IMPRESS Guide to Pulmonary Rehabilitation (PR)

Source:  IMPRESS 

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Date of publication:  December 2011

Publication type:  Report

In a nutshell:

Prepared for commissioners, this report reviews the evidence, explains what PR is, how it works, its value and why it should be commissioned.  The report will supplement the ‘Commissioning Pack for COPD’ due to be published by the Department of Health early in 2012.

Length of publication: 20 page pdf

Commissioning COPD Services

Source: Agenda for Health

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Date of publication:  September 2011

Publication type: Web site

In a nutshell: In September, the Department of Health launched the COPD Commissioning Pack.  Agenda for Health is running a series of workshops in October and November to provide practical experience of using the packs to commission a spirometry and diagnostic service, an assesment and review of home oxygen or pulmonary rehabilitation.  The site includes workshop resources, including presentations.

Length of publication:  One web page

Some important notes: Registration with the site is required to access the resources

Outpatient-Based Pulmonary Rehabilitation for COPD: A Cost of Illness Study

Source:  ISRN Pulmonology Volume 2011, Article ID 364989, doi:10.5402/2011/364989

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Date of publication:  July 2011

Publication type:  Journal article

In a nutshell: This study from Hertfordshire looked at the costs associated with pulmonary rehabilitation for advanced COPD and concluded that costs were reduced by £1835 per person (in 2008).

Length of publication:  6 pages

Acknowledgement: Mednar Alerts

Large-scale community pulmonary rehabilitation: More than a question of numbers

Source: Thorax, December 2009, vol./is. 64/(A98)

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Date of publication: December 2009

Publication type: Abstract

In a nutshell: This is a report on the first 2 years of BreathingSpace (BS) , a community-based facility dedicated to the assessment and management of patients with COPD. One of its original ideals was to deliver pulmonary rehabilitation on a large scale for the local community.  The authors guard against getting the impression that more can be done for less.

Length of publication:  1 page

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details.  Follow this link to find your local NHS Library

Acknowledgement: EMBASE

British Lung Foundation’s search for the missing millions of COPD patients

Source: Thorax, December 2009, vol./is. 64/(A154-A155)

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Date of publication: December 2009

Publication type: Abstract

In a nutshell: British Lung Foundation (BLF) surveys identified UK hotspots where the most acute admissions for chronic obstructive pulmonary disease (COPD) are expected. Two top hotspots, Nottingham and South Tyneside, were targeted with awareness-raising events. These events were supported by extensive publicity campaigns directed at GPs, pharmacies, community health centres and libraries with local media involvement. In South Tyneside there were also telemarketing campaigns directed towards at-risk groups.   Day awareness-raising events were arranged at eight venues – supermarkets, shopping malls or Bingo halls – where spirometry was offered by trained respiratory nurses using Microlab portable spirometers.  Demonstrates the benefits of identifying and targeting hotspots to identify and treat people with previously undiagnosed COPD. This is crucial to improving care and equally of access for this large population of disadvantaged patients.

Length of publication:  1 page

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details.  Follow this link to find your local NHS Library

Acknowledgement: EMBASE

Does home telemonitoring after pulmonary rehabilitation reduce healthcare use in optimized COPD a pilot randomized trial

Source: COPD: Journal of Chronic Obstructive Pulmonary Disease, 2010, vol.7 part 1, pages 44-50

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Date of publication: April 2010

Publication type: Article

In a nutshell: The research concludes that in stable, optimized COPD patients who have already completed pulmonary rehabilitation, telemonitoring in addition to best care, reduces primary care chest contacts but not hospital or specialist team utilization.

Length of publication:  7 pages

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details Follow this link to find your local NHS Library

Acknowledgement: EMBASE

 

Three years of pulmonary rehabilitation: inhibit the decline in airflow obstruction, improves exercise endurance time, and body-mass index, in chronic obstructive pulmonary disease

Source: BMC Pulmonary Medicine, 9(26) online publication ahead of print

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Date of publication: May 2009

Publication type: Journal Article

In a nutshell: The aim of the study was to examine the efficacy of a 3 year outpatient pulmonary rehabilitation (PR) program for COPD patients on pulmonary function, exercise capability, and body mass index (BMI).  The conclusion was that the optimum time is three years.

Length of publication: 5 pages

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details Follow this link to find your local NHS Library

Acknowledgement: Medline

Pulmonary Rehabilitation: what we know and what we need to know

Source: Journal of Cardiopulmonary Rehabilitation and Prevention, May/June 2009, 29(3) pages 141-151

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Date of publication: 2009

Publication type: Journal Article

In a nutshell: Looks at the future direction of pulmonary rehabilitation; where it fits into the all round care of the COPD patient; and how clinicians can best apply this intervention. It concludes that although PR is effective for other chronic respiratory diseases, the focus is COPD since most of the evidence base and patient referrals are for this disease. The article provides insight into 3 broad areas appropriate of implementation: positioning PR in an integrated care model for COPD patients; improving the effectiveness of this intervention; and expanding the recognition, application, and accessibility to PR.

Length of publication: 11 pages

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details Follow this link to find your local NHS Library. 

Acknowledgement: CINAHL