The Science Journal of the American Association for Respiratory Care

2008 OPEN FORUM Abstracts

A FIVE YEAR RETROSPECTIVE QUALITY OF LIFE ANALYSIS OF PATIENTS WITH INTERSTITIAL LUNG DISEASE ATTENDING A COMPREHENSIVE PULMONARY REHABILITATION PROGRAM, 2003-2007.

Susan Farrell1, James Lamberti1, Michael Sheridan1, Shane Blake1, Gerilynn A. Connors1



Background: The impact of pulmonary rehabilitation (PR) on the quality of life for patients with Interstitial Lung Disease (ILD) is very limited in the medical literature. The number of patients referred to PR with restrictive lung disease continues to increase. We hypothesize that quality of life within this subset of patients with Interstitial Lung Disease would improve post pulmonary rehabilitation.

Methods: A five year retrospective analysis of the pre- and post Hospital Anxiety and Depression Scales (HADS), St. George Respiratory Questionnaire (SGRQ), and knowledge test were done on patients in the INOVA Fairfax Hospital comprehensive PR program with a diagnosis of Interstitial Lung Disease.

Results: A total of 52 patients from 2003-2007 were referred to PR. 58% male and 42% female, average age of 64 years. The majority of the Interstitial Lung Disease patients had IPF 83%, PIPF 10%, NSIP 6 %, LIP 1 %, and Sarcoidosis 1%. 13% of these patients were transplanted during the program, 6% were discharge from the program due to medical issues and 19% did not complete the program, with no post PR data. 12% of these patients post PR were transplanted. As of 5-08, 10% of these patients were deceased. HAD Anxiety score average was pre 5.05 and post 3.80, a highly statistical pre-post difference of HAD A: p=0.0007. HAD Depression score pre 4.49 and post 4.0. The knowledge test average scores were 50% pre and 86% post. A highly statistical pre-post differences for Knowledge: p<0.0001. The SGRQ average score for symptoms pre 50.099 and post 47.608, activity pre 65.707 and post 60.898, impacts pre 30.960 and post 26.169 and total score pre 44.818 and post 40.281. The function level of these patients based on a 6 minute walk test average was pre 375 meters and post 446 meters. A highly statistical pre-post differences for 6MWT: p<0.0001.

Conclusion: Quality of life improvement from a comprehensive PR program in patients with pulmonary fibrosis resulted in improved knowledge, anxiety and function level. It is imperative that patients with a diagnosis of Interstitial Lung Disease be referred to pulmonary rehabilitation to improve their quality of life.