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

Barker, Ruth E., Kon, Samantha S. C., 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. and Man, William D.-C. (2021) COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD. Thorax, 76 (8). pp. 829-831. ISSN 0040-6376

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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.

Item Type: Article
Uncontrolled Keywords: copd exacerbations,pulmonary rehabilitation,respiratory infection,pulmonary and respiratory medicine ,/dk/atira/pure/subjectarea/asjc/2700/2740
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: LivePure Connector
Date Deposited: 16 Feb 2021 00:59
Last Modified: 10 Nov 2021 08:03
URI: https://ueaeprints.uea.ac.uk/id/eprint/79254
DOI: 10.1136/thoraxjnl-2020-215464

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