Chronic obstructive pulmonary disease in over 16s: diagnosis and management

Recommendation ID: NG115/1
Question: Pulmonary rehabilitation during hospital admission:- In people with COPD, does pulmonary rehabilitation during hospital admission for exacerbation and/or in the early recovery period (within 1 month of an exacerbation) improve quality of life and reduce hospitalisations and exacerbations compared with a later (defined as after 1 month)
pulmonary rehabilitation programme, and in which groups is it most clinically and cost effective?
Any explanatory notes (if applicable): Why this is important:- The greatest reconditioning and potential benefit from rehabilitation may occur in the early postexacerbation phase. If inpatient pulmonary rehabilitation is demonstrated to be effective, this may potentially impact on service delivery (for example, early discharge schemes). The cost effectiveness of early versus later pulmonary rehabilitation programmes should also be evaluated. Studies should be cluster randomised, be of sufficiently long duration and be adequately powered.

Source guidance details

Comes from guidance: Chronic obstructive pulmonary disease in over 16s: diagnosis and management
Number: NG115
Date issued: December 2018

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	31/12/2018