[Home vs hospital-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a Spanish multicenter trial].

Abstract:

OBJECTIVE:To compare the effects of a simple home pulmonary rehabilitation program and an intensive hospital-based program in terms of the exercise tolerance and health-related quality of life (HRQL) of patients with severe chronic obstructive pulmonary disease (COPD). PATIENTS AND METHODS:Patients in this prospective, multicenter trial were randomized to 2 groups to receive hospital or home pulmonary rehabilitation. Patients in both groups attended 2 informative sessions about the disease and 4 physical therapy sessions. Patients in the hospital group then carried out a structured exercise program while home group patients performed low intensity exercises at home without supervision. RESULTS:Twenty-eight patients were randomized to the hospital rehabilitation group and 23 to the home group. Both groups showed a similar improvement on the 6-minute walk test (mean difference, 8.7 m; P=.61). HRQOL measured with the Chronic Respiratory Questionnaire also improved in both groups, but the change was greater on the emotional function domain in the hospital rehabilitation group (mean difference between groups, 0.58 on a scale for which the smallest clinically relevant difference is 0.5 points). The benefits were maintained in both groups 6 months after the programs ended. CONCLUSIONS:This study demonstrates that the improvement in exercise tolerance achieved by COPD patients with an unsupervised home pulmonary rehabilitation program is similar to the gains of patients in an intensive hospital-based program. However, the hospital program afforded greater benefit on the HRQOL emotional function domain.

journal_name

Arch Bronconeumol

authors

Güell MR,de Lucas P,Gáldiz JB,Montemayor T,Rodríguez González-Moro JM,Gorostiza A,Ortega F,Bellón JM,Guyatt G

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

512-8

issue

10

eissn

0300-2896

issn

1579-2129

pii

13126830

journal_volume

44

pub_type

杂志文章,多中心研究,随机对照试验
  • Human papillomavirus in non-small-cell lung cancer: the impact of EGFR mutations and the response to erlotinib.

    abstract::It has been suggested that human papillomavirus (HPV) could participate in the development of non-small-cell lung cancer (NSCLC). A higher HPV infection rate has been reported in the NSCLC samples from Asian non-smoker patients, with adenocarcinomas or responders to EGFR tyrosine kinase inhibitors (EGFR-TKI). We explo...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2012.04.003

    authors: Márquez-Medina D,Gasol-Cudós A,Taberner-Bonastre MT,Samamé Pérez-Vargas JC,Salud-Salvia A,Llombart-Cussac A

    更新日期:2013-02-01 00:00:00

  • [Diagnosis and treatment of bronchiectasis. Spanish Society of Pneumology and Thoracic Surgery].

    abstract::Bronchiectasis is the end result of several different diseases that share principles of management. The clinical course usually involves chronic bronchial infection and inflammation, which are associated with progression. The cause of bronchiectasis should always be investigated, particularly when it can be treated. W...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,实务指引

    doi:10.1157/13128330

    authors: Vendrell M,de Gracia J,Olveira C,Martinez-Garcia MA,Girón R,Máiz L,Cantón R,Coll R,Escribano A,Solé A

    更新日期:2008-11-01 00:00:00

  • Factors associated with the non-completion of conventional anti-tuberculosis treatment in Peru.

    abstract:BACKGROUND:The non-adherence to tuberculosis treatment is associated with increased infection, antibiotic resistance, increased costs and death. Our objective was to identify factors associated with lack of completion of conventional treatment for tuberculosis in Peru. PATIENTS AND METHODS:An unmatched case-control st...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2011.12.008

    authors: Culqui DR,Munayco E CV,Grijalva CG,Cayla JA,Horna-Campos O,Alva Ch K,Suarez O LA

    更新日期:2012-05-01 00:00:00

  • Internal consistency and validity of the Spanish version of the "Quebec Sleep Questionnaire" quality-of-life questionnaire for obstructive sleep apnea.

