Volume 28, Issue 151, Septemper 2024

Effectiveness of Pulmonary Rehabilitation in reducing mortality after acute exacerbation of chronic obstructive pulmonary disease; systematic review

Abdulaziz Muncher Alotaibi¹, Hussein Saleh Alyami¹, Mohammed Sagheer Albarqi¹, Osama Ahmed Alshehri¹, Nasser Mohammed Alhammam², Azizah Hwidi Alkhudairi³, Layla Mohammed AlThawadi¹, Munirah Abdulrahman Almulhim¹

¹Respiratory Therapist, Respiratory Therapy Department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia
²Pharmacy Technician, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia
³Social Worker Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia

ABSTRACT

Background: According to clinical guidelines, patients with COPD can benefit from pulmonary rehabilitation. Our study aim was to assess the effects of an early pulmonary rehabilitation program, initiated within 4 weeks of hospitalization for COPD acute exacerbation, vs standard therapy. Method: PRISMA criteria were followed in the conduct of this systematic review study. Research that compared the advantages of early PR initiated during admission or following hospital release with no early PR or standard care for patients newly admitted or previously admitted to the hospital with a COPD exacerbation were included. We performed a thorough literature search using the databases Medline, Embase, CINAHL, AND Cochrane Library, looking for publications published in the English language between 2011 and 2024. Result: It was determined that six primary RCTs qualified for this review. These studies included 394 people who had recently had COPD exacerbation. The outpatient treatment was initiated one to four weeks after the inpatient exacerbation therapy in four trials. Patients began PR as either inpatients or outpatients in one research, and they all continued as outpatients. In every study, PR encompassed managing everyday living, supervised exercise training and instruction, nutritional support, and quitting smoking. Conclusion: Supervised early PR is one effective way to reduce mortality following a hospital stay for COPD acute exacerbation.

Keywords: Pulmonary rehabilitation, chronic obstructive pulmonary disease, mortality, hospital stay

Medical Science, 2024, 28, e127ms3439

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DOI: https://doi.org/10.54905/disssi.v28i151.e127ms3439

Published: 27 September 2024