Pulmonary rehabilitation following hospitalisation for acute exacerbation of COPD: referrals, uptake and adherence
Open accessAbstract
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.
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There was higher attendance at PR visits in the intervention and control groups than in published standards.
“There was higher attendance at PR visits in the intervention and control groups than in published standards (37)”
From Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization: A Randomized Study (2016) · cites this paper as [37]
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Cites
British Thoracic Society guideline on pulmonary rehabilitation in adults: accredited by NICE
Bolton, C. E., Bevan-Smith, E. F., Blakey, J. D., Crowe, P., Elkin, S. L., Garrod, R., Greening, N. J., Heslop, K., Hull, J. H., Man, W. D.-C., et al. (2013) · Thorax · doi:10.1136/thoraxjnl-2013-203808 · Cited by 717 · see citing works
Self-citationMan, W. D., Polkey, M. I., Donaldson, N., Gray, B. J., & Moxham, J. (2004) · BMJ · doi:10.1136/bmj.38258.662720.3a · Cited by 312 · see citing works
Self-citationOutpatient pulmonary rehabilitation following acute exacerbations of COPD
Seymour, J. M., Moore, J. E., Jolley, C. J., Ward, K., Creasey, J., Steier, J. S., Yung, B., Man, W. D., Hart, N., Polkey, M. I., et al. (2010) · Thorax · doi:10.1136/thx.2009.124164 · Cited by 281 · see citing works
Self-citationDesigning and implementing a COPD discharge care bundle
Hopkinson, N. S., Englebretsen, C., Cooley, N., et al. (2011) · Thorax · doi:10.1136/thoraxjnl-2011-200233 · Cited by 112 · see citing works
Hogg, L., Garrod, R., Thornton, H. V., McDonnell, L., Bellas, H., & White, P. T. (2012) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.3109/15412555.2012.707258 · Cited by 107 · see citing works
Commentary: the British Thoracic Society guideline on pulmonary rehabilitation in adults
Bolton, C. E., Singh, S. J., Walker, P. P., & on behalf of the British Thoracic Society Pulmonary Rehabilitation Guideline Group (2013) · Thorax · doi:10.1136/thoraxjnl-2013-203809 · Cited by 54 · see citing works
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- Research letter on July 20, 2023 by guest. Protected by copyright. http://thorax.bmj.com/ Thorax: first published as 10.1136/thoraxjnl-2013-204227 on 14 August 2013. Downloaded from ▸ Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10. 1136/thoraxjnl-2013-204227).
- To cite Jones SE, Green SA, Clark AL, et al. Thorax 2014;69:181-182. REFERENCES
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Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization: A Randomized Study
Benzo, R., Vickers, K., Novotny, P. J., Tucker, S., Hoult, J., Neuenfeldt, P., Connett, J., Lorig, K., & McEvoy, C. (2016) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201512-2503oc · Cited by 176 · see citing works
Tsutsui, M., Gerayeli, F., & Sin, D. D. (2021) · International Journal of Chronic Obstructive Pulmonary Disease · doi:10.2147/copd.s263031 · Cited by 147 · see citing works
Hornikx, M., Demeyer, H., Camillo, C. A., Janssens, W., & Troosters, T. (2015) · BMC Pulmonary Medicine · doi:10.1186/s12890-015-0126-8 · Cited by 58 · see citing works
Fernandes-James, C., Graham, C. D., Batterham, A. M., & Harrison, S. L. (2019) · Chronic Respiratory Disease · doi:10.1177/1479973119880893 · Cited by 19 · see citing works
- Authors
- Jones, S. E., Green, S. A., Clark, A. L., Dickson, M. J., Nolan, A.-M., Moloney, C., Kon, S. S. C., Kamal, F., Godden, J., Howe, C., Bell, D., Fleming, S., Haselden, B. M., & Man, W. D.-C.
- Affiliations
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- National Institute for Health and Care Research (GB)
- Hillingdon Hospital (GB)
- Corresponding author
- Jones, Sarah E
- ORCID
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2013-08-14
- Volume
- 69
- Issue
- 2
- Pages
- 181-182
- ISSN
- 0040-6376 (ISSN-L)
- 1468-3296
- OpenAlex
- W2147471091
- Cited by
- 190
- References
- 6
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 15 · 2023: 16 · 2022: 8 · 2021: 21 · 2020: 26 · 2019: 8 · 2018: 19 · 2017: 13 · 2016: 14 · 2015: 16 · 2014: 18 · 2013: 1
- FWCI
- 13.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute for Health and Care Research (DHCS/07/07/009, NIHR-KMF-2012-01-08, CTF-01-12-04)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- pulmonary rehabilitation, COPD exacerbations, chronic obstructive pulmonary disease, referral uptake, rehabilitation adherence, outpatient rehabilitation, service utilization
- MeSH terms
- Acute Disease, Hospitalization, Humans, London, Medical Audit, Outpatient Clinics, Hospital, Patient Compliance, Patient Dropouts, Referral and Consultation, Pulmonary Disease, Chronic Obstructive
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