The impact of long-term conditions on pulmonary rehabilitation outcomes

Résumé fourni par la source

Background: Individuals attending pulmonary rehabilitation (PR) often live with >1 long-term condition (LTC) which can magnify symptom burden. Aim: To determine whether the amount of LTC affects exercise tolerance, quality of life, and symptom scores before and after PR. Methods: Outcomes from PR service data at Glenfield hospital, Leicester (Jan-Nov 2024) assessed immediately pre- and post-PR included incremental shuttle walk test (ISWT), quality of life (EQ-5D), and symptoms of breathlessness (MRC dyspnoea), depression (PHQ-9), and anxiety (GAD7). Participants were categorised based on number of LTC. Results: 380 adults (67.1±10.8 years; 51.5% female) were categorised as having 1 (n=28), 2 (n=62), 3 (n=91), 4 (n=76), or 5+ (n=123) LTC. No differences were observed across groups for age (p=0.488), sex (p=0.059), ethnicity (p=0.288), FEV1 (p=0.927), or EQ-5D (p=0.325), but were observed for baseline ISWT distance (Fig 1.), MRC dyspnoea, PHQ-9, and GAD-7 (all p<0.001). Those with greater LTC counts had reduced ISWT and greater symptom scores. Differences in baseline questionnaire scores were attributable to significant differences between those with 2 and 4, and 2 and 5+ LTC. Changes in these outcomes following PR did not statistically differ across LTC groups. Conclusion: Whilst those with more LTC showed reduced exercise tolerance and worse symptoms at baseline, the magnitude of improvements following PR were similar across LTC groups. erj;66/suppl_69/PA1997/F1 F1 F1

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