    abstract:INTRODUCTION:There is no specific health-related quality of life (HRQL) questionnaire that has been validated in Spanish for its use in patients with sleep apnea-hypopnea syndrome (SAHS). The objective of the present study was to validate the Spanish version of the Quebec Sleep Questionnaire (QSQ). PATIENTS AND METHOD...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2011.10.011

    authors: Catalán P,Martínez A,Herrejón A,Chiner E,Martínez-García MÁ,Sancho-Chust JN,Peris R,Senent C,Blanquer R,Tomás JM

    更新日期:2012-04-01 00:00:00

  • [Clinical relevance of distal airway involvement in asthma].

    abstract::Asthma continues to be a global health problem, despite advances in diagnostic techniques and treatment. The inflammatory nature of asthma is currently indisputable, as is the involvement of the entire respiratory tree, both the proximal and most distal airways, which has been demonstrated in multiple studies. The dev...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/S0300-2896(11)70016-3

    authors: Torrego Fernández A,Muñoz Cano RM

    更新日期:2011-04-01 00:00:00

  • [Conservative treatment of 2 tracheal lesions secondary to anesthetic intubation].

    abstract::This case report describes two patients admitted to our hospital for elective surgery, one for biliary disease and the other for vascular disease. Shortly after surgery each presented a clinical picture attributable to membranous tracheal pars rupture caused by anesthetic intubation. Airway lesions were diagnosed and,...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/s0300-2896(15)30646-3

    authors: Buitrago LJ,Molins L,Boada JE,Sopeña JJ,Vidal G

    更新日期:1997-03-01 00:00:00

  • [Prognostic factors and outcome of thymectomy in 80 cases of myasthenia gravis].

    abstract:OBJECTIVES:To analyze the results of thymectomy in our series of patients with myasthenia gravis (MG) and to study the influence of the most common prognostic factors. MATERIAL AND METHODS:Eighty MG patients over a period of 23 years underwent thymectomy consecutively in our hospital. Preoperative assessment included ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s0300-2896(01)75045-4

    authors: Vázquez-Pelillo J,Gil Alonso J,Díaz-Agero P,García Sánchez-Girón J,Roca Serrano R,Díez Tejedor E,Casillas Pajuelo M

    更新日期:2001-04-01 00:00:00

  • Treatment of bronchus intermedius stenosis in lung transplantation with Montgomery T-tube stent. A novel technique.

    abstract::Airway complications after lung transplant are relatively common although the rates vary according to the different studies. Pathogenesis is diverse but the principal mechanism is usually bronchus intermedius ischemia in the post-transplant period. One major complication is bronchial stenosis, with relatively frequent...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2013.12.005

    authors: Pinillos Robles J,García Luján R,de Pablo Gafas A,de Miguel Poch E

    更新日期:2015-02-01 00:00:00

  • Real-time prediction of mediastinal lymph node malignancy by endobronchial ultrasound.

    abstract:OBJECTIVE:To evaluate the utility of different ultrasonographic (US) features in differentiating benign and malignant lymph node (LN) by endobronchial ultrasound (EBUS) and validate a score for real-time clinical application. METHODS:208 mediastinal LN acquired from 141 patients were analyzed. Six different US criteri...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2013.12.002

    authors: Shafiek H,Fiorentino F,Peralta AD,Serra E,Esteban B,Martinez R,Noguera MA,Moyano P,Sala E,Sauleda J,Cosío BG

    更新日期:2014-06-01 00:00:00

  • [Validation of a respiratory polygraphy system in the diagnosis of sleep apnea syndrome].

    abstract:OBJECTIVE:To validate a cardiorespiratory polygraphy system (BITMED NGP 140) by comparing it to conventional polysomnography in the diagnosis of sleep apnea-hypopnea syndrome. PATIENTS AND METHODS:Polysomnography and cardio-respiratory polygraphy were performed simultaneously on 103 consecutive patients referred becau...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)60400-x

    authors: Candela A,Hernández L,Asensio S,Sánchez-Payá J,Vila J,Benito N,Romero S

    更新日期:2005-02-01 00:00:00

  • Characteristics of candidates for lung transplantation due to chronic obstructive pulmonary disease and alpha-1 antitrypsin deficiency emphysema.

