France G, Orme MW, Greening NJ, et al. - In people with COPD, researchers assessed the recovery of cognition after an acute exacerbation of COPD (AECOPD), the impact of cognitive impairment (CI) on pulmonary rehabilitation (PR) uptake, and the effect of PR on CI. Researchers conducted a 6-week prospective study to examine 67 individuals with stable COPD symptoms who completed PR (PR group) and the recovery of 45 people admitted for AECOPD (AECOPD group). For cognitive function (Montreal Cognitive Assessment), health status (COPD Assessment Test, Chronic Respiratory Questionnaire), lower extremity function (Short Physical Performance Battery), and psychological well-being (Hospital Anxiety and Depression Score), all participants were evaluated. They carried out a follow-up assessment after a 6-week recovery post-discharge in the AECOPD group and after PR in the PR group. Outcomes of this study revealed that cognition does not improve following 6-week recovery post-AECOPD, and cognitive impairment (CI) may affect patients’ response to PR referral as an inpatient. PR improves cognition in people with stable COPD symptoms and CI. The results support that people with AECOPD should be actively encouraged to attend PR regardless of mild-moderate cognition but may need additional support or opportunities to take part.