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

被引：7

作者：

Barker, Ruth E. ^{[1
,2
,3
]}

Kon, Samantha S. C. ^{[1
,3
]}

Clarke, Stuart F. ^{[3
]}

Wenneberg, Jenni ^{[3
]}

Nolan, Claire M. ^{[1
]}

Patel, Suhani ^{[1
]}

Walsh, Jessica A. ^{[1
]}

Polgar, Oliver ^{[1
]}

Maddocks, Matthew ^{[4
]}

Farquhar, Morag ^{[5
]}

Hopkinson, Nicholas S. ^{[2
]}

Bell, Derek ^{[6
]}

Wedzicha, Jadwiga A. ^{[2
]}

Man, William D-C. ^{[1
,2
]}

机构：

[1] Guys & St Thomas NHS Fdn Trust, Royal Brompton & Harefield Hosp, Harefield Resp Res Grp, London, England

[2] Imperial Coll, Natl Heart & Lung Inst, London, England

[3] Hillingdon Hosp NHS Fdn Trust, Hillingdon Integrated Resp Serv, London, England

[4] Kings Coll London, Cicely Saunders Inst Palliat Care Policy & Rehabi, London, England

[5] Univ East Anglia, Sch Hlth Sci, Norwich, Norfolk, England

[6] Imperial Coll London, Natl Inst Hlth Res, Collaborat Leadership Appl Hlth Res & Care Northw, London, England

来源：

THORAX | 2021年 / 76卷 / 08期

基金：

美国国家卫生研究院;

关键词：

COPD exacerbations; pulmonary rehabilitation; respiratory infection;

D O I：

10.1136/thoraxjnl-2020-215464

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

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.

引用

页码：829 / 831

页数：3

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