Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is one of the major chronic airway diseases, with the highest prevalence among individuals over 60 years old, significantly impacting the health of elderly patients. Both domestic and international COPD prevention and treatment guidelines recommend pulmon...
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Editorial Office of Rehabilitation Medicine
2024-01-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails?columnId=67307146&Fpath=home&index=0 |
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| author | CHEN Xin JIA Jie DING Yipeng YE Xujun DONG Anqin HE Jing LIAO Weijing ZHENG Jieqiao YU Binbin CHEN Zuobing FANG Yuan YAO Liqing ZHU Yiping FU Jianghong WANG Siyuan ZHANG Yangxian |
| author_facet | CHEN Xin JIA Jie DING Yipeng YE Xujun DONG Anqin HE Jing LIAO Weijing ZHENG Jieqiao YU Binbin CHEN Zuobing FANG Yuan YAO Liqing ZHU Yiping FU Jianghong WANG Siyuan ZHANG Yangxian |
| author_sort | CHEN Xin |
| collection | DOAJ |
| description | Chronic obstructive pulmonary disease (COPD) is one of the major chronic airway diseases, with the highest prevalence among individuals over 60 years old, significantly impacting the health of elderly patients. Both domestic and international COPD prevention and treatment guidelines recommend pulmonary rehabilitation as a complementary and effective adjunct to pharmacological treatment. Pulmonary rehabilitation can significantly improve patients' respiratory function and physical fitness, alleviate symptoms, and reduce hospitalization and mortality rates. However, the specific contents of pulmonary rehabilitation for elderly COPD patients differ depending on the stage of the disease. This expert consensus elaborates on the assessment and treatment contents of pulmonary rehabilitation for elderly COPD patients in the acute exacerbation period, acute exacerbation remission period, and outpatient stable period, aiming to provide guidance for pulmonary rehabilitation treatment at different stages of the disease. This consensus identifies common functional impairments in elderly COPD patients, including respiratory dysfunction, exercise tolerance impairment, psychological issues, swallowing dysfunction and cognitive impairment. It recommends a comprehensive assessment of elderly COPD patients' multifaceted impairments based on the International Classification of Functioning, Disability, and Health (ICF) framework, covering four aspects：body structure, body function (respiratory function, cardiac function, exercise function, psychological and cognitive function, swallowing function, and nutritional factors), activity and participation, and environmental factors. Pulmonary rehabilitation is suitable for all patients exhibiting relevant symptoms and/or those at high risk of acute exacerbations (high-level evidence). As the disease progresses, the rehabilitation team, treatment plan, and treatment location should be adjusted in a timely manner, forming a continuous rehabilitation cycle. Smoking cessation is a crucial intervention to slow down the decline in lung function and the progression of COPD (high-level evidence). Through adequate nutritional support, elderly COPD patients can improve their nutritional status, enhance physical strength and quality of life, better manage the disease, and promote rehabilitation (low to moderate-level evidence). Oxygen therapy is recommended for patients with advanced COPD who remain hypoxemic at rest (low to moderate-level evidence). Some emerging rehabilitation treatments (such as neuromuscular electrical stimulation, acupuncture, and certain traditional Chinese medicines) may have some value for elderly COPD patients (low to moderate-level evidence. This expert consensus divides rehabilitation treatment into three stages：Phase I Pulmonary Rehabilitation, Phase II Pulmonary Rehabilitation, and Phase III Pulmonary Rehabilitation, based on the different stages of elderly COPD patients. It further details the target population, implementation location, rehabilitation content, assessment content, participating disciplines, and rehabilitation goals for each stage, emphasizing the need for clinical respiratory specialists, primary care physicians, rehabilitation physicians/therapists, nurses, nutritionists, psychologists, and social workers to actively coordinate and collaborate throughout the full-cycle rehabilitation process for elderly COPD patients. |
| format | Article |
