MANTENIMIENTO DE LOS EFECTOS PRODUCIDOS POR LA REHABILITACIÓN PULMONAR EN PACIENTES CON EPOC: UNA REVISIÓN SISTEMÁTICA DE LITERATURA
DOI:
https://doi.org/10.15359/mhs.12-1.2Palabras clave:
Ejercicio respiratorios, Efectos largo plazo, Tolerancia al ejercicio, Calidad de vidaResumen
Chronic Obstructive Pulmonary Disease (COPD) is preventable and treatable, yet it is the fourth condition with most causes of global death. Considering different management of this disease, the objective of this article is identify, through a literature review, right rehabilitation patterns with specific indications to treat the diseases with maximum efficiency and durability over time. To do that, were done an online consult of databases in PudMed, Med and EMBASE, between december 2010 to December 2014. Inclusion criteria for articles were: benefits of a short or long-term rehabilitation, pulmonary scam COPD Diagnosis, through physical exams; other chronic lung conditions were excluded. We conclude that independence of respiratory rehabilitation provided, the patient needed a change in the lifestyle for maintenance of the effects.
La Enfermedad Pulmonar Obstructiva Crónica (EPOC) es un padecimiento prevenible y tratable, sin embargo, se ubica como la cuarta patología con más causas de muerte en el mundo. Considerando los diferentes manejos de esta enfermedad, el objetivo del presente artículo es identificar, a través de una revisión sistemática de literatura, patrones rehabilitadores correctos, con indicaciones concretas que ayuden a tratar esta patología con la máxima eficiencia y perdurabilidad en el tiempo. Para ello se consultan las bases de datos PudMed, Med Line y Embase entre los meses de diciembre de 2010 a diciembre de 2014. Los criterios de inclusión de artículos fueron todas las publicaciones randomizadas que mencionaran beneficios a corto o largo plazo de la rehabilitación pulmonar en una población con un diagnóstico de EPOC, determinada mediante exámenes físicos o por los actuales criterios de diagnóstico; se excluyeron otras condiciones pulmonares crónicas. Se concluye que, independientemente de la rehabilitación respiratoria brindada, se necesita un cambio en el estilo de vida del paciente para el mantenimiento de los efectos.
Referencias
Barakat S, Michele G, George P, Nicole V, Guy A (2008). Outpatient pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary, 3(1),155-62.
Behnke M,Jörres RA, Kirsten D, Magnussen H. Monaldi (2003). . Clinical benefits of a combined hospital and home-based exercise programme over 18 moths in patients with severe COPD. Archives of Chest Disease, 59(1),44-51.
Boxall AM, Barclay L, Sayers A, Caplan GA (2005) Managing chronic obstructive pulmonary disease in the community. A randomized controlled trial of home-based pulmonary rehabilitation for elderly housebound patients. Journal of Cardiopulm Rehabil, 25(6),378-85.
Brotons B, Pérez JA, Sánchez-Toril F, Soriano S, Hernández J, Belenguer JL (1994). Prevalencia de la enfermedad pulmonar obstructiva crónica y del asma. Estudio transversal. Archivos de Bronconeumología,30, 149-152 http://dx.doi.org/10.1016/S0300-2896(15)31109-1
California Pulmonary Rehabilitation Collaborative Group (2004). Effects of pulmonary rehabilitation on dyspnea, quality of life, and healthcare costs in California. Journal of Cardiopulm Rehabil,24(1),52-62..
Cambach W, Wagenaar RC, Koelman TW, van Keimpema AR, Kemper HC (1999). The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: a research synthesis. Archives of Physical Medicine and Rehabilitation, 80,103–111. http://dx.doi.org/10.1016/S0003-9993(99)90316-7
Casaburi R, Kukafka D, Cooper CB, Witek TJ Jr y Kesten S (2005).. Improvement in exercise tolerance with the combination of tiotropium and pulmonary rehabilitation in patients with COPD. Chest Journal, Mar,127(3),809-817. http://dx.doi.org/10.1378/chest.127.3.809
Criner GJ,Cordova FC, Furukawa S,KuzmaAM, Travaline JM, Leyenson V y O’Brien GM (1999). Prospective randomized trial comparing bilateral lung volume reduction surgery to pulmonary rehabilitation in severe. American Journal of Respiratory and Critical Care Medicine,160(6),2018-2027.
Engström CP, Persson LO, Larsson S, Sullivan M y Scand (1999) Long-term effects of a pulmonary rehabilitation programme in outpatients with chronic obstructive pulmonary disease: a randomized controlled study. Journal of Rehabil Medicine, 31(4),207-13. http://www.cebp.nl/media/m554.pdf
Finnerty JP, Keeping I, Bullough I, Jones J..(2001).The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease: a randomized controlled trial. Chest Journal, 119 (6),1705-10.
