Document Detail

Effect of complex sanatorium treatment on some dyspnea indices in patients with chronic obstructive pulmonary disease.
MedLine Citation:
PMID:  10534915     Owner:  NLM     Status:  MEDLINE    
The complex treatment of patients with chronic obstructive pulmonary disease (COPD) administered in a sanatorium environment is an effective therapeutic option for this condition as it involves conduction of a combination of climatic, therapeutic and rehabilitation procedures for a longer period of time. We studied the effect of this therapeutic modality on the dyspnea indices of COPD patients and the implication these indices have for the outcome of the treatment. The study was performed in the sanatorium of the State Hospital for Lung Diseases in Raduntzi, Bulgaria. It included 75 patients (65 men, 11 women) with different forms of stable COPD (mean age, 56.8 +/- 1.0 years, mean +/- SEM, FEV1% predicted--37.3 +/- 1.6%, mean duration of sanatorium stay 14 +/- 0.4 days). During the stay the patients received anti-obstructive and anti-inflammatory therapy based on the clinical discretion of the attending physician. All patients attended a rehabilitation programme according to their conditions; oxygen therapy was used in three patients. Of the 75 patients, 50 (66.7%) showed improvement at discharge, 21 (28%) had no improvement, and 4 (5.3%) were discharged in deteriorated condition. The complex treatment resulted in a minimal but statistically significant improvement of the basic spirographic and dyspnea parameters. This improvement depended not so much on the type of therapy administered as on the initial dyspnea and blood gas parameters. The body mass index (BMI) can also be used as a prognostic indicator especially if it is lower than 20 kg/m2. The lower this index is the lower the basic functional parameters are--in spite of using all available treatments, our patients with low body mass index rarely showed any noticeable improvement.
R Sandeva; S Kostianev; G Gardev; A Christova; D Illuchev
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Folia medica     Volume:  41     ISSN:  0204-8043     ISO Abbreviation:  Folia Med (Plovdiv)     Publication Date:  1999  
Date Detail:
Created Date:  1999-11-10     Completed Date:  1999-11-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984761R     Medline TA:  Folia Med (Plovdiv)     Country:  BULGARIA    
Other Details:
Languages:  eng     Pagination:  57-62     Citation Subset:  IM    
Department of Pathological Physiology, Higher Medical Institute, Plovdiv, Bulgaria.
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Chronic Disease
Combined Modality Therapy
Dyspnea / etiology,  therapy*
Lung Diseases / complications*
Middle Aged
Oxygen / therapeutic use
Reg. No./Substance:
0/Anti-Inflammatory Agents; 7782-44-7/Oxygen

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