Dr.Tania Janaudis-Ferreira, McGill University, Montréal, QC

In recent years, the number of studies examining the effects of pulmonary rehabilitation (PR) during or immediately after an acute exacerbation of COPD (AECOPD) has increased considerably and, as a result, international guidelines on PR have incorporated recommendations about participation within four weeks of hospital discharge. Patients who complete PR following an AECOPD have improved exercise tolerance, a better health-related quality of life, heightened mood and are at a reduced risk of being readmitted to hospital. However, recent studies demonstrate poor referral, uptake, and completion rates to early post-AECOPD PR. As such, despite the guidelines recommendations for PR post-AECOPD, there is a need to establish the optimal referral pathway to PR and the manner in which PR can be best delivered, by increasing its acceptability to patients whilst still producing important clinical effects.

Learning Objectives
At the end of this presentation, attendees will be able to:

  • provide an overview of the evidence for the benefits of early pulmonary rehabilitation after acute exacerbation of AECOPD;
  • review the issues around delivering early pulmonary rehabilitation post-AECOPD; and
  • discuss potential solutions for a more acceptable intervention to patients post-AECOPD.