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http://bura.brunel.ac.uk/handle/2438/25551| Title: | COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD |
| Authors: | Barker, RE Kon, SSC Clarke, SF Wenneberg, J Nolan, CM Patel, S Walsh, JA Polgar, O Maddocks, M Farquhar, M Hopkinson, NS Bell, D Wedzicha, JA Man, WDC |
| Issue Date: | 2-Mar-2021 |
| Publisher: | BMJ Publishing Group on behalf of British Thoracic Society |
| Citation: | Barker, R.E. et al. (2021) 'COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD', Thorax, 76 (8), pp. 829 - 831. doi: 10.1136/thoraxjnl-2020-215464. |
| Abstract: | Copyright © Author(s) (or their employer(s)) 2021. 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. |
| Description: | Supplementary Data: This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content: Data supplement 1 available at: https://thorax.bmj.com/highwire/filestream/198799/field_highwire_adjunct_files/0/thoraxjnl-2020-215464supp001_data_supplement.pdf |
| URI: | https://bura.brunel.ac.uk/handle/2438/25551 |
| DOI: | https://doi.org/10.1136/thoraxjnl-2020-215464 |
| ISSN: | 0040-6376 |
| Other Identifiers: | ORCID iDs: Ruth E Barker https://orcid.org/0000-0002-7022-0194; Claire M Nolan https://orcid.org/0000-0001-9067-599X; Jessica A Walsh https://orcid.org/0000-0002-9103-3945; Oliver Polgar http://orcid.org/0000-0002-1320-2096; Nicholas S Hopkinson http://orcid.org/0000-0003-3235-0454; William D-C. Man http://orcid.org/0000-0002-3782-659X |
| Appears in Collections: | Dept of Health Sciences Research Papers |
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|---|---|---|---|---|
| FullText.pdf | Copyright information: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. | 383.59 kB | Adobe PDF | View/Open |
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