Evidence map›Paper›PMID 33653933›Full record

ArticleThorax2021

COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD.

Ruth E Barker, Samantha Sc Kon, Stuart F Clarke, Jenni Wenneberg, Claire M Nolan, Suhani Patel, Jessica A Walsh, Oliver Polgar, Matthew Maddocks, Morag Farquhar and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Implementing acute exacerbations of COPD care bundles: evidence, effectiveness and future directions.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. A Proposed Checklist for Optimizing COPD Patient Discharge Processes in Italian Internal Medicine Wards.International journal of chronic obstructive pulmonary disease · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Ruth E BarkerHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK r.barker18@imperial.ac.uk.ORCID http://orcid.org/0000-0002-7022-0194
Samantha Sc KonHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.
Stuart F ClarkeHillingdon Integrated Respiratory Service, The Hillingdon Hospitals NHS Foundation Trust, London, UK.
Jenni WennebergHillingdon Integrated Respiratory Service, The Hillingdon Hospitals NHS Foundation Trust, London, UK.
Claire M NolanHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-9067-599X
Suhani PatelHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.
Jessica A WalshHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-9103-3945
Oliver PolgarHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-1320-2096
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, London, UK.
Morag FarquharSchool of Health Sciences, University of East Anglia, Norwich, UK.
Nicholas S HopkinsonNational Heart and Lung Institute, Imperial College, London, UK.ORCID http://orcid.org/0000-0003-3235-0454
Derek BellNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Northwest London, Imperial College London, London, UK.
Jadwiga A WedzichaNational Heart and Lung Institute, Imperial College, London, UK.
William D-C ManHarefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy's and St.Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-3782-659X
Guy's and St Thomas' NHS Foundation Trust · GBHillingdon Hospitals NHS Foundation Trust · GBImperial College London · GBKing's College London · GBNational Institute for Health Research · GBUniversity of East Anglia · GB

Funding

Department of Health CDF-2017-10-009
6 · The paper itself

Abstract

Pulmonary rehabilitation (PR) following hospitalisations for acute exacerbation of COPD (AECOPD) is associated with improved exercise capacity and quality of life, and reduced readmissions. However, referral for, and uptake of, post-hospitalisation PR are low. In this prospective cohort study of 291 consecutive hospitalisations for AECOPD, COPD discharge bundles delivered by PR practitioners compared with non-PR practitioners were associated with increased PR referral (60% vs 12%, p<0.001; adjusted OR: 14.46, 95% CI: 5.28 to 39.57) and uptake (40% vs 32%, p=0.001; adjusted OR: 8.60, 95% CI: 2.51 to 29.50). Closer integration between hospital and PR services may increase post-hospitalisation PR referral and uptake.

Indexed as

COPD exacerbationspulmonary rehabilitationrespiratory infection

Identifiers

PMID33653933
PMCPMC8311074
OpenAlexW3132135778

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.