    abstract:INTRODUCTION:COPD and emphysema due to alpha-1 antitrypsin deficiency (AATD) are the first and fourth indications for lung transplantation worldwide, respectively. Despite this, there is little information regarding the health status of these patients at the time of transplantation. METHODS:Patients who received a lun...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2014.08.003

    authors: Giacoboni D,Barrecheguren M,Esquinas C,Rodríguez E,Berastegui C,López-Meseguer M,Monforte V,Bravo C,Pirina P,Miravitlles M,Román A

    更新日期:2015-08-01 00:00:00

  • [Ambulatory diagnosis of patients requiring a pleural biopsy. Study of 100 consecutive cases].

    abstract::Our aim was to describe our experience with outpatients requiring pleural biopsy. The first 100 patients with pleural exudate from whom at least one pleural biopsy specimen was taken on an outpatient basis at our hospital since January 1993. Clinical and radiological signs were recorded for all patients. We also analy...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s0300-2896(15)30566-4

    authors: Villena V,López Encuentra A,de Pablo A,Echave-Sustaeta J,Alvarez Martínez C,Martín Escribano P

    更新日期:1997-09-01 00:00:00

  • [Management according to the Global Initiative for Asthma guidelines of patients with near-fatal asthma reduces morbidity and mortality].

    abstract:OBJECTIVE:To assess the effect of adequate outpatient care as defined by guidelines of the Global Initiative for Asthma (GINA) on the long-term outcome of near-fatal asthma. PATIENTS AND METHODS:Fifty-three patients who had experienced a near-fatal attack of asthma were treated according to the GINA guidelines and fol...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:

    authors: Rodríguez-Trigo G,Plaza V,Picado C,Sanchis J

    更新日期:2008-04-01 00:00:00

  • [Pulmonary and nonpulmonary alterations in Duchenne muscular dystrophy].

    abstract:OBJECTIVE:To describe our experience in managing patients with Duchenne muscular dystrophy. PATIENTS AND METHODS:We analyzed the following variables in a group of 27 patients with Duchenne muscular dystrophy: arterial blood gases, lung function before and after mechanical ventilation, oxygen saturation (measured by pu...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s1579-2129(07)60127-x

    authors: Güell MR,Avendano M,Fraser J,Goldstein R

    更新日期:2007-10-01 00:00:00

  • [A morphometric model of hypersensitivity pneumonitis in the aging rat].

    abstract::Our objective was to develop an experimental model of hypersensitivity pneumonitis in the aging rat. The following hypothesis was proposed: hypersensitivity pneumonitis in the aging rat will be evident in alterations in cells harvested by bronchoalveolar lavage (BAL) and in an increase in alveolar interstitial tissue....

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s0300-2896(15)30911-x

    authors: Escolar JD,Alfaro E,Roche PA,Almajano C,Gallego B

    更新日期:1995-06-01 00:00:00

  • [The clinical view through the Archives: the clinical notes of 2009].

    abstract::The Clinical Notes published in 2009 serve as a resource to reflect on clinical aspects relevant to different clinical entities. Through this review an attempt is likewise made to bring the reader closer to the clinical reality of our environment. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/j.arbres.2010.10.001

    authors: Samolski D,Martín Robles I,Castillo Villegas D

    更新日期:2010-12-01 00:00:00

  • [Hemodynamic study: indications for right- and left-sided catheterization in the diagnosis and follow-up of pulmonary hypertension].

    abstract::Pulmonary artery hypertension (PAH) is a category of pulmonary hypertension consisting of mean pulmonary artery pressure greater than 25 mmHg at rest, with normal pulmonary capillary occlusion pressure (less than 15 mmHg) and pulmonary vascular resistance greater than 3 Wood units. The diagnosis of PAH is made through...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/S0300-2896(11)70054-0

    authors: Amaro Cendón A

    更新日期:2011-01-01 00:00:00

  • Myeloid-Derived Suppressor Cells: Possible Link Between Chronic Obstrucive Pulmonary Disease and Lung Cancer.

