Lower mortality after early supervised pulmonary rehabilitation following COPD-exacerbations: a systematic review and meta-analysis.
Camilla Koch RyrsøNina Skavlan GodtfredsenLinette Marie KofodMarie LavesenLine MogensenRandi TobberupIngeborg Farver-VestergaardHenriette Edemann CallesenBritta TendalPeter LangeUlrik Winning IepsenPublished in: BMC pulmonary medicine (2018)
Moderate quality of evidence showed reductions in mortality, number of days in hospital and number of readmissions after early PR in patients hospitalized with a COPD exacerbation. Long-term effects on mortality were not statistically significant, but improvements in HRQoL and exercise capacity appeared to be maintained for at least 12 months. Therefore, we recommend early supervised PR to patients with COPD-related exacerbations. PR should be initiated during hospital admission or within 4 weeks after hospital discharge.
Keyphrases
- chronic obstructive pulmonary disease
- lung function
- end stage renal disease
- machine learning
- chronic kidney disease
- high intensity
- healthcare
- cardiovascular events
- cystic fibrosis
- emergency department
- ejection fraction
- newly diagnosed
- peritoneal dialysis
- risk factors
- pulmonary hypertension
- acute care
- coronary artery disease
- resistance training
- quality improvement
- body composition