National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Centre for Exercise and Rehabilitation Science, NIHR Leicester Respiratory Biomedical Research Unit Centre, Glenfield Hospital, Leicester, UK.
Chron Respir Dis. 2019 Jan-Dec;16:1479973119867952. doi: 10.1177/1479973119867952.
Combined exercise rehabilitation for chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) is potentially attractive. Uncertainty remains as to the baseline profiling assessments and outcome measures that should be collected within a programme. Current evidence surrounding outcome measures in cardiac and pulmonary rehabilitation were presented by experts at a stakeholder consensus event and all stakeholders ( = 18) were asked to (1) rank in order of importance a list of categories, (2) prioritise outcome measures and (3) prioritise baseline patient evaluation measures that should be assessed in a combined COPD and CHF rehabilitation programme. The tasks were completed anonymously and related to clinical rehabilitation programmes and associated research. Health-related quality of life, exercise capacity and symptom evaluation were voted as the most important categories to assess for clinical purposes (median rank: 1, 2 and 3 accordingly) and research purposes (median rank; 1, 3 and 4.5 accordingly) within combined exercise rehabilitation. All stakeholders agreed that profiling symptoms at baseline were 'moderately', 'very' or 'extremely' important to assess for clinical and research purposes in combined rehabilitation. Profiling of frailty was ranked of the same importance for clinical purposes in combined rehabilitation. Stakeholders identified a suite of multidisciplinary measures that may be important to assess in a combined COPD and CHF exercise rehabilitation programme.
联合运动康复治疗慢性阻塞性肺疾病（COPD）和慢性心力衰竭（CHF）具有潜在吸引力。但在方案中应收集哪些基线情况评估和结果测量指标仍存在不确定性。在利益攸关方共识会议上，专家介绍了心脏和肺部康复方面的现有证据，所有利益攸关方（= 18）被要求：（1）按重要性顺序对一系列类别进行排序；（2）确定优先的结果测量指标；（3）确定应在 COPD 和 CHF 联合康复计划中评估的基线患者评估措施。任务是匿名完成的，涉及临床康复计划和相关研究。健康相关生活质量、运动能力和症状评估被投票为临床目的（中位数排名：1、2 和 3）和研究目的（中位数排名：1、3 和 4.5）最重要的评估类别，在联合运动康复中。所有利益攸关方都一致认为，在联合康复中，基线时的症状评估对于临床和研究目的来说“中等”、“非常”或“极其”重要。在联合康复中，对虚弱状况进行特征分析在临床目的上的重要性相同。利益攸关方确定了一系列可能对 COPD 和 CHF 联合运动康复计划中的评估很重要的多学科措施。
