Effects of respiratory therapist-directed protocol on prescription and outcomes of pulmonary rehabilitation in XXXX inpatients.

@entity1 @entity4629 @entity1353 @entity1576 @entity1030 @entity2542
BACKGROUND: The use of respiratory therapist-directed (RD) protocols in non-ICU hospitalized @entity1 decreases respiratory care charges as compared with @entity4629 ( @entity4629 ) protocols. OBJECTIVES: To determine whether RD or @entity4629 protocol assessments in @entity1030 @entity1 may impact: (1) prescription of @entity1576 , and (2) outcomes of pulmonary rehabilitation program (PRP). METHODS: In a retrospective observational case-control study, 73 cases (RD) were compared with controls ( @entity4629 ) matched for age, sex, FEV1 and diagnosis of either @entity1030 ( @entity1030 ), @entity2542 ( @entity2542 ) or chronic @entity1576 (CRI). PRP programs were specifically tailored and assessed for inpatients with moderate to severe @entity1030 . Type of PRP protocol (P), number of @entity1576 ( @entity1576 ), number of exercise training prescription (EXP) and failure (EXF), time to start PRP (T) and length of hospital stay (LOS) were recorded. Perceived breathlessness (B) as assessed by MRC scale, 6-min walk meters (6MWD), and BORG- @entity1353 at rest (D-rest) and end of effort (D-effort) were also assessed as outcome measures before (T0) and after (T1) the PRP. RESULTS: Frequency distribution of P, EXP and EXF was similar in the two groups. However, prescription of additional @entity1576 (1.9 +/- 0.8 and 2.5 +/- 1.1 days, p<0.01), T (1.2 +/- 0.4 and 1.8 +/- 1.2 days, p<0.001) and LOS (17.2 +/- 2.0 and 18.2 +/- 1.8 days, p<0.05) were lower in cases than in controls. Both cases and controls similarly improved (p<0.0001) B, 6MWD, D-rest and D-effort at T1. CONCLUSIONS: @entity1576 -directed assessment results in less @entity1576 prescription than @entity4629 -directed protocol and it does not affect the outcomes of in-hospital pulmonary rehabilitation of @entity1030 @entity1 .
