March 25, 2009New England Journal of Medicine
Pulmonary Rehabilitation for Management of Chronic Obstructive Pulmonary Disease
Population
Patients with chronic obstructive pulmonary disease (introduced via a vignette of a 61-year-old black woman)
Design
Review
Authors
Discussion
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Member takes
Implication
May warrant avoiding high-intensity rehab soon after MI in COPD; leaves open optimal timing and alternatives for comorbid patients.
Structured PICO
P
Population
Patients with chronic obstructive pulmonary disease (introduced via a vignette of a 61-year-old black woman)
I
Intervention
Pulmonary rehabilitation program (including high-intensity exercise and education)
Pulmonary rehabilitation utilizes high-intensity exercise and education to manage COPD, though recent myocardial infarction or unstable angina are potential contraindications.
Cite This Study
Casaburi et al. (2009) studied this question.