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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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