NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, , Harefield, UK.
Thorax. 2014 Feb;69(2):181-2. doi: 10.1136/thoraxjnl-2013-204227. Epub 2013 Aug 14.
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.
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.
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.
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.
几项随机对照试验支持在慢性阻塞性肺疾病急性加重（AECOPD）住院后提供早期肺康复（PR）。然而，关于实际接受率、坚持率和完成率的数据很少。
对伦敦西北部在 12 个月内接受住院后门诊早期 PR 的情况进行了前瞻性的转介、接受率、坚持率和完成率审核。
在 448 例 AECOPD 出院患者中，收到了 90 例住院后 PR 的转介，但尽管 PR 服务已全面开展，仍只有 43 名患者接受并完成了 PR（占所有出院患者的 9.6%）。
尽管有确凿的证据基础，但 AECOPD 患者住院后早期门诊 PR 的转介和接受率很低，只有一小部分目标人群接受了这种干预措施。
