Barker Ruth E, Kon Samantha Sc, Clarke Stuart F, Wenneberg Jenni, Nolan Claire M, Patel Suhani, Walsh Jessica A, Polgar Oliver, Maddocks Matthew, Farquhar Morag, Hopkinson Nicholas S, Bell Derek, Wedzicha Jadwiga A, Man William D-C
Harefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK
National Heart and Lung Institute, Imperial College, London, UK.
Thorax. 2021 Mar 2;76(8):829-31. doi: 10.1136/thoraxjnl-2020-215464.
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.
慢性阻塞性肺疾病急性加重（AECOPD）住院后进行肺康复（PR）与运动能力和生活质量改善以及再入院率降低相关。然而，住院后PR的转诊和接受率较低。在这项针对291例连续AECOPD住院患者的前瞻性队列研究中，与非PR从业者相比，PR从业者提供的COPD出院综合护理与PR转诊增加（60%对12%，p<0.001；调整后的OR：14.46，95%CI：5.28至39.57）和接受率增加（40%对32%，p=0.001；调整后的OR：8.60，95%CI：2.51至29.50）相关。医院与PR服务之间更紧密的整合可能会增加住院后PR的转诊和接受率。
