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. 2014 Feb;69(2):181-2.
doi: 10.1136/thoraxjnl-2013-204227. Epub 2013 Aug 14.

Pulmonary rehabilitation following hospitalisation for acute exacerbation of COPD: referrals, uptake and adherence

Sarah E Jones  1 , Stuart A Green, Amy L Clark, Mandy J Dickson, Ann-Marie Nolan, Clare Moloney, Samantha S C Kon, Faisal Kamal, Joy Godden, Cathy Howe, Derek Bell, Sharon Fleming, B Mimi Haselden, William D-C Man
Affiliations

Pulmonary rehabilitation following hospitalisation for acute exacerbation of COPD: referrals, uptake and adherence

Sarah E Jones et al. Thorax. 2014 Feb.

Abstract

Rationale: Several randomised controlled trials support the provision of early pulmonary rehabilitation (PR) following hospitalisation for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, there is little real-world data regarding uptake, adherence and completion rates.

Methods: An audit was conducted to prospectively document referral, uptake, adherence and completion rates for early post-hospitalisation outpatient PR in Northwest London over a 12-month period.

Results: Out of 448 hospital discharges for AECOPD, 90 referrals for post-hospitalisation PR were received. Only 43 patients received and completed PR (9.6% of all hospital discharges) despite a fully commissioned PR service.

Conclusions: Despite the strong evidence base, there are poor referral and uptake rates for early outpatient PR following hospitalisation for AECOPD, with only a small proportion of the intended target population receiving this intervention.

Keywords: COPD Exacerbations; Pulmonary Rehabilitation.

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