Recommendations Following Hospitalization for Acute Exacerbation of COPD—A Consensus Statement of the Polish Respiratory Society
<b>Introduction:</b> This document presents recommendations of the Polish Respiratory Society on discharge instructions following hospitalization for an exacerbation of chronic obstructive pulmonary disease (COPD). <b>Methods:</b> The Delphi method was applied to achieve consensus among independent experts. <b>Results:</b> Fourteen recommendations were formulated. Experts emphasized that discharge summaries require clear graphical and editorial design to ensure readability for both patients and healthcare professionals. The involvement of a multidisciplinary team was recommended to provide coherent and comprehensive documentation. Discharge instructions should be discussed with the patient during hospitalization and supplemented with standardized educational materials provided separately. These materials should cover inhaler technique, smoking cessation, physical activity, pulmonary rehabilitation, and vaccination. For patients with respiratory failure, home oxygen therapy or non-invasive ventilation must be addressed. Discharge recommendations should highlight modifications in baseline COPD treatment and management of comorbidities. A personalized action plan for future exacerbations is essential, and dietary consultation is advised. Finally, discharge summaries should specify follow-up appointments and include prescriptions for inhaled medications. <b>Conclusions:</b> The Polish Respiratory Society recommends that discharge instructions be provided to all patients hospitalized for a COPD exacerbation.
Authors
- Adam Jerzy Białas (ORCID: https://orcid.org/0000-0002-3501-167X)
- Aleksander Kania (ORCID: https://orcid.org/0000-0001-5181-4360)
- Iwona Damps-Konstańska (ORCID: https://orcid.org/0000-0001-5622-3439)
- Krzysztof Henryk Kuziemski
- A Barczyk
- Krystyna Rasławska (ORCID: https://orcid.org/0000-0002-4790-992X)
- Justyna Ledwoch
- Małgorzata Czajkowska-Malinowska
Institutions
- Jagiellonian University (PL)
- Bydgoszcz University of Science and Technology (PL)
- Medical University of Silesia (PL)
- John Paul II Hospital (PL)
- Medical University of Lodz (PL)
- University of Warmia and Mazury in Olsztyn (PL)
- Gdańsk Medical University (PL)
- Polish Academy of Sciences (PL)
Publication Details
- Journal
- Advances in respiratory medicine
- Published
- 2026-01-04
- DOI
- https://doi.org/10.3390/arm94010004
- Primary Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- AstraZeneca