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Introduction: In addition to dyspnoea and cough in interstitial lung diseases (ILD),the main symptom is decreased effort capacity.Pulmonary rehabilitation (PR)is recommended in addition to medical treatment approaches in chronic respiratory diseases. PR programs include approaches such as exercise training, patient and family training, nutritional assessment and support, psychosocial assessment and support. COPD patients more often directed to PR programs,besides that PR is also recommended for ILD. In this study,we aimed to evaluate the PR-related gains in patinets with IPF and non-IPF ILD. Methods: In this study we evaluated the PR data,demographic features of the patients with ILD who completed PR program between2017 and 2020. PR was an 8-week (2days) outpatient PR program including aerobic and strengthening exercises. The 6-minute walking test(6MWT)results, quality of life scores that were recorded at the beginning and end of the PR program were evaluated.The patients were evaluated in two groups, patinets with IPF and non-IPF ILD. Results: A total of 41 patients with ILD with mean age 60 ± 10 , 30(73%) males,11 (27%) females,24(59%)IPF patients and 17(41%)non-IPF ILD patients included in the study.The median distance achived in 6MWT was 380(254-489)m before PR in non-IPF ILD group, 440(347-530)m PR after PR(p=0.002).The median distance distance in 6MWT was 321(253-442)m before PR in IPF group, 380(277-447)m after PR (p=0.001)was determined. Conclusion: PR programs provide significant gains both in patints with IPF and non-IPF ILD. It is important that patients should be directed to PR programs in the early stages of ILD.

28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCE, WOS: 000455567104196, European Respiratory Soc

Background and Aim: Smoking in pregnancy is a preventable risk factor affecting morbidity and mortality.A multicentre cross-sectional study was planned by “Turkish Thoracic Society Women and Lung Health As a task force group ”. The aim of the study is to determine the attitudes of pregnant women and their surroundings to electronic cigarettes, which have become increasingly prevalent in recent years. Methods: The study was conducted in 11 provinces and 15 centers in Turkey, between September 2017 and December 2017. A Questionnaires were conducted with face-to-face interviews to gynecology outpatients who agreed to participate in the study. There were a total of 60 questions regarding education, socioeconomic status and parents9 habits of smoking cigarettes and electronic cigarettes. Results: A total of 1123 pregnant women with a mean age of 27 ± 5.6 were enrolled. 48% of them were were primary school graduates, 7% were not illiterate, and 56% were housewives. 10% of the pregnant women were active smokers. The most important factor in smoking cessation was the thought it could be harmful to the baby. Nevertheless, 30% of them thought electronic cigarette was not harmful to the baby. The rate of smoking electronic cigarettes among pregnant women was 3%.25% of pregnant women thought that cigarette smoking was more harmful, and the 45% were not aware of the harms and addictive effects of electronic cigarettes. Conclusions: regnant women seem to need more information about electronic cigarettes lately, as if they were harmless. Educational sessions, planned together with the obstetricians and chest physcians would make a significant contribution to maternal and child health.

28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCE, WOS: 000455567105150, …, European Respiratory Soc

Introduction: Pulmonary function tests (PFTs) and blood checks are performed by mobile scanning devices during workplace periodic checks. It should be applied with appropriate technique and quality to evaluate the PFT. There is no data in our country about the periodical PFT being made with proper technique and quality. From this point, in this study we aimed to evaluate the technical competence of the PFTS. Methods: The periodic PFTs which were performed with service procurement in different workplaces between 2016-2017 were evaluated with a cross-sectional study.PFTs were evaluated according to the American Association of Occupational and Environmental Medicine (ACOEM) criteria; Can current volume curve be accepted? Is there an incomplete inspiration maneuver in the current volume curve? Did the person make expiration in the test? The commentary in the PRTs report and interpretation of 4 different pulmonologists participating in the study was recorded. Results: A total of 346 PFTs report of 336 (97%) male with a mean age of 34 ± 7 were evaluated. The current volume curve could be accepted in 39%, incomplete inspiratory maneuver in 61%, complete expiration maneuver in 18%, early cut of expiration in 55% ere recorded. The interpretation on the PFTs report was normal in 61% and restrictive in 33%. On the other hand, the comment of the 4 researchers: normal PFTs in 21%and 71% PFTs was determined to be repeated Discussion: During the periodic workplace screenings an importance should be given to the PFTs. The PFTs should be repeated with appropriate technique if necessary. The periodic training of the testers is also important.

Introduction: Patients with chronic pulmonary disease admitted to the pulmonary rehabilitation (PR) program may lose their gains over time. In this study we aimed to investigate whether the gains after PR continue in the first month. Methods: Patients involved in PR program who had first-month follow-up controls were evaluated retrospectively. In PR program patients accompanied lower and upper extremity strengthening exercises, cycling, treadmill with a physical therapist in a 8 weeks program (2 days per week).St.George quality of life questionnaire (SGRQ)and walking distances were recorded before and after PR program. After the PR program, patients were asked to record their exercise status during each day by giving them an exercise log. Results: A total of 52 patients (39 female and 13 female) with a mean age of 60±12 years participated in the study. There were 37 (71%)patients with chronic obstructive pulmonary disease (COPD) and 15 (29%) non-COPD chronic lung disease (interstitial lung disease 4, bronchiectasis 5, kyphoscoliosis 6). In St.George quality of life questionnaire (SGRQ), median 13 (7-22) point regression was observed before and after PR (p Conclusion: An increase in exercise capacity provided by pulmonary rehabilitation in chronic pulmonary diseases continues in early post-PR period, when patients continue to exercise with behavioral changes in their daily lives.

