Effect of an integrated care programme on re-hospitalization of patients with chronic obstructive pulmonary disease.

Background And Objective: Hospital admissions due to exacerbations of chronic obstructive pulmonary disease (COPD) have a major impact on disease progression and costs. We hypothesized that a 1-year integrated care (IC) programme comprising two components (patient-centred education+case management) would be effective in preventing COPD-related hospitalizations.

Methods: This was a retrospective longitudinal cohort study.

Can a self-management education program for patients with chronic obstructive pulmonary disease improve quality of life?

Objective: To assess the effects of a self-management program on health-related quality of life (HRQoL) and morbidity commonly associated with chronic obstructive pulmonary disease (COPD).

Methods: A total of 57 outpatients with stable COPD received four weeks of self-management education, while 45 patients received usual care. Patients were evaluated at baseline, at three months and one year following the educational intervention.

Heat awareness and response among Montreal residents with chronic cardiac and pulmonary disease.

Objectives: Persons affected by chronic heart and lung disease risk illness and death through exposure to extreme ambient heat. Here we describe their knowledge and awareness of the risks, and the degree to which they practice the protective behaviours recommended by public health and meteorological authorities.

Methods: Over the course of a hot Montreal summer, chronic cardiac and/or pulmonary insufficiency patients were recruited sequentially on site or by telephone from among attendees at five Montreal university hospital clinics.

Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial.

Background: Home-based rehabilitation is a promising approach to improve access to pulmonary rehabilitation.

Objective: To assess whether self-monitored, home-based rehabilitation is as effective as outpatient, hospital-based rehabilitation in patients with chronic obstructive pulmonary disease (COPD).

Design: Randomized, multicenter, noninferiority trial.

Antibiotics used in the ambulatory management of acute COPD exacerbations.

Study Objectives: This study was conducted to describe the different antibiotics that are used in the home management of chronic obstructive pulmonary disease (COPD) exacerbations and to estimate the failure rates following the initiation of the antibiotic.

Methods: A cohort study was conducted. Patients enrolled in a COPD home management program were included in the analysis.

A Canadian, multicentre, randomized clinical trial of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease: rationale and methods.

Background: Pulmonary rehabilitation remains largely underused. Self-monitored, home-based rehabilitation is a promising approach to improving the availability of pulmonary rehabilitation.

Objective: To report the rationale and methods of a trial comparing the effectiveness of self-monitored, home-based rehabilitation with hospital-based, outpatient rehabilitation in patients with chronic obstructive pulmonary disease (COPD).

Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention.

Background: Self-management interventions improve various outcomes for many chronic diseases. The definite place of self-management in the care of chronic obstructive pulmonary disease (COPD) has not been established. We evaluated the effect of a continuum of self-management, specific to COPD, on the use of hospital services and health status among patients with moderate to severe disease.