Why the study?
Pulmonary rehabilitation following hospitalization for AECOPD improves outcomes, but referral for and uptake of post-hospitalisation pulmonary rehabilitation remain low.
Does delivery of COPD discharge bundles by pulmonary rehabilitation practitioners improve PR referral and uptake in patients hospitalized for acute exacerbation of COPD?
Does delivery of COPD discharge bundles by pulmonary rehabilitation practitioners improve PR referral and uptake in patients hospitalized for acute exacerbation of COPD?
Delivery of COPD discharge bundles by pulmonary rehabilitation practitioners significantly increases post-hospitalization PR referral and uptake compared to non-PR practitioners.
PR-led bundles may raise post-AECOPD PR referrals; hypothesis-generating and needs RCTs before practice change.
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.
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Barker et al. (2021) studied this question.
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