    abstract::Chronic obstructive pulmonary disease (COPD) and lung cancer (LC) are prevalent diseases and are a leading cause of morbidity and mortality worldwide. There is strong evidence to show that COPD is an independent risk factor for LC. Chronic inflammation plays a significant pathogenic role in COPD comorbidities, particu...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/j.arbres.2015.07.003

    authors: Scrimini S,Pons J,Sauleda J

    更新日期:2016-01-01 00:00:00

  • Ventilatory Support Use in Hospitalized Patients With Community-Acquired Pneumonia. Fifteen-year Trends in Spain (2001-2015).

    abstract:AIM:We examined fifteen years trends (2001-2015) in the use of non-invasive ventilation (NIV), invasive mechanical ventilation (IMV) or both (NIV+IMV) among patients hospitalized for community acquired pneumonia (CAP). We also analyzed trends overtime and the influence of patient factors in the in-hospital mortality (I...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2019.12.008

    authors: de Miguel-Díez J,Jiménez-García R,Hernández-Barrera V,Puente-Maestu L,Ji Z,de Miguel-Yanes JM,Méndez-Bailón M,López-de-Andrés A

    更新日期:2020-12-01 00:00:00

  • Respiratory and Peripheral Muscle Assessment in the Intensive Care Unit.

    abstract::Atrophy and weakness of the respiratory and peripheral muscles is a common problem in the intensive care unit (ICU). It is difficult to diagnose, particularly in the early stages of critical disease. Consequently, many cases are detected only in advanced stages, for example, when difficulties in mechanical ventilation...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/j.arbres.2018.09.002

    authors: Carámbula A,Visca A,D'Amico S,Angulo M

    更新日期:2019-05-01 00:00:00

  • [Video-assisted thoracoscopic surgery in the treatment of pneumothorax: 107 consecutive procedures].

    abstract::The aim of this prospective study was to evaluate video-assisted thoracoscopic surgery (VATS) in primary and secondary spontaneous pneumothoraces. Over a 37-month period, 107 videothoracoscopic interventions were performed to treat spontaneous pneumothorax in 105 patients, 78 men and 27 women, whose average age was 28...

    journal_title:Archivos de bronconeumologia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0300-2896(03)75391-5

    authors: Galbis Caravajal JM,Mafé Madueño JJ,Benlloch Carrión S,Baschwitz Gómez B,Rodríguez Paniagua JM

    更新日期:2003-07-01 00:00:00

  • Reliability of an analysis method for measuring diaphragm excursion by means of direct visualization with videofluoroscopy.

    abstract:OBJECTIVE:The purpose of this study was to verify the reproducibility between two different observers of an analysis method for diaphragmatic displacement measurements using direct visualization with videofluoroscopy. PATIENTS AND METHODS:29 mouth breathing children aged 5 to 12 years from both genders were analyzed. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2010.12.011

    authors: Yi LC,Nascimento OA,Jardim JR

    更新日期:2011-06-01 00:00:00

  • [Archivos de Bronconeumología: among the 3 Spanish medical journals with the highest national impact factors].

    abstract:OBJECTIVE:Citation analysis elucidates patterns of information consumption within professional communities. The aim of this study was to analyze the citations of 87 Spanish medical journals by calculating their impact factors and immediacy indices for 2001, and to estimate the importance of Archivos de Bronconeumología...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)60376-5

    authors: Aleixandre Benavent R,Valderrama Zurián JC,Castellano Gómez M,Simó Meléndez R,Navarro Molina C

    更新日期:2004-12-01 00:00:00

  • [Analysis of respiratory muscle structure and tumor necrosis and insulin-like growth factor expression in chronic obstructive pulmonary disease: are samples valid if obtained during thoracotomy performed because of localized pulmonary neoplasia?].

    abstract:OBJECTIVE:Various methods have been used to obtain samples to study the structure of human respiratory muscles and the expression of diverse substances in them. Samples are most often obtained from autopsies, from muscle biopsies during thoracotomy performed because of a localized pulmonary lesion (TLL), and from ambul...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)70086-6

    authors: Casadevall C,Coronell C,Minguella J,Blanco L,Orozco-Levi M,Barreiro E,Broquetas J,Gea J

    更新日期:2004-05-01 00:00:00

  • [Effect of intravenous magnesium sulfate on chronic obstructive pulmonary disease exacerbations requiring hospitalization: a randomized placebo-controlled trial].

