[Pulmonary rehabilitation effects in patients with COPD according to GOLD 2020 classification in Cali, Colombia]

Abstract

Introduction: Chronic obstructive pulmonary disease has a guide in charge of prevention and treatment, called the Global Initiative for Chronic Lung Disease, which is annually updated and catalogs pulmonary rehabilitation, within the treatment options.

Objective: To describe the effects on clinical variables, functional capacity, anxiety/depression and health-related quality of life in patients with chronic obstructive pulmonary disease, after a pulmonary rehabilitation program, according to the GOLD 2020 classification in a Cali clinic.

Materials and methods: Descriptive, longitudinal study where 79 patients divided into 3 groups were included (B, C and D).

Results: The mean age was 70 years, 69% men. The number of hospitalized days was greater for groups C and D with an average of 8 and 13 days, respectively (p≤0.000). The functional capacity showed a greater distance in group C (421m) and the shortest distance for group D (328m), p≤0.006. In anxiety and depression, group D managed to obtain improvements as well as in the quality of life questionnaire.

Conclusion: Group C presented greater functional capacity and better quality of life, group B had better results in clinical variables, and group D had worse clinical condition, functional capacity and quality of life. At the end of pulmonary rehabilitation, group D presented greater changes in functional capacity and quality of life.

Keywords: Calidad de vida; Disnea; Dyspnea; Ejercicio; Enfermedad pulmonar obstructiva; Exercise; Obstructive pulmonary disease; Quality of life; Rehabilitación; Rehabilitation.