@article{c3c5cd9cd1414936a146e4fd3817c879,
title = "COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD",
abstract = "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. ",
keywords = "COPD exacerbations, pulmonary rehabilitation, respiratory infection",
author = "Barker, {Ruth E.} and Kon, {Samantha S.C.} and Clarke, {Stuart F.} and Jenni Wenneberg and Nolan, {Claire M.} and Suhani Patel and Walsh, {Jessica A.} and Oliver Polgar and Matthew Maddocks and Morag Farquhar and Hopkinson, {Nicholas S.} and Derek Bell and Wedzicha, {Jadwiga A.} and Man, {William D.C.}",
note = "Funding Information: Funding This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Clinical Doctoral Fellowship Programme (Fellowship Reference Number ICA-CDRF-2017-03-018). The funder had no role in the collection, analysis and interpretation of the data; the funder had no role in the writing of and decision to publish this report. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. REB is funded by a NIHR Clinical Doctoral Research Fellowship (ICA-CDRF-2017-03-018); CMN was funded by a NIHR Doctoral Research Fellowship (DRF-2014-07-089) and a NIHR Clinical Trials Fellowship (CTF-2017-06-005); MM is funded by a NIHR Career Development Fellowship (CDF-2017-10-009) and NIHR Applied Research Collaboration South London; MF is currently part-funded by the NIHR Applied Research Collaboration East of England programme. Funding Information: Competing interests REB, SSCK, SFC, JW, CMN, SEJ, SP, JAW, MM, MF and NSH have no competing interests to report. WM reports personal fees from Jazz Pharmaceuticals, personal fees from Mundipharma, personal fees from Novartis, grants from Pfizer, non-financial support from GSK, grants from National Institute for Health Research, grants from British Lung Foundation, outside the submitted work. Publisher Copyright: {\textcopyright} 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. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = aug,
day = "1",
doi = "10.1136/thoraxjnl-2020-215464",
language = "English",
volume = "76",
pages = "829--831",
journal = "Thorax",
issn = "0040-6376",
publisher = "BRITISH MED JOURNAL PUBL GROUP",
number = "8",
}