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- W3213598977 abstract "<h3>Background</h3> The COVID-19 pandemic led to the suspension of Pulmonary Rehabilitation (PR) across the United Kingdom (UK). Services had to rapidly redesign to deliver rehabilitation within new limitations. As per many PR services the Adult Cardiorespiratory Enhanced and Responsive (ACERS) switched to deliver PR virtually, adapting the face to face programme to a virtual model. Patient outcomes were then analysed to see if they were clinically significant, achieving the minimal clinical important difference (MCID) and could offer a comparable alternative to face to face PR. <h3>Method</h3> Following a comprehensive remote subjective assessment, patients attended a face to face objective assessment completing two incremental shuttle walk tests, the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT), COPD Patient Reported Experience Measure 9 (COPD PREM 9), and the Hospital Anxiety and Depression Scale (HADS). The virtual PR (VPR) programme ran twice weekly for six weeks, with a cohort of six patients and delivered was by a Physiotherapist and Rehabilitation Assistant over Microsoft Teams. The one and half hour programme contained cardiovascular, upper and lower limb strengthening exercises, modified from the face to face programme followed by an education session. Outcomes were then analysed to see they were clinically significant. <h3>Results</h3> In total 53 patients started VPR during 2020/21, 62.26% (n=33) female, mean age 60, 62.3% (n=33) COPD, 30.2% (n=16) were current smokers, with a mean Medical Research Council (MRC) breathlessness grade 3) (table 1). Of those assessed 48.15% (n=26) completed, of those who started (n=36) 72.22% completed. Only the HADS anxiety domain demonstrated a clinically significant improvement in mean score post VPR (table 1). The COPD PREM 9 does not have an MCID, however completion of VPR lead to a mean improvement in score of 2.35. <h3>Conclusion</h3> Completion of an inner City London VPR programme did improve levels of anxiety and improved patient experience of living with disease, clinically significant improvements in exercise tolerance or symptom burden were not demonstrated. VPR provided a solution for delivering PR during the pandemic, however greater comparison against traditional face to face PR models is required to ensure it delivers the same healthcare and patient outcomes." @default.
- W3213598977 created "2021-11-22" @default.
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- W3213598977 date "2021-11-01" @default.
- W3213598977 modified "2023-09-26" @default.
- W3213598977 title "P66 Does an inner city London virtual pulmonary rehabilitation programme produce clinically significant improvements in patient outcomes?" @default.
- W3213598977 doi "https://doi.org/10.1136/thorax-2021-btsabstracts.176" @default.
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