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SPECIAL ARTICLE
British Thoracic Society Guideline on Pulmonary Rehabilitation in Adults
1
Nottingham Respiratory Research Unit, University of Nottingham,
City Hospital campus, Nottingham, UK
2
Department of Pulmonary Rehabilitation, Worcestershire Royal
Hospital, Worcester, UK
3
Respiratory Medicine, University Hospital Aintree, Liverpool, UK
4
Patient representative, Mansfield, UK
5
Department of Respiratory Infection and Medicine, Imperial College
Healthcare NHS Trust, London, UK
6
Pulmonary Rehabilitation Department, Kings College NHS
Foundation Trust, London, UK
7
Department of Respiratory Medicine, University Hospitals of
Leicester, Leicester, UK
8
Respiratory Medicine, Royal Victoria Infirmary, Newcastle, UK
9
Department of Respiratory Medicine, Royal Brompton Hospital,
London, UK
10
Department of Respiratory Medicine, NIHR Biomedical Research
Unit for Advanced Lung Disease, Harefield, UK
11
Respiratory Medicine, University Hospital Llandough, Penarth,
S Wales, UK
12
Respiratory Medicine, Whipps Cross Hospital, London, UK
13
Department of Cardiac/Pulmonary Rehabilitation, University
Hospitals of Leicester NHS Trust, Leicester, UK
14
Heart of England NHS Foundation Trust, Birmingham, UK
Pneumon 2018;31(2):81
ABSTRACT
- Pulmonary rehabilitation should be offered to patients with chronic obstructive pulmonary disease (COPD) with a view to improving exercise capacity by a clinically important amount. (Grade A)
- Pulmonary rehabilitation should be offered to patients with COPD with a view to improving dyspnoea and health status by a clinically important amount. (Grade A)
- Different components within a pulmonary rehabilitation programme, such as resistance training, can influence quadriceps strength and this is addressed in the section ‘Nature of training of these guidelines’. (√)
- Pulmonary rehabilitation should be offered to patients with COPD with a view to improving psychological wellbeing. (Grade A)
- As a minimum, efficacy of pulmonary rehabilitation programmes needs to be regularly assessed by demonstrating clinically important improvements in exercise capacity, dyspnoea and health status. (Grade B)
- As part of regular assessment, patient satisfaction and feedback should be sought. (√)
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