COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD

Pulmonary rehabilitation (PR) following hospitalisations for acute exacerbation of COPD (AECOPD) is associated with improved exercise capacity and quality of life, and reduced readmissions. However, referral for, and uptake of, post-hospitalisation PR are low. In this prospective cohort study of 291...

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Detalles Bibliográficos
Autores principales: Barker, Ruth E, Kon, Samantha SC, Clarke, Stuart F, Wenneberg, Jenni, Nolan, Claire M, Patel, Suhani, Walsh, Jessica A, Polgar, Oliver, Maddocks, Matthew, Farquhar, Morag, Hopkinson, Nicholas S, Bell, Derek, Wedzicha, Jadwiga A, Man, William D-C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311074/
https://www.ncbi.nlm.nih.gov/pubmed/33653933
http://dx.doi.org/10.1136/thoraxjnl-2020-215464
Descripción
Sumario:Pulmonary rehabilitation (PR) following hospitalisations for acute exacerbation of COPD (AECOPD) is associated with improved exercise capacity and quality of life, and reduced readmissions. However, referral for, and uptake of, post-hospitalisation PR are low. In this prospective cohort study of 291 consecutive hospitalisations for AECOPD, COPD discharge bundles delivered by PR practitioners compared with non-PR practitioners were associated with increased PR referral (60% vs 12%, p<0.001; adjusted OR: 14.46, 95% CI: 5.28 to 39.57) and uptake (40% vs 32%, p=0.001; adjusted OR: 8.60, 95% CI: 2.51 to 29.50). Closer integration between hospital and PR services may increase post-hospitalisation PR referral and uptake.

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