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Enhancing pulmonary rehabilitation enrollment study (PRESS III)
- Source :
- Canadian Journal of Respiratory, Critical Care, and Sleep Medicine; January 2021, Vol. 5 Issue: 1 p38-42, 5p
- Publication Year :
- 2021
-
Abstract
- AbstractRATIONALE: Pulmonary rehabilitation (PR) is recommended in patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) to reduce the risk of future exacerbations. Previous review in this health region demonstrated 9% of inpatients with AECOPD were being referred to PR following discharge, and 4% were attending, none within 30 days post-discharge.OBJECTIVEEvaluate referral and attendance rates to PR after implementation of a physician-led recruitment method.MEASUREMENTS AND MAIN RESULTS: All inpatients admitted to medicine wards were systematically screened for AECOPD utilizing a Drug Use Evaluation report for prescribed inhalers/nebulizers. Investigators met with identified eligible patients, delivered education and provided a pre-booked appointment card to attend PR within 4 weeks of discharge. PR attendance and barriers to attendance were documented.A total of 296 patients receiving inhalers/nebulizers were screened: 135 patients did not have clinical COPD. Of the remaining 161 patients, 50 were deemed eligible for the intervention. Reasons for exclusion included significant co-morbid conditions (n = 71), distance (n = 34) and preexisting attendance (n = 6). Of eligible patients, 12 declined referral with the main reason being lack of transportation; 38 patients accepted referral to PR, with 16 attending their first appointment.CONCLUSIONA physician-led referral strategy improved PR referral rates, with 24% of patients admitted with “clinical COPD” being formally referred to PR compared to only 9% with prior clinical practice. Moreover, physician-led recruitment increased PR attendance to 10% from prior 4%. Of the patients with clinical AECOPD, only 31% were eligible for referral to PR, and of those, only 32% attended their first appointment.
Details
- Language :
- English
- ISSN :
- 24745332 and 24745340
- Volume :
- 5
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Canadian Journal of Respiratory, Critical Care, and Sleep Medicine
- Publication Type :
- Periodical
- Accession number :
- ejs55490599
- Full Text :
- https://doi.org/10.1080/24745332.2020.1743212