Pulmonary rehabilitation and readmissions in COPD
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《英国医生杂志》
EDITOR—Lee correctly points out an apparent dissociation between the highly impressive clinical benefits and the non-significant changes in hospital readmission rates. The data presented, however, did show a trend towards both reduced hospital readmission rate and number of hospital days, as well as a significant reduction in visits to accident and emergency departments.
The primary outcomes were changes in exercise capacity and health status, and the study was not adequately powered to look at the secondary outcome measures that included hospital readmission rate.
The British Lung Foundation is currently funding a study powered to look at the effects of early community pulmonary rehabilitation on hospital readmission rates and health economics, and we look forward to presenting these data in the future.
William D-C Man, MRC clinical research fellow
William.man@kcl.ac.uk, Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
John Moxham, professor of respiratory medicine
Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
The other authors of this study have co-written this reply: Michael I Polkey, consultant physician in respiratory medicine, Royal Brompton Hospital, London SW3 6NP; and Nora Donaldson, senior lecturer in statistics, and Barry J Gray, consultant physician in respiratory medicine, both of King's College Hospital, London SE5 9RS.
The primary outcomes were changes in exercise capacity and health status, and the study was not adequately powered to look at the secondary outcome measures that included hospital readmission rate.
The British Lung Foundation is currently funding a study powered to look at the effects of early community pulmonary rehabilitation on hospital readmission rates and health economics, and we look forward to presenting these data in the future.
William D-C Man, MRC clinical research fellow
William.man@kcl.ac.uk, Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
John Moxham, professor of respiratory medicine
Respiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ
The other authors of this study have co-written this reply: Michael I Polkey, consultant physician in respiratory medicine, Royal Brompton Hospital, London SW3 6NP; and Nora Donaldson, senior lecturer in statistics, and Barry J Gray, consultant physician in respiratory medicine, both of King's College Hospital, London SE5 9RS.