TY - JOUR T1 - Exercise rehabilitation in COPD and heart failure: comparison of two national audits JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00131-2022 SP - 00131-2022 AU - Amy V Jones AU - Rachael A Evans AU - Alexander S Harrison AU - Lauren B Sherar AU - Michael C Steiner AU - Patrick Doherty AU - Sally J Singh Y1 - 2022/01/01 UR - http://openres.ersjournals.com/content/early/2022/06/30/23120541.00131-2022.abstract N2 - Pulmonary (PR) and cardiac rehabilitation (CR) are recommended in the management of chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF); the impact of co-existing COPD and CHF on completion and outcomes of rehabilitation programmes is unknown. We examined enrolment, completion and clinical outcomes of CR and PR in adults with COPD, CHF and co-existing COPD and CHF. The National Audit of CR and National COPD Audit Programme: Clinical audit of PR were analysed (211 PR and 237 CR programmes); adults with a diagnosis of CHF, COPD or co-existing COPD and CHF were identified (COPD+CHF or CHF+COPD according to database). Propensity matching was conducted (age, sex, body mass index and functional status) between COPD+CHF and COPD, and CHF+COPD and CHF. Group by time interaction was examined using a mixed 2×2 ANOVA. Those with CHF+COPD had lower enrolment and completion of CR compared to those with CHF; there were no differences in PR enrolment or completion between the two groups. Adults with COPD made a significantly larger gain in the incremental shuttle walk test compared to adults with COPD+CHF following PR (59.3 m versus 37.4 m); the improvements following CR were similar (CHF 77.3 m versus CHF+COPD 58.3 m). Similar improvements were made in the six minute walk test following CR (CHF 45.1 m versus CHF+COPD 38.8 m) and PR (COPD 48.2 m versus COPD+CHF 44.0 m). Comparable improvements in quality of life and mood state were made following CR and PR, regardless of diagnosis. We have demonstrated multi-morbid adults benefit from exercise- based rehabilitation, yet efforts are needed to promote completion. These findings support group based, tailored, multi-morbid exercise rehabilitation.FootnotesThis manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Please open or download the PDF to view this article.Conflict of interest: Amy V Jones has nothing to disclose.Conflict of interest: Rachael Evans has received grants or contracts from NIHR / UKRI, outside the submitted work. Speaker fee for a lecture received from Boehringer, outside the submitted work. Support for attending a meeting received from Chiesi, outside the submitted work. Leadership or fiduciary role in other board, society, committee or advocacy group: ERS Group 01.02 Pulmonary Rehabilitation Secretary, unpaid.Conflict of interest: Alexander Harrison has received support for the present manuscript from British Heart Foundation. The author is currently employed through the National Audit of Cardiac Rehabilitation which is a charity funded research group. Funding of the National Audit, research grant reference 040/HI/19/20/NACR, received from British Heart Foundation, outside the submitted work.Conflict of interest: Lauren Sherar has received consulting fees from Teach Active LTD, outside the submitted work.Conflict of interest: Michael Steiner has nothing to disclose.Conflict of interest: Patrick Doherty has nothing to disclose.Conflict of interest: Sally Singh has nothing to disclose. ER -