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

Autor: Ibrahim W; Department of Respiratory Sciences, University of Leicester, Leicester, UK., Harvey-Dunstan TC; Division of Physiotherapy and Rehabilitation Sciences, School of Health Sciences, University of Nottingham, Nottingham, UK., Greening NJ; Department of Respiratory Sciences, University of Leicester, Leicester, UK.; Centre for Exercise and Rehabilitation Science, Institute for Lung Health, Leicester, UK.
Jazyk: angličtina
Zdroj: Respirology (Carlton, Vic.) [Respirology] 2019 Sep; Vol. 24 (9), pp. 889-898. Date of Electronic Publication: 2019 Mar 05.
DOI: 10.1111/resp.13516
Abstrakt: 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, post-exacerbation rehabilitation and rehabilitation bridging hospital discharge. We also describe potential future developments in peri-exacerbation PR.
(© 2019 Asian Pacific Society of Respirology.)
Databáze: MEDLINE
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