Foglio K, Bianchi L, Bruletti G, Battista L, Pagani M, Ambrosino N (1999). Long-term effectiveness of pulmonary rehabilitation in patients with chronic airway obstruction. European Respiratory Journal, 13,125–132. http://dx.doi.org/10.1183/09031936.99.13112599
Fuchs-Climent D, Le Gallais D, Varray A, Desplan J, Cadopi M y Prefaut C (1999). Quality of life and exercise tolerance in chronic obstructive pulmonary disease: effects of a short and intensive inpatient rehabilitation program. American Journal of Physical Medicine & Rehabilitation.78:330–335. http://dx.doi.org/10.1097/00002060-199907000-00007
Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2006). Estrategia Global para Diagnóstico, tratamiento y prevención de la enfermedad pulmonar obstructiva crónica, S.d: Medical Communications Resources, Inc.
Gold J y Shadlen M (2007). The neural basis of decision making. Annual Review of Neuroscience, 30,535-574. http://dx.doi.org/10.1146/annurev.neuro.29.051605.113038
Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH (1994). Randomised controlled trial of respiratory rehabilitation. The Lancet Journal, 344,1394–1397. http://dx.doi.org/10.1016/S0140-6736(94)90568-1
Green RH, Singh SJ, Williams J,Morgan MD (2001). A randomised controlled trial of four weeks versus seven weeks of pulmonary rehabilitation in chronic obstructive pulmonary disease. Thorax Journal, 56,143–145. http://dx.doi.org/10.1136/thorax.56.2.143
Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K…y Tunbridge J (2000).Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. The Lancet Journal, 355(9201),362-368.
Guell R, Casan P, Belda J, Sangenis M, Morante F, Guyatt GH, Sanchis J (2000). Long-term effects of outpatient rehabilitation of COPD: a randomized trial. Chest Journal,117,976–983. http://dx.doi.org/10.1378/chest.117.4.976
Güell R, Resqueti V, Sangenis M, Morante F, Martorell B, Casan P y Guyatt GH. (2006) Impact of pulmonary rehabilitation on psychosocial morbidity in patients with severe COPD. Chest Journal,129(4),899-904
Heppner PS, Morgan C, Kaplan RM, Ries AL (2006). Regular walking and long-term maintenance of outcomes after pulmonary rehabilitation. Journal of Cardiopulm Rehabil. 26 (1),44-53. http://dx.doi.org/10.1097/00008483-200601000-00010
Karapolat H, Atasever A, Atamaz F, Kirazli Y, Elmas F, Erdinç E. Lung. (2007) Do the benefits gained using a short-term pulmonary rehabilitation program remain in COPD patients after participation. Lung Journal, 185 (4),221-5. http://www.ncbi.nlm.nih.gov/pubmed/17487535
Lacasse Y, Brosseau L, Milne S, Martin S, Wong E, Guyatt GH y Goldstein RS (2002). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database and Systematic Rev, 3:CD003793. http://www.ncbi.nlm.nih.gov/pubmed/17054186
Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J… y ATS/ERS Pulmonary Rehabilitation Writing Committee (2006). American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine,173,1390-1413
Peña VS, Miravitlles M, Gabriel R, Jiménez-Ruiz CA, Villasante C, Masa JF (2000) Geographic Variations in Prevalence and Underdiagnosis of COPD. Results of the IBERPOC Multicentre Epidemiological Study. Chest Journal,118 (4), 981–989. http://dx.doi.org/10.1378/chest.118.4.981
Pitta F, Troosters T, Probst VS, Langer D, Decramer M, Gosselink R (2008) Are patients with COPD more active alter pulmonary rehabilitation. Chest Journal,134(2),273-80.http:// doi: 10.1378/chest.07-2655
Plankeel JF, McMullen B y MacIntyre NR (2005). Exercise outcomes after pulmonary rehabilitation depend on the initial mechanisms of exercise limitation among non-oxygen-dependent COPD patients. Chest Journal, 127:110–116. http://dx.doi.org/10.1378/chest.127.1.110
Pride NB. (1990 ). Chronic obstructive pulmonary disease. Epidemiology, etiology and natural history. Respiratory Medicine (Sd.). London : Baillière Tindall.
