Key result
Home-based pulmonary rehabilitation programmes offer similar benefits to hospital-based programmes for exercise capacity and HRQoL, and reduce medication use, exacerbations, and hospitalisations.
Why the study?
Do home-based pulmonary rehabilitation programmes improve exercise capacity and HRQoL compared to hospital-based programmes?
Do home-based pulmonary rehabilitation programmes improve exercise capacity and HRQoL compared to hospital-based programmes?
Home-based pulmonary rehabilitation programmes provide similar benefits to hospital-based programmes and can be confidently prescribed if well-structured.
May support home-based programmes as alternatives; leaves open need for randomized trials to confirm outcomes.
Educational aims To review the benefits of home-based pulmonary rehabilitation programmes. To describe the structure, contents and limitations of these programmes. Summary The evidence to date suggests that, in terms of exercise capacity and HRQoL, home-based programmes offer similar benefits to those provided by hospital-based programmes. Home-based PR programmes have also been shown to reduce the use of medication, and the number of exacerbations and hospitalisations. These programmes may even provide longer-lasting benefits. Therefore, such programmes can be prescribed with confidence. However, they must be well-structured and adhere to some guidelines.
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Rosa Güell (2008) conducted a review in Pulmonary disease requiring rehabilitation. Home-based pulmonary rehabilitation programmes vs. Hospital-based programmes was evaluated on Exercise capacity and HRQoL. Home-based pulmonary rehabilitation programmes offer similar benefits to hospital-based programmes for exercise capacity and HRQoL, and reduce medication use, exacerbations, and hospitalisations.
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