[Outpatient pulmonary rehabilitation].

Pneumologe (Berl)

Therme Wien Med, Ludwig Boltzmann Institut für Rehabilitationsforschung, Kurbadstr. 14, 1100 Wien, Österreich.

Published: March 2022

Background: Outpatient pulmonary rehabilitation (PR) plays a central role in the integrative care of patients with pulmonary diseases.

Material And Methods: The article gives an overview of the recent evidence on outpatient PR in various diseases, in various settings including the cost-effectiveness. This is based on a selective literature search in the PubMed and Medline databanks, current expert opinions and clinical experiences.

Results: Early rehabilitation after exacerbation in COPD patients leads to a reduction of rehospitalizations (hazard ratio 0.83) and to a reduction of mortality (hazard ratio 0.63) over a period of 12 months. Telerehabilitation is a promising future perspective in specific settings. Recent publications on bronchiectasis, interstitial lung diseases and pulmonary hypertension could confirm the safety and feasibility of outpatient PR and the cost-effectiveness could be demonstrated. Also, the evidence for inpatient as well as outpatient PR settings for patients with post-COVID and long COVID is growing.

Conclusion: There is growing equivalence with respect to the evidence on PR, independent of whether it is carried out in an outpatient or inpatient setting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953964PMC
http://dx.doi.org/10.1007/s10405-022-00442-4DOI Listing

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