| id | doaj-art-9b3f2e1659924a5db2f5931c72ed4891 |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-9b3f2e1659924a5db2f5931c72ed48912025-01-14T10:08:58ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-01-0111267307146Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary DiseaseCHEN XinJIA JieDING YipengYE XujunDONG AnqinHE JingLIAO WeijingZHENG JieqiaoYU BinbinCHEN ZuobingFANG YuanYAO LiqingZHU YipingFU JianghongWANG SiyuanZHANG YangxianChronic obstructive pulmonary disease (COPD) is one of the major chronic airway diseases, with the highest prevalence among individuals over 60 years old, significantly impacting the health of elderly patients. Both domestic and international COPD prevention and treatment guidelines recommend pulmonary rehabilitation as a complementary and effective adjunct to pharmacological treatment. Pulmonary rehabilitation can significantly improve patients' respiratory function and physical fitness, alleviate symptoms, and reduce hospitalization and mortality rates. However, the specific contents of pulmonary rehabilitation for elderly COPD patients differ depending on the stage of the disease. This expert consensus elaborates on the assessment and treatment contents of pulmonary rehabilitation for elderly COPD patients in the acute exacerbation period, acute exacerbation remission period, and outpatient stable period, aiming to provide guidance for pulmonary rehabilitation treatment at different stages of the disease. This consensus identifies common functional impairments in elderly COPD patients, including respiratory dysfunction, exercise tolerance impairment, psychological issues, swallowing dysfunction and cognitive impairment. It recommends a comprehensive assessment of elderly COPD patients' multifaceted impairments based on the International Classification of Functioning, Disability, and Health (ICF) framework, covering four aspects：body structure, body function (respiratory function, cardiac function, exercise function, psychological and cognitive function, swallowing function, and nutritional factors), activity and participation, and environmental factors. Pulmonary rehabilitation is suitable for all patients exhibiting relevant symptoms and/or those at high risk of acute exacerbations (high-level evidence). As the disease progresses, the rehabilitation team, treatment plan, and treatment location should be adjusted in a timely manner, forming a continuous rehabilitation cycle. Smoking cessation is a crucial intervention to slow down the decline in lung function and the progression of COPD (high-level evidence). Through adequate nutritional support, elderly COPD patients can improve their nutritional status, enhance physical strength and quality of life, better manage the disease, and promote rehabilitation (low to moderate-level evidence). Oxygen therapy is recommended for patients with advanced COPD who remain hypoxemic at rest (low to moderate-level evidence). Some emerging rehabilitation treatments (such as neuromuscular electrical stimulation, acupuncture, and certain traditional Chinese medicines) may have some value for elderly COPD patients (low to moderate-level evidence. This expert consensus divides rehabilitation treatment into three stages：Phase I Pulmonary Rehabilitation, Phase II Pulmonary Rehabilitation, and Phase III Pulmonary Rehabilitation, based on the different stages of elderly COPD patients. It further details the target population, implementation location, rehabilitation content, assessment content, participating disciplines, and rehabilitation goals for each stage, emphasizing the need for clinical respiratory specialists, primary care physicians, rehabilitation physicians/therapists, nurses, nutritionists, psychologists, and social workers to actively coordinate and collaborate throughout the full-cycle rehabilitation process for elderly COPD patients.http://kfxb.publish.founderss.cn/thesisDetails?columnId=67307146&Fpath=home&index=0chronic obstructive pulmonary diseasepulmonary rehabilitationfull-cycle rehabilitationelderlyInternational Classification of Functioning, Disability and Health |
| spellingShingle | CHEN Xin JIA Jie DING Yipeng YE Xujun DONG Anqin HE Jing LIAO Weijing ZHENG Jieqiao YU Binbin CHEN Zuobing FANG Yuan YAO Liqing ZHU Yiping FU Jianghong WANG Siyuan ZHANG Yangxian Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease 康复学报 chronic obstructive pulmonary disease pulmonary rehabilitation full-cycle rehabilitation elderly International Classification of Functioning, Disability and Health |
| title | Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease |
| title_full | Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease |
| title_fullStr | Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease |
| title_full_unstemmed | Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease |
| title_short | Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease |
| title_sort | respiratory and rehabilitation expert consensus on full cycle rehabilitation assessment and treatment for elderly patients with chronic obstructive pulmonary disease |
| topic | chronic obstructive pulmonary disease pulmonary rehabilitation full-cycle rehabilitation elderly International Classification of Functioning, Disability and Health |
| url | http://kfxb.publish.founderss.cn/thesisDetails?columnId=67307146&Fpath=home&index=0 |
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