S11 Feasibility of a web-based self-management programme, as a ‘bridge’ to starting pulmonary rehabilitation, for individuals hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD)

Houchen–Wolloff, Linzy; Orme, Mark; Clinch, L; Gardiner, Nikki; Singh, Sally

doi:10.1136/thorax-2018-212555.17

Cited by 3 publications

(1 citation statement)

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“…However, increased transient cognitive impairment is common in the recently hospitalized population and may impact the ability to deliver more self‐management directed interventions. Web literacy may also be lower than reported in this population …”

Section: Factors That Impact Systemic Factors Of Copd In Exacerbationscontrasting

confidence: 64%

Rehabilitation in chronic respiratory diseases: In‐hospital and post‐exacerbation pulmonary rehabilitation

2019

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Exacerbations of chronic obstructive pulmonary disease (COPD) that require hospitalization are important events for patients. Functional impairment and skeletal muscle dysfunction can increase the risk of hospitalization and readmission, independent of lung function. In addition, once a patient is admitted, multiple factors can lead to worsening outcome including immobility, systemic inflammation and nutritional depletion. These non-pulmonary factors are potentially amenable to exercise therapy, as part of pulmonary rehabilitation (PR). Peri-exacerbation PR has an important role in the management of exacerbations of COPD. In this review, we explore how functional limitation and skeletal muscle dysfunction affect patients having a severe exacerbation of COPD, the systemic impact of hospitalization on patients including potential aetiologies and the role of PR around the time of an exacerbation. This includes rehabilitation during the inpatient phase, postexacerbation rehabilitation and rehabilitation bridging hospital discharge. We also describe potential future developments in peri-exacerbation PR.Peri-exacerbation pulmonary rehabilitation 6MWT, 6-min walk test; ADL, activity of daily living; AECOPD, acute exacerbation of chronic obstructive pulmonary disease; CRQ, Chronic Respiratory Questionnaire; ISWT, incremental shuttle walk test; SGRQ, St George's Respiratory Questionnaire; VO 2max , oxygen consumption.Respirology (2019) 24, 889-898

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Section: Factors That Impact Systemic Factors Of Copd In Exacerbationscontrasting

confidence: 64%

Rehabilitation in chronic respiratory diseases: In‐hospital and post‐exacerbation pulmonary rehabilitation

2019

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Digital interventions for the management of chronic obstructive pulmonary disease

Janjua

Banchoff

Threapleton

et al. 2021

Cochrane Database of Systematic Reviews

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Pulmonary rehabilitation at a time of social distancing: prime time for tele-rehabilitation?

Houchen–Wolloff

Steiner

2020

Thorax

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S11 Feasibility of a web-based self-management programme, as a ‘bridge’ to starting pulmonary rehabilitation, for individuals hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD)

Cited by 3 publications

References 1 publication

Rehabilitation in chronic respiratory diseases: In‐hospital and post‐exacerbation pulmonary rehabilitation

Rehabilitation in chronic respiratory diseases: In‐hospital and post‐exacerbation pulmonary rehabilitation

Digital interventions for the management of chronic obstructive pulmonary disease

Pulmonary rehabilitation at a time of social distancing: prime time for tele-rehabilitation?

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