Pulmonary rehabilitation and readmissions in COPD
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《英国医生杂志》
EDITOR—Lee correctly points out an apparent dissociation between the highly impressive clinical benefits and the non-significant changes in hospital readmission rates. The data presented, however, did show a trend towards both reduced hospital readmission rate and number of hospital days, as well as a significant reduction in visits to accident and emergency departments.
The primary outcomes were changes in exercise capacity and health status, and the study was not adequately powered to look at the secondary outcome measures that included hospital readmission rate.
The British Lung Foundation is currently funding a study powered to look at the effects of early community pulmonary rehabilitation on hospital readmission rates and health economics, and we look forward to presenting these data in the future.
William D-C Man, MRC clinical research fellow
William.man@kcl.ac.uk, Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
John Moxham, professor of respiratory medicine
Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
The other authors of this study have co-written this reply: Michael I Polkey, consultant physician in respiratory medicine, Royal Brompton Hospital, London SW3 6NP; and Nora Donaldson, senior lecturer in statistics, and Barry J Gray, consultant physician in respiratory medicine, both of King's College Hospital, London SE5 9RS.
信息仅供参考，不构成任何之建议、推荐或指引。文章版权属于原著作权人，若您认为此文不宜被收录供大家免费阅读，请邮件或电话通知我们，我们收到通知后，会立即将您的作品从本网站删除。The primary outcomes were changes in exercise capacity and health status, and the study was not adequately powered to look at the secondary outcome measures that included hospital readmission rate.
The British Lung Foundation is currently funding a study powered to look at the effects of early community pulmonary rehabilitation on hospital readmission rates and health economics, and we look forward to presenting these data in the future.
William D-C Man, MRC clinical research fellow
William.man@kcl.ac.uk, Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
John Moxham, professor of respiratory medicine
Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
The other authors of this study have co-written this reply: Michael I Polkey, consultant physician in respiratory medicine, Royal Brompton Hospital, London SW3 6NP; and Nora Donaldson, senior lecturer in statistics, and Barry J Gray, consultant physician in respiratory medicine, both of King's College Hospital, London SE5 9RS.
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