| Tri-state region pulmonary rehabilitation survey. Delivery of exercise conditioning services. The Pulmonary Rehabilitation Committee, Tri-State Society for Cardiovascular and Pulmonary Rehabilitation. | |
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MedLine Citation:
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PMID: 8761838 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This report analyzes the delivery of exercise conditioning services in the 1991 Pennsylvania, New Jersey, and Delaware regional survey of pulmonary rehabilitation programs. METHODS: Data from a questionnaire was analyzed with special consideration given to whether the program provided services for patients with only pulmonary diseases (n = 41) or with cardiac and pulmonary diseases (n = 18). RESULTS: All 59 programs included exercise conditioning. Most programs (67%) used oxygen saturation and/or expired gas analysis for writing exercise prescriptions. Only pulmonary programs used 6- or 12-minute walk data. The exercise prescription was written by nonphysicians in 51% of the programs. Most pulmonary-only programs used respiratory therapists by themselves or in combination with other professionals as exercise supervisors (71%). Cardiopulmonary programs used exercise physiologists by themselves (22%) or nurses by themselves or in combination with other professionals (50%). For all programs, the standard for ratio of patients to exercise staff averaged 3.0:1. Pulmonary-only programs did slightly but significantly more continuous arterial oxygen percent saturation (SaO2) monitoring rather than spot checking. A standard determining the use of supplemental oxygen during exercise was reported by 78% of all programs. Most used supplemental oxygen after observing the SaO2 level falling to < 90%. Electrocardiograph monitoring was done in 66% of pulmonary-only programs, but in 94% of the cardiopulmonary programs. Maintenance sessions were offered by 64% of the pulmonary-only programs and also by 78% of the cardiopulmonary programs. CONCLUSION: The type of rehabilitation program, either pulmonary-only or cardiopulmonary, appears to influence the exercise conditioning services used by the pulmonary patient. |
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Authors:
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P C Weiser; K P Ryan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation Volume: 16 ISSN: 0883-9212 ISO Abbreviation: J Cardiopulm Rehabil Publication Date: 1996 May-Jun |
Date Detail:
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Created Date: 1996-10-23 Completed Date: 1996-10-23 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8511296 Medline TA: J Cardiopulm Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 175-82 Citation Subset: IM |
Affiliation:
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Department of Medicine, Medical College of Pennsylvania and Hahnemann University, Philadelphia, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Delaware Delivery of Health Care / organization & administration* Exercise Test Exercise Therapy / organization & administration* Health Services Research Heart Diseases / rehabilitation* Humans Lung Diseases, Obstructive / rehabilitation* Monitoring, Physiologic New Jersey Pennsylvania Prescriptions Questionnaires Regional Medical Programs |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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