    abstract:OBJECTIVE:Magnesium sulfate has been shown to have a bronchodilating effect in asthma, but this effect has not been clearly established in the context of chronic obstructive pulmonary disease (COPD). For this reason we investigated the possible bronchodilating effect of magnesium sulfate in COPD exacerbations. PATIENT...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/s1579-2129(06)60551-x

    authors: Abreu González J,Hernández García C,Abreu González P,Martín García C,Jiménez A

    更新日期:2006-08-01 00:00:00

  • [Histopathological changes in sympathetic ganglia of patients treated surgically for palmar-axillary hyperhidrosis. A study of 55 biopsies].

    abstract:INTRODUCTION:Primary palmar hyperhidrosis (PPH) mainly affects the sympathetic ganglia. This study aims to analyze the histopathological changes in the sympathetic ganglia of patients with PPH. MATERIAL AND METHOD:We studied 55 tissue samples from 35 patients with PPH who underwent T2-T3 gangliectomy for definitive tr...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s0300-2896(03)75337-x

    authors: Moya J,Ramos R,Prat J,Morera R,Bernat R,Villalonga R,Ferrer G

    更新日期:2003-03-01 00:00:00

  • Results of a Diagnostic Procedure Based on Multiplex Technology on Dried Blood Spots and Buccal Swabs for Subjects With Suspected Alpha1 Antitrypsin Deficiency.

    abstract:INTRODUCTION:The objective of this analysis was the evaluation of a new national circuit used for diagnosing alpha1 antitrypsin deficiency (AATD) based on multiplex technology using online registration and mail posted samples from dried blood spots (DBS) and buccal swabs. METHODS:This is an observational, ongoing stud...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2020.04.014

    authors: Lopez-Campos JL,Casas-Maldonado F,Torres-Duran M,Medina-Gonzálvez A,Rodriguez-Fidalgo ML,Carrascosa I,Calle M,Osaba L,Rapun N,Drobnic E,Miravitlles M

    更新日期:2021-01-01 00:00:00

  • [A comparison of lymphocyte populations of the blood and bronchoalveolar lavage in AIDS patients].

    abstract::Changes in cell immunity made manifest by decreases in blood levels of CD4 T cells is the main indicator of progressing HIV infection. The decrease in these lymphocytes, as well as in the CD4/CD8 index and increases in suppressant or cytotoxic CD8 cells can be detected in bronchoalveolar (BAL) lung samples. It is not ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s0300-2896(15)30751-1

    authors: Fernández E,León P,Blanquer R,Marín M,Artero A,Pinilla A

    更新日期:1996-06-01 00:00:00

  • Spanish Compliance With Guidelines for Prescribing Four Drugs in the Intensive Phase of Standard Tuberculosis Treatment.

    abstract:INTRODUCTION:International and Spanish guidelines recommend a 4-drug regimen in the intensive treatment of tuberculosis (TB). The aim of our study was to determine if these recommendations are followed in Spain, and the factors associated with the use of 3 drugs (standard regimen without ethambutol). METHODOLOGY:Obser...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.arbres.2015.11.007

    authors: García-García JM,Rodrigo T,Casals M,Ruiz-Manzano J,Pascual-Pascual T,Caylà JA,Grupo de Trabajo del Programa Integrado de Investigación en Tuberculosis (PIITB).

    更新日期:2016-05-01 00:00:00

  • [Clinicopathological features of solitary fibrous tumors of the pleura: a case series and literature review].

    abstract::We assessed the clinicopathological features of solitary fibrous tumors of the pleura in a case series comprising 30 patients (20 women, 66.6%) with a mean age of 58.39 years. Forty-five percent of the cases were asymptomatic. In 70% of the cases the tumors arose in the visceral pleura. Twenty percent presented multip...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/s1579-2129(06)60124-9

    authors: Sánchez-Mora N,Cebollero-Presmanes M,Monroy V,Carretero-Albiñana L,Herranz-Aladro M,Alvarez-Fernández E

    更新日期:2006-02-01 00:00:00