Short outpatient pulmonary rehabilitation programme reduces readmission following a hospitalization for an exacerbation of chronic obstructive pulmonary disease

Background and objective The benefits of pulmonary rehabilitation (PR) are now firmly established. However, less is known about the provision and efficacy of PR immediately after an acute exacerbation of chronic obstructive pulmonary disease (COPD). The study aimed to explore the effectiveness of a...

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Bibliographic Details
Published in:Respirology (Carlton, Vic.) Vic.), 2013-10, Vol.18 (7), p.1063-1068
Main Authors: Revitt, Olivia, Sewell, Louise, Morgan, Michael D.L., Steiner, Michael, Singh, Sally
Format: Article
Language:English
Subjects:
Aged
chronic obstructive pulmonary disease
Cohort Studies
disease exacerbation
Female
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Outpatients
Patient Readmission - statistics & numerical data
Physical Endurance - physiology
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Disease, Chronic Obstructive - rehabilitation
rehabilitation
Rehabilitation - methods
Retrospective Studies
Surveys and Questionnaires
Time Factors
Treatment Outcome
Walking - physiology
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Summary:Background and objective The benefits of pulmonary rehabilitation (PR) are now firmly established. However, less is known about the provision and efficacy of PR immediately after an acute exacerbation of chronic obstructive pulmonary disease (COPD). The study aimed to explore the effectiveness of a short outpatient PR programme and the impact upon readmission rates. Methods One hundred sixty (87 males) patients, mean (SD) age 70.35 (8.59) years, forced expiratory volume in 1 s 0.99 (0.44) litres were assessed for a 7‐week PR programme following a hospital admission for an acute exacerbation of COPD. Patients were assessed and commenced PR within 4 weeks of discharge from hospital. Outcome measures included: Incremental Shuttle Walking Test (ISWT), Endurance Shuttle Walk Test (ESWT), Chronic Respiratory Questionnaire Self‐Reported (CRQ‐SR). Patients were assessed at baseline and at 7 weeks (after the 4‐week supervised and 3‐week unsupervised components). Readmission data were collected retrospectively for the 12 months pre and post admission (n = 155). Results Statistically significant improvements were found in the ISWT, ESWT and CRQ‐SR at discharge (P 
ISSN:1323-7799
1440-1843
DOI:10.1111/resp.12141