COPD exacerbations results in prolonged hospitalisation, re-admissions, reduces health-related quality of life (HRQoL) and increases mortality. The study aimed to assess the efficacy of a COPD Outreach service in reducing average length of stay (ALOS), reducing readmissions within 90 days of admission, improving HRQoL and reducing mortality among COPD patients with acute exacerbations (AECOPD). AECOPD data for a 2 year period commencing September 2011 was analysed. The COPD Assessment test (CAT) quantified HRQoL at enrolment and 6 weeks post Outreach. COPD Outreach had an ALOS of 2.47 days compared to ALOS 8.59 days and 8.5 days for all AECOPD before and during an operational COPD Outreach. Re-admission rates among patients enrolled in COPD Outreach were 36.3%. CAT improved from mean 19.3 to 13.5. Mortality was 4.9% among Outreach patients and 2.5% for overall AECOPD in 2012-2013. COPD Outreach reduced ALOS and improved HRQoL for selected patients with AECOPD. It did not reduce re-admissions or mortality.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Cluster randomised controlled trial on the effects of long-term home-based exercise for patients with chronic obstructive pulmonary disease with recent exacerbation: research protocol of the Project.
BMJ Open Respir Res
January 2025
Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark.
Background: Chronic obstructive pulmonary disease (COPD) is a highly prevalent respiratory disease associated with significant health decline and economic burdens. Pulmonary rehabilitation is an effective intervention, but securing adherence to exercise is difficult, particularly for frail and disabled patients, challenged by leaving their home. Home-based exercise is an emerging alternative for persons with COPD, but long-term adherence is unclear.
View Article and Find Full Text PDFEffectiveness of video assisted teaching program of pranayama on selected physiological parameters among patients with COPD.
J Educ Health Promot
October 2024
Symbiosis College of Nursing, Symbiosis International (Deemed University), Pune, Maharashtra, India.
Background: According to research on the global burden of illness, chronic obstructive pulmonary disease (COPD) is expected to rank third globally in terms of cause of mortality in the first 20 years of the 20 century and fifth in terms of major cause of impairment. A thorough yoga program can enhance general well-being and respiratory function, which will improve a person's capacity to complete daily chores.
Materials And Methods: One group pretest and posttest design in a quasi-experimental study was applied.
Article Synopsis
- Asthma and COPD diagnosis in Russia is problematic, leading to public health issues and economic costs due to inadequate control and diagnostics.
- Effective strategies for improvement include educational initiatives, advanced examination methods, mobile health outreach, and digital medical information systems.
- Utilizing modern approaches in diagnosis and management can enhance patient quality of life and minimize risks of complications and exacerbations.
Disparity in Risk of Readmission in Adult Burn Patients: Analysis of a Nationwide Readmission Database.
J Surg Res
September 2024
Division of Trauma and Critical Care Surgery, Department of Surgery, Alpert Medical School Brown University, Providence, Rhode Island. Electronic address:
Introduction: Burn injuries remain a significant cause of disability, impacting long term quality-of-life and imposing large costs on our health systems. Readmission is a metric of quality and an important contributor to this economic burden. The association of socioeconomic and insurance status with burn readmission is not well established.
View Article and Find Full Text PDFTranslating the Interplay of Cognition and Physical Performance in COPD and Interstitial Lung Disease: Meeting Report and Literature Review.
Chest
October 2024
Division of Palliative Care, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada; Department of Supportive Care, University Health Network, Toronto, ON, Canada.
Topic Importance: Cognitive and physical limitations are common in individuals with chronic lung diseases, but their interactions with physical function and activities of daily living are not well characterized. Understanding these interactions and potential contributors may provide insights on disability and enable more tailored rehabilitation strategies.
Review Findings: This review summarizes a 2-day meeting of patient partners, clinicians, researchers, and lung associations to discuss the interplay between cognitive and physical function in people with chronic lung diseases.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!