PT - JOURNAL ARTICLE AU - Jones, Amy V. AU - Evans, Rachael A. AU - Harrison, Alexander S. AU - Sherar, Lauren B. AU - Steiner, Michael C. AU - Doherty, Patrick AU - Singh, Sally J. TI - Exercise rehabilitation in COPD and heart failure: comparison of two national audits AID - 10.1183/23120541.00131-2022 DP - 2022 Oct 01 TA - ERJ Open Research PG - 00131-2022 VI - 8 IP - 4 4099 - http://openres.ersjournals.com/content/8/4/00131-2022.short 4100 - http://openres.ersjournals.com/content/8/4/00131-2022.full SO - erjor2022 Oct 01; 8 AB - Background 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 coexisting 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 coexisting COPD and CHF.Methods The National Audit of CR and National COPD Audit Programme: clinical audits of PR were analysed (211 PR and 237 CR programmes); adults with a diagnosis of CHF, COPD or coexisting 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 mixed 2×2 analysis of variance.Results 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 6-min 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.Conclusion We have demonstrated that 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.National audit data reveal adults with COPD, CHF and coexisting disease benefit from exercise-based rehabilitation. Effort is needed to improve completion of rehabilitation. The data support group-based, tailored, multimorbid exercise rehabilitation. https://bit.ly/3yY6G9M