According to Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, pulmonary rehabilitation should be offered to all COPD patients of stage II or greater severity. Professional societies, including the American College of Physicians (ACP), the American College of Chest Physicians (ACCP), the ATS and the ERS, recommend that clinicians should prescribe pulmonary rehabilitation for symptomatic patients with a forced expiratory volume in 1 s (FEV1) of less than 50% of the predicted value, and should consider it for symptomatic or exercise-limited patients with an FEV1 greater than 50% of predicted. However, because of the high prevalence of GOLD stage II COPD or higher, healthcare systems are unable to meet the need for pulmonary rehabilitation in all eligible patients.

More information on COPD can be found in chapter 13.

See the entire Pulmonary rehabilitation Chapter