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COPD Exacerbations - Is There a Benefit After Hospitalization?
There is some data, conflicting data regarding PAP therapy or specifically bilevel therapy on discharge. There is a suggestion that there is benefit after hospitalization with newer literature. Older literature show they didn't really show the positive effect of diminishing CO2 and diminishing readmission for COPD exacerbations when patients who need it or qualify medically to get NIV at their home. It's difficult to transition somebody to a skilled nursing facility or a rehab center with non-invasive ventilation.