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

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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 languageEnglish
Pages (from-to)829-831
Number of pages3
JournalThorax
Volume76
Issue number8
Early online date2 Mar 2021
DOIs
Publication statusPublished - 1 Aug 2021

Keywords

  • COPD exacerbations
  • pulmonary rehabilitation
  • respiratory infection

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