Aim: We aimed to investigate ACOS prevalence in the patients previously diagnosed as either COPD or asthma, and to describe clinical characteristics of ACOS. Methods: A retrospective cohort of well-characterized patients (pts) with either COPD or asthma was analyzed. A detailed questionnaire was prepared and applied to the participants face to face. A stepwise approach to diagnosis ACOS was performed according to the international guidelines (Joint project of GOLD and GINA 2014). Pts who have three or more usual features of both asthma and COPD were enrolled for pre- and post-bronchodilator (BD) spirometry. Pts were considered to have ACOS if their post-BD FEV1/FVC was 12% and 200 ml) in COPD group. Results: Of 226 pts (116 pts with COPD, 110 pts with asthma) were included in the study. Out of 226, 36 (15.9%) pts were described as ACOS. ACOS prevalence was determined 12.7% (n=14) in asthmatics, and 18.9% (n=22) in COPD patients. Pts with ACOS were younger than COPD pts, while they were older than asthmatics (Table 1). Emergency service admissions in a year were found higher in ACOS pts than the pts with asthma and COPD. CONCLUSINOS: Prevalence of ACOS in patients with chronic airway disease is not negligible, and a stepwise approach is helpful to recognise this group of patients.

OBJECTIVE: In this study our research question is whether there is any difference in exercise capacity and the impact on quality of life among younger and elderly(age 65 years and older)patients involved in pulmonary rehabilitation (PR) program. METHODS: Patients involved in PR program with chronic lung disease were evaluated in two groups, younger(under 65 years) and elderly ( 65 years and over).Pre-and post- PR program incremental shuttle walking test (ISWT)or 6-minute walking test, quality of life tests were recorded.Patients accompanied lower and upper extremity strengthening exercises, cycling, treadmill and respiratory exercise training with a physical therapist in a 8 weeks program (2 days per week). RESULTS: A total of 73 patients 58 men and 15 women with mean age 61±10 was evaluated. there were 55 chronic obstructive pulmonary disease(COPD), 18 non-COPD -patients. There were 43 patients in younger patient group with mean age 55±8 43 and 30 patients in elderly group with mean age 69±4.After PR 71±72 m increase in ISWT in younger group and 76±45 m increase in elderly group was recorded. In younger group median(IQR)11,8 (7.5-22.3)point decline in St. George quality of life questionnaire(SGRQ)total score and 9,3(4,8-18,5) point decline in elderly was recorded.In both groups,minimally clinically significant changes in ISWT and SGRQ revealed before and after PR,but there were no significant differences in outcomes of younger and older patients. COCNLUSION: For younger and elderlypatients PR provides significant effects exercise capacity and dyspnoea perception.Pulmonary rehabilitation in elderly patients as an addition to medical treatment is beneficial like younger patients with chronic pulmonary diseases.

Introduction: Quadriceps weakness and decreased muscle mass in chronic obstructive pulmonary disease(COPD)patients is related with mortality.We planned a pilot study to investigate the relationship between increase in rectus femoris cross-sectional area and walking distance and quality of life. Methods: COPD patients who received pulmonary rehabilitation (PR)were assessed for exercise capacity with incrimental shuttle walking test, quality of life questionnaire before and after the PR program.Rectus femoris sectional area(RFCSAmm2 )were measured by ultrasonography before and after the PR program.Patients received upper and lower extremity strengthening exercises, cycling, treadmill accompanied by a physical therapist.Patients were taken a total of 2 days per week for 8 week program. Results: Mean age of patients is 66.3±5 years(1male,2 females)and mean duration of COPD is 8.6±5.5 years.Patients data before and after PR are shown in and Conclusion: The rectus femoris cross-sectional area measurements with ultrasound may be a candidate for non-invasive method of measuring muscle mass change in PR patients.We wish to present the early results of 3 cases in this pilot study.

Introduction: to investigate the impact of pulmonary rehabilitation on exercise capacity and quality of life in patients with chronic lung disease Materials-method: Patients with chronic lung disease who received pulmonary rehabilitation pre-and post-exercise capacity at incrimental shuttle walking test or 6-minute walking test, quality of life tests were evaluated. Patients received upper and lower extremity strengthening exercises, cycling, treadmill, respiratory exercise training accompanied by a physical therapist, Patients were taken to a total of 2 days per week for 8 week program. The nutritional status of patients, oxygen and noninvasive mechanical ventilation support were evaluated. Results: 14 chronic obstrictive pulmonary disease(copd),9 chronic lung disease other than COPD( 4bronchiectasis, 3 interstitial lung disease,2kyphoscoliosis )with median age of 61.5 and mean 61.46 years were evaluated.Improvement on MMRC mmrc dyspnea scale, shuttle walking test (mean 57m), epworth sleepiness scale and 11 point regression on quality of life questionnaire were detected., There were no significant differences in terms of the outcomes of COPD and non COPD patients who received pulmonary rehabilitation. Conclution: COPD patients are more frequently to guide topulmonary rehabilitation . but non COPD patients with decresased exercise capacity has shown significant effects for the perception of dyspnoea and exercise capacity. It is important to increase awereness that with the increasing number of patients with chronic lung diseases pulmonary rehabilitation is important in addition to the medical treatment in our country.