The effects of reducing the frequency of long-term physiotherapy on patients with severe COPD: a Dutch multicenter study

IF 1.5 Q3 REHABILITATION European Journal of Physiotherapy Pub Date : 2022-06-12 DOI:10.1080/21679169.2022.2053201
Don Postel, M. Willekens, Saskia Werner, N. Hutting, Martin D M Keesenberg
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Abstract

Abstract Purpose To investigate if a reduction in the frequency of long term physiotherapy leads to an increase of exacerbations, prescriptions of medication and hospital admissions in patients with chronic obstructive pulmonary disease (COPD). Intervention 296 adults with severe COPD (GOLD III & IV) followed a weekly physiotherapy program with a focus on endurance capacity, muscle function and education. In this study, participants were divided into two groups: a High-Frequency Group (HFG) and a Low Frequency Group (LFG). Results The HFG had consistent lower rates of exacerbations (LFG x̄ 4.14; HFG x̄ 2.71), prescriptions antibiotics LFG x̄ 28.63; HFG x̄ 12.64), number of hospital admissions (LFG x̄ 1.22; HFG x̄ 0.36) and days in hospital (LFG x̄ 8.85; HFG x̄ 1.36) compared to LFG. Differences between both groups (Independent samples T-test, p < 0.05) were significant for exacerbations (p = 0.001), antibiotic prescriptions (p = 0.009), hospital admissions (p = 0.000) and days in hospital (p = 0.000). Conclusion Reducing the frequency of long-term physiotherapy leads to significantly higher rates of exacerbations, medication use, hospital admissions and days in hospital in patients with severe COPD.
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减少长期物理治疗频率对严重COPD患者的影响:一项荷兰多中心研究
摘要目的探讨长期物理治疗频率的降低是否会导致慢性阻塞性肺病(COPD)患者病情恶化、药物处方和住院人数的增加。干预296名患有严重COPD的成年人(GOLD III和IV)遵循每周理疗计划,重点关注耐力、肌肉功能和教育。在这项研究中,参与者被分为两组:高频组(HFG)和低频组(LFG)。结果HFG的急性加重率持续较低(LFG x̄4.14;HFG x \771 2.71),处方抗生素LFG x x \772 28.63;HFG x̄12.64)、住院人数(LFG x \7781.22;HFG x x \7720.36)和住院天数(LFG×8.85;HFG×1.36)。两组之间的差异(独立样本T检验,p < 0.05)对急性加重有显著意义(p = 0.001),抗生素处方(p = 0.009),住院人数(p = 0.000)和住院天数(p = 0.000)。结论减少长期物理治疗的频率可显著提高严重COPD患者的病情恶化率、药物使用率、住院率和住院天数。
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