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

Ruth E. Barker; Samantha S. C. Kon; Stuart F. Clarke; Jenni  Wenneberg; Claire M. Nolan; Suhani Patel; Jessica A. Walsh; Oliver  Polgar; Matthew Maddocks; Morag Farquhar; Nicholas S.  Hopkinson; Derek Bell; Jadwiga A. Wedzicha; William D.-C. Man

doi:10.1136/thoraxjnl-2020-215464

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

Ruth E. Barker, Samantha S. C. Kon, Stuart F. Clarke, Jenni Wenneberg, Claire M. Nolan, Suhani Patel, Jessica A. Walsh, Oliver Polgar, Matthew Maddocks, Morag Farquhar, Nicholas S. Hopkinson, Derek Bell, Jadwiga A. Wedzicha, William D.-C. Man

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

32 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	829-831
Number of pages	3
Journal	Thorax
Volume	76
Issue number	8
Early online date	2 Mar 2021
DOIs	https://doi.org/10.1136/thoraxjnl-2020-215464
Publication status	Published - 1 Aug 2021

Keywords

COPD exacerbations
pulmonary rehabilitation
respiratory infection

Access to Document

10.1136/thoraxjnl-2020-215464Licence: CC BY-NC

Cohort study_main manuscript_plus online supplmnt - accepted Thorax 050221Accepted author manuscript, 454 KBLicence: CC BY-NC

Cite this

Barker, R. E., Kon, S. S. C., Clarke, S. F., Wenneberg, J., Nolan, C. M., Patel, S., Walsh, J. A., Polgar, O., Maddocks, M., Farquhar, M., Hopkinson, N. S., Bell, D., Wedzicha, J. A., & Man, W. D-C. (2021). COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD. Thorax, 76(8), 829-831. https://doi.org/10.1136/thoraxjnl-2020-215464

@article{e254b7fd235b42df8aa9580a44879b7d,

title = "COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD",

abstract = "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.",

keywords = "COPD exacerbations, pulmonary rehabilitation, respiratory infection",

author = "Barker, {Ruth E.} and Kon, {Samantha S. C.} and Clarke, {Stuart F.} and Jenni Wenneberg and Nolan, {Claire M.} and Suhani Patel and Walsh, {Jessica A.} and Oliver Polgar and Matthew Maddocks and Morag Farquhar and Hopkinson, {Nicholas S.} and Derek Bell and Wedzicha, {Jadwiga A.} and Man, {William D.-C.}",

year = "2021",

month = aug,

day = "1",

doi = "10.1136/thoraxjnl-2020-215464",

language = "English",

volume = "76",

pages = "829--831",

journal = "Thorax",

issn = "0040-6376",

publisher = "BMJ Publishing Group",

number = "8",

}

Barker, RE, Kon, SSC, Clarke, SF, Wenneberg, J, Nolan, CM, Patel, S, Walsh, JA, Polgar, O, Maddocks, M, Farquhar, M, Hopkinson, NS, Bell, D, Wedzicha, JA & Man, WD-C 2021, 'COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD', Thorax, vol. 76, no. 8, pp. 829-831. https://doi.org/10.1136/thoraxjnl-2020-215464

TY - JOUR

T1 - COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD

AU - Barker, Ruth E.

AU - Kon, Samantha S. C.

AU - Clarke, Stuart F.

AU - Wenneberg, Jenni

AU - Nolan, Claire M.

AU - Patel, Suhani

AU - Walsh, Jessica A.

AU - Polgar, Oliver

AU - Maddocks, Matthew

AU - Farquhar, Morag

AU - Hopkinson, Nicholas S.

AU - Bell, Derek

AU - Wedzicha, Jadwiga A.

AU - Man, William D.-C.

PY - 2021/8/1

Y1 - 2021/8/1

N2 - 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.

AB - 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.

KW - COPD exacerbations

KW - pulmonary rehabilitation

KW - respiratory infection

UR - http://www.scopus.com/inward/record.url?scp=85101979357&partnerID=8YFLogxK

U2 - 10.1136/thoraxjnl-2020-215464

DO - 10.1136/thoraxjnl-2020-215464

M3 - Article

VL - 76

SP - 829

EP - 831

JO - Thorax

JF - Thorax

SN - 0040-6376

IS - 8

ER -

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

Abstract

Keywords

Access to Document

Other files and links

Cite this