Puente-Maestu L, SantaCruz A, Vargas T, Martínez-Abad Y y • Whipp B.J (2003). Effects of Training on the Tolerance to High-Intensity Exercise in Patients with Severe COPD. Respiration,70(4),367–370. http://dx.doi.org/10.1159/000072899
Puhan MA, Scharplatz M, Troosters T, Steurer J. (2005) Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmision and mortality: a systematic review. Respiratory Research.,6,54. http://dx.doi.org/10.1186/1465-9921-6-54
Regiane Resqueti V, Gorostiza A, Gáldiz JB, López de Santa María E, Casan Clará P, Güell Rous R (2007). Benefits of a home-based pulmonary rehabilitation program for patients with severe chronic obstructive pulmonary disease. Archivos de Bronconeumología,43(11):599-604.
Ries AL, Kaplan RM, Limberg TM, Prewitt LM (1995). Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Annals of Internal Medicine: Journal, 122,823–832. http://dx.doi.org/10.7326/0003-4819-122-11-199506010-00003
Ries AL, Kaplan RM, Myers R, Prewitt LM (2003); Maintenance alter pulmonary rehabilitation in chronic lung disease. Lung Journal, 181(2),67-78. http://dx.doi.org/10.1007/s00408-003-1007-0
Ries L; Bauldoff S, Carlin W; Casaburi R;. Emery C ; Mahler D… Herrerias C. (2007). Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based guidelines. Chest Journal, 112(5), 1363-1396. doi:10.1378/chest.06-2418 / http://www.ncbi.nlm.nih.gov/pubmed/17494825
Ringbaek TJ, Broendum E, Hemmingsen L, Lybeck K, Nielsen D,Andersen C y Lange P (2000) Rehabilitation of patients with chronic obstructive pulmonary disease: exercise twice a week is not sufficient! Respiratory Medicine, 94,150–154. http://dx.doi.org/10.1053/rmed.1999.0704
Rossi G, Florini F, Romagnoli M, Bellatone T, Lucic S, Lugli D, Clini E. (2005) Length and clinical effectiveness of pulmonary rehabilitation in outpatients with chronic airway obstruction. Chest Journal,127,105–109. http://dx.doi.org/10.1378/chest.127.1.105
Salman GF, Mosier MC, Beasley BW y Calkins DR (2003). Rehabilitation for patients with chronic obstructive pulmonary disease. Journal of General Internal Medicine,18,213–221. http://dx.doi.org/10.1046/j.1525-1497.2003.20221.x
Sobradillo V, Miravitlles M, Jiménez CA, Gabriel R, Viejo JL, Masa JF, Fernández-Fau L y Villasant C (1999). Estudio IBERPOC en España: prevalencia de síntomas respiratorios habituales y de limitación crónica al flujo aéreo. Archivos de Bronconeumología, 35,159-166. http://dx.doi.org/10.1016/S0300-2896(15)30272-6
Sociedad Española de Neumología y Cirugía Toráxica y Asociación Latinoamericana de Tórax (SEPAR y ALLAT-ULASTER). (2009) Guía de práctica clínica de diagnóstico y tratamiento de la EPOC.
Spencer LM, Alison JA, McKeough ZJ (2010) Maintaining benefits following pulmonary rehabilitation..European Respiratory Journal, 35(3),571-7. http:// doi: 10.1183/09031936.00073609
Strijbos JH, Postma DS, van Altena R, Gimeno F, Koeter GH (1996). 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 moths. Chest Journal, 109,366-372. http://dx.doi.org/10.1378/chest.109.2.366
Toshima MT, Kaplan RM, Ries AL (1990) Experimental evaluation of rehabilitation in chronic obstructive pulmonary disease: short-term effects on exercise endurance and health status. . Health Psychol, 9(3),237-52. http://dx.doi.org/10.1037/0278-6133.9.3.237
Troosters T, Gosselink R, Decramer M (2000) Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. The American Journal of Medicine, 109,207–212. http://dx.doi.org/10.1016/S0002-9343(00)00472-1
Vogiatzis I, Nanas S y Roussos C (2000) Interval training as an alternative modality to continuous exercise in patients with COPD. European Respiratory Journal, 20,12–19. http://dx.doi.org/10.1183/09031936.02.01152001
Wedzicha JA, Bestall JC, Garrod R, Garnham R, Paul EA, Jones PW (1998). Randomized controlled trial of pulmonary rehabilitation in severe chronic obstructive pulmonary disease patients, stratified with the MRC dyspnoea scale. European Respiratory Journal, 12,363–369. http://dx.doi.org/10.1183/09031936.98.12020363
Wijkstra PJ, Ten Vergert EM, van Altena R, Otten V, Kraan J, Postma DS y Koëter GH (1995). Long term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease. Thorax Journal, 50(8),824-8.
World Health Organization. (2008). Global Burden of Disease: 2004 update. Sd: WHO. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf
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