Macrea Madalina, ZuWallack Richard, Nici Linda
-Salem Veterans Affairs Medical Center -University of Virginia.
Monaldi Arch Chest Dis. 2017 Jul 18;87(2):859. doi: 10.4081/monaldi.2017.859.
Traditional, outpatient pulmonary rehabilitation provided to stable COPD patients leads to significant improvements in dyspnea, exercise capacity and health related quality of life. Also, when started during or shortly after a hospitalization for a COPD exacerbation, pulmonary rehabilitation improves these patient-centered outcomes and arguably reduces subsequent health care utilization and mortality. Despite these benefits, the uptake of traditional pulmonary rehabilitation remains disappointingly poor. Home-based pulmonary rehabilitation, a safe and effective alternative to traditional, center-based programs, can broaden access. While proven improvements in dyspnea, exercise capacity and health status justify implementation of home-based pulmonary rehabilitation, it would be helpful to know whether it can also decrease health care utilization and be cost-effective.
为稳定期慢性阻塞性肺疾病（COPD）患者提供的传统门诊肺康复可显著改善呼吸困难、运动能力及与健康相关的生活质量。此外，在因COPD急性加重住院期间或出院后不久开始进行肺康复，可改善这些以患者为中心的结局，并且可以说能减少后续医疗保健的使用及死亡率。尽管有这些益处，但传统肺康复的接受程度仍然低得令人失望。居家肺康复是传统的基于中心的项目的一种安全有效的替代方案，可以扩大获得康复的机会。虽然已证实居家肺康复在改善呼吸困难、运动能力和健康状况方面有效果，从而证明其实施的合理性，但了解它是否还能降低医疗保健的使用并具有成本效益将是有帮助的。
