2 The Impact of Daily Pulmonary Rehabilitation on Hospital Admission Rates in

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The Impact of Daily Pulmonary Rehabilitation on Hospital Admission Rates in Elderly COPD Patients

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The Impact of Daily Pulmonary Rehabilitation on Hospital Admission Rates in Elderly COPD Patients

Part 1: PICOT Question

In elderly patients battling chronic obstructive pulmonary disease (COPD) (P), how does daily pulmonary rehabilitation program use (I) compared with no rehabilitation intervention approach (C) affect the hospital admission rate (O) within six months (T)?

Review of the Literature

Pulmonary rehabilitation (PR) has been studied extensively in terms of its effects on the symptoms of COPD. Cox et al. (2021) analyzed early home-based pulmonary rehabilitation among community residents with COPD after hospitalization. The scholars indicated that the intervention helped reduce the hospitalization rate due to patients’ decline in health status or even worsening of COPD (Cox et al., 2021). However, Dong et al. (2020) evaluated the impact of PR in improving the health of COPD patients. The patients portrayed positive changes in their overall health and physical and psychological well-being, as well as their past health documentation before admission and reduced hospitalization.

However, Ibrahim et al. (2019) included in-hospital and post-PR regarding chronic respiratory disease exacerbation. The scholars concluded their assertion that postoperative pulmonary rehabilitation at the earliest possible time efficiently reduces the admittance and mortality common to COPD patients. This improvement maps out the need to stick to PR to manage worsened COPD symptoms (Ibrahim et al.,2019). Furthermore, Moecke et al. (2023) ‘qualitatively’ combined the findings from the studies and ‘quantitatively’ assessed the safety and effectiveness of inpatient PR with acute exacerbations of COPD. The study indicated the actual protection of inpatient PR and reduction in the hospitalization proportion in COPD cases, hence advocating for the inception of PR as a primary means of managing COPD (Moecke et al., 2023).

Tonga and Oliver (2023) proved that PR improved an individual’s position, the number of admissions, and health conditions. This enhancement points out the importance of including the PR variable in the peripheral management approaches utilized in the case of COPD (Tonga & Oliver, 2023). These observations pointed out the necessity of the following research to compare the cost savings of daily PR when delivered longer to the hospitalization rates among elderly patients with COPD.

References

Cox, N. S., Lahham, A., McDonald, C. F., Mahal, A., O’Halloran, P., Hepworth, G., … & Holland, A. E. (2021). Home-based pulmonary rehabilitation early after hospitalization in COPD (early HomeBase): protocol for a randomized controlled trial. BMJ Open Respiratory Research, 8(1), e001107. https://doi.org/10.1136/bmjresp-2021-001107

Dong, J., Li, Z., Luo, L., & Xie, H. (2020). Efficacy of pulmonary rehabilitation in improving the quality of life for patients with chronic obstructive pulmonary disease: evidence based on nineteen randomized controlled trials. International Journal of Surgery, 73, 78-86. https://doi.org/10.1016/j.ijsu.2019.11.033

Ibrahim, W., Harvey‐Dunstan, T. C., & Greening, N. J. (2019). Rehabilitation in chronic respiratory diseases: in‐hospital and post‐exacerbation pulmonary rehabilitation. Respirology, 24(9), 889-898. https://doi.org/10.1111/resp.13516

Moecke, D. P., Zhu, K., Gill, J., Brar, S., Petlitsyna, P., Kirkham, A., … & Camp, P. G. (2023). Safety and efficacy of inpatient pulmonary rehabilitation for patients hospitalized with acute chronic obstructive pulmonary disease exacerbation: systematic review and meta-analyses. Annals of the American Thoracic Society, 20(2), 307-319. https://doi.org/10.1111/resp.13516

Tonga, K. O., & Oliver, B. G. (2023). Effectiveness of pulmonary rehabilitation for chronic obstructive pulmonary disease therapy: Focusing on traditional medical practices. Journal of Clinical Medicine, 12(14), 4815. https://doi.org/10.3390/jcm12144815