作者
François Maltais, Jean Bourbeau, Stan Shapiro, Yves Lacasse, Hélene Perrault, Marc Baltzan, Paul Hernandez, Michel Rouleau, Marcel Julien, Simon Parenteau, Bruno Paradis, Robert D Levy, Pat Camp, Richard Lecours, Richard Audet, Brian Hutton, John R Penrod, Danielle Picard, Sarah Bernard
发表日期
2008/12/16
期刊
Annals of internal medicine
卷号
149
期号
12
页码范围
869-878
出版商
American College of Physicians
简介
Background
Home-based rehabilitation is a promising approach to improve access to pulmonary rehabilitation.
Objective
To assess whether self-monitored, home-based rehabilitation is as effective as outpatient, hospital-based rehabilitation in patients with chronic obstructive pulmonary disease (COPD).
Design
Randomized, multicenter, noninferiority trial.
Setting
10 academic and community medical centers in Canada.
Patients
252 patients with moderate to severe COPD.
Intervention
After a 4-week education program, patients took part in home-based rehabilitation or outpatient, hospital-based rehabilitation for 8 weeks. They were followed for 40 weeks to complete the 1-year study.
Measurements
The primary …
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F Maltais, J Bourbeau, S Shapiro, Y Lacasse… - Annals of internal medicine, 2008