Referring frail patients with COPD for rehab . . . and other storiesBMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3495 (Published 28 June 2016) Cite this as: BMJ 2016;353:i3495
Frailty, COPD, and rehab outcomes
“Frailty” is a label that comes up automatically on electronic patient record systems. If this pops up at the same time as the label “chronic obstructive pulmonary disease” (COPD), is it worth referring the patient for pulmonary rehabilitation? A prospective study of 816 outpatients with COPD referred to Harefield Hospital for pulmonary rehabilitation found that a quarter were officially frail but that they responded favourably to rehabilitation and their frailty could be reversed in the short term (Thorax doi:10.1136/thoraxjnl-2016-208460).
Antibiotics work for glue ear
An updated Cochrane review of antibiotics for otitis media with effusion in under 18s finds moderate quality evidence that they help resolution within 2-3 months, with a risk ratio of 2 and a number needed to treat of 5. The number needed for adverse effects …