COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD. Issue 8 (2nd March 2021)

• Record Type: Journal Article
• Authors: 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.
• Is Part Of: Thorax. Volume 76:Issue 8(2021)
• Page Start: 829
• Page End: 831
• Publication Date: 2021-03-02
• Subjects: COPD exacerbations -- pulmonary rehabilitation -- respiratory infection; Chest -- Diseases -- Periodicals; Thorax; Chest -- Diseases; Periodicals; Periodicals; 617.54
• DOI: 10.1136/thoraxjnl-2020-215464
• Languages: English
• ISSNs: 0040-6376

Abstract

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.