit (COLK) sinnvoll?.
Psychother Psychosom med Psychol.
1995;
46
423-429
5
Büchi S, Brändli O, Klingler K. et al .
Stationäre Rehabilitation bei Patienten mit chronisch obstruktiver Lungenkrankheit (COLK): Effekte auf körperliche Leistungsfähigkeit, psychisches Wohlbefinden und Lebensqualität.
Schweiz Med Wochenschr.
2000;
130
135-142
6
Cambach W, Chadwick-Straver R V. et al .
The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial.
Eur Respir J.
1997;
10
104-113
7
Cambach W, Wagenaar R C. et al .
The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: a research synthesis.
Arch Phys Med Rehabil.
1999;
80
103-111
10
Donner C F, Muir J F.
Selection criteria and programmes for pulmonary rehabilitation in COPD patients. Rehabilitation and Chronic Care Scientific Group of the European Respiratory Society.
Eur Respir J.
1997;
10
744-757
11
Engstrom C P. et al .
Long-term effects of a pulmonary rehabilitation programme in outpatients with chronic obstructive pulmonary disease: a randomized controlled study.
Scand J Rehabil Med.
1999;
31
207-213
13
Foglio K, Bianchi L, Ambrosino N.
Is it really useful to repeat outpatient pulmonary rehabilitation programs in patients with chronic airway obstruction? .
Chest.
2001;
119
1696-1704
15
Foster S, Thomas H M.
Pulmonary rehabilitation in lung disease other than chronic obstructive pulmonary disease.
Am Rev Respir Dis.
1990;
141
601-604
16
Griffiths T L, Burr M L, Campbell I A. et al .
Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation.
Lancet.
2000;
355
362-368
17
Grosbois J M. et al .
Long-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease.
J Cardiopulm Rehabil.
1999;
19
216-225
21
Hui K P, Hewitt A B.
A simple pulmonary rehabilitation program improves health outcomes and reduces hospital utilization in patients with COPD.
Chest.
2003;
124
94-97
22
Inoue M, Ohtsu I. et al .
Abstract: One year follow-up of pulmonary rehabilitation in patients with pulmonary emphysema - physiological outcome.
Nihon Kokyuki Gakkai Zasshi.
1998;
36
756-762
23
Jastrzebski D, Kozielski J, Gumola A.
Clinical benefits of a combined hospital and home-based exercise programm in patients with interstitial lung disease.
Eur Respir J.
2006;
28
(Suppl 50)
371s
24
Jeremie U, Grützmacher J, Taube K. et al .
Verbesserung der Rehabilitation von Asbestosen durch die Einführung eines ambulanten Rehabilitationsprogramms - Erste Ergebnisse.
Arbeitsm Sozialm Umweltmed.
2006;
41
9
26
Katsura H. et al .
Long-term effectiveness of an inpatient pulmonary rehabilitation program for elderly COPD patients: comparison between young-elderly and old-elderly groups.
Respirology.
2004;
9
230-236
29 Kluge K. Patientenwünsche bezüglich ambulanter versus stationärer Rehabilitationskonzepte nach akutem Myokardinfarkt. Inaugural-Dissertation Medizinische Fakultät Universität zu Lübeck 2004
32
Nici L, Donner C, Wouters E. et al .
American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation.
Am J Respir Crit Care Med.
2006;
173
1390-1413
33
Ong K C, Wong W P, Jailani A R. et al .
Effects of a pulmonary rehabilitation programme on physiologic and psychosocial outcomes in patients with chronic respiratory disorders.
Ann Acad Med Singapore.
2001;
30
15-21
34
Raskin J, Spiegler P, McCusker C. et al .
The effect of pulmonary rehabilitation on healthcare utilization in chronic obstructive pulmonary disease: The Northeast Pulmonary Rehabilitation Consortium.
J Cardiopulm Rehabil.
2006;
26
231-236
36
Singh S J, Smith D L. et al .
A short outpatient pulmonary rehabilitation programme: immediate and longer-term effects on exercise performance and quality of life.
Respir Med.
1998;
92
1146-1154
37
Stewart D G, Drake D F, Robertson C. et al .
Benefits of an inpatient pulmonary rehabilitation program: a prospective analysis.
Arch Phys Med Rehabil.
2001;
82
347-352
38
Strijbos J H, Postma D S, van Altena R. et al .
A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months.
Chest.
1996;
109
366-372
39
Troosters T, Gosselink R, Decramer M.
Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial.
Am J Med.
2000;
109
207-212
40
Vale F, Reardon J Z, ZuWallack R L.
The long-term benefits of outpatient pulmonary rehabilitation on exercise endurance and quality of life.
Chest.
1993;
103
42-45
42
Wewel A. et al .
Home-based training mediated by phone calls raises daily activity in patients with severe COPD.
Eur Respir J.
2005;
26
(Suppl 49)
71s
44
Wijkstra P J, Ten Vergert E M. et al .
Long term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease.
Thorax.
1995;
50
824-828
45
Young P, Dewse M, Fergusson W. et al .
Improvements in outcomes for chronic obstructive pulmonary disease (COPD) attributable to a hospital-based respiratory rehabilitation programme.
Aust N Z J Med.
1999;
29
59-65