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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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
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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
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author 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.
author_facet 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.
author_sort Barker, Ruth E
collection PubMed
description 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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spelling pubmed-83110742021-08-13 COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD 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. Thorax Brief Communication 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. BMJ Publishing Group 2021-08 2021-03-02 /pmc/articles/PMC8311074/ /pubmed/33653933 http://dx.doi.org/10.1136/thoraxjnl-2020-215464 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Brief Communication
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.
COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title_full COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title_fullStr COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title_full_unstemmed COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title_short COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD
title_sort copd discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of copd
topic Brief Communication
url 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
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