Early discharge care with ongoing follow-up support may reduce hospital readmissions in COPD.

Hdl Handle:
http://hdl.handle.net/10147/207822
Title:
Early discharge care with ongoing follow-up support may reduce hospital readmissions in COPD.
Authors:
Lawlor, Maria; Kealy, Sinead; Agnew, Michelle; Korn, Bettina; Quinn, Jennifer; Cassidy, Ciara; Silke, Bernard; O'Connell, Finbarr; O'Donnell, Rory
Affiliation:
Department of Respiratory Medicine, CResT Directorate, St. James' Hospital,, Dublin 8, Ireland.
Citation:
Int J Chron Obstruct Pulmon Dis. 2009;4:55-60. Epub 2009 Apr 15.
Journal:
International journal of chronic obstructive pulmonary disease
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207822
PubMed ID:
19436695
Abstract:
BACKGROUND: Early discharge care and self-management education, although effective in the management of chronic obstructive pulmonary disease (COPD), do not typically reduce hospital re-admission rates for exacerbations of the disease. We hypothesized that a respiratory outreach programme that comprises early discharge care followed by continued rapid-access out-patient support would reduce the need for hospital readmission in these patients. METHODS: Two hundred and forty-six patients, acutely admitted with exacerbations of COPD, were recruited to the respiratory outreach programme that included early discharge care, follow-up education, telephone support and rapid future access to respiratory out-patient clinics. Sixty of these patients received self-management education also. Emergency department presentations and admission rates were compared at six and 12 months after, compared to prior to, participation in the programme for the same patient cohort. RESULTS: The frequency of both emergency department presentations and hospital admissions was significantly reduced after participation in the programme. CONCLUSIONS: Provision of a respiratory outreach service that includes early discharge care, followed by education, telephone support and ongoing rapid access to out-patient clinics is associated with reduced readmission rates in COPD patients.
Language:
eng
MeSH:
Aged; *Ambulatory Care/utilization; Counseling; *Emergency Service, Hospital/utilization; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Humans; *Inpatients/statistics & numerical data; *Length of Stay/statistics & numerical data; Middle Aged; *Patient Discharge/statistics & numerical data; Patient Education as Topic; *Patient Readmission/statistics & numerical data; Physical Therapy Modalities; Program Development; Program Evaluation; Pulmonary Disease, Chronic Obstructive/nursing/*therapy; Retrospective Studies; *Self Care/utilization; Severity of Illness Index; Telephone; Time Factors; Treatment Outcome
ISSN:
1178-2005 (Electronic); 1176-9106 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorLawlor, Mariaen_GB
dc.contributor.authorKealy, Sineaden_GB
dc.contributor.authorAgnew, Michelleen_GB
dc.contributor.authorKorn, Bettinaen_GB
dc.contributor.authorQuinn, Jenniferen_GB
dc.contributor.authorCassidy, Ciaraen_GB
dc.contributor.authorSilke, Bernarden_GB
dc.contributor.authorO'Connell, Finbarren_GB
dc.contributor.authorO'Donnell, Roryen_GB
dc.date.accessioned2012-02-01T10:45:41Z-
dc.date.available2012-02-01T10:45:41Z-
dc.date.issued2012-02-01T10:45:41Z-
dc.identifier.citationInt J Chron Obstruct Pulmon Dis. 2009;4:55-60. Epub 2009 Apr 15.en_GB
dc.identifier.issn1178-2005 (Electronic)en_GB
dc.identifier.issn1176-9106 (Linking)en_GB
dc.identifier.pmid19436695en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207822-
dc.description.abstractBACKGROUND: Early discharge care and self-management education, although effective in the management of chronic obstructive pulmonary disease (COPD), do not typically reduce hospital re-admission rates for exacerbations of the disease. We hypothesized that a respiratory outreach programme that comprises early discharge care followed by continued rapid-access out-patient support would reduce the need for hospital readmission in these patients. METHODS: Two hundred and forty-six patients, acutely admitted with exacerbations of COPD, were recruited to the respiratory outreach programme that included early discharge care, follow-up education, telephone support and rapid future access to respiratory out-patient clinics. Sixty of these patients received self-management education also. Emergency department presentations and admission rates were compared at six and 12 months after, compared to prior to, participation in the programme for the same patient cohort. RESULTS: The frequency of both emergency department presentations and hospital admissions was significantly reduced after participation in the programme. CONCLUSIONS: Provision of a respiratory outreach service that includes early discharge care, followed by education, telephone support and ongoing rapid access to out-patient clinics is associated with reduced readmission rates in COPD patients.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.mesh*Ambulatory Care/utilizationen_GB
dc.subject.meshCounselingen_GB
dc.subject.mesh*Emergency Service, Hospital/utilizationen_GB
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_GB
dc.subject.meshHealth Services Accessibilityen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Inpatients/statistics & numerical dataen_GB
dc.subject.mesh*Length of Stay/statistics & numerical dataen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Patient Discharge/statistics & numerical dataen_GB
dc.subject.meshPatient Education as Topicen_GB
dc.subject.mesh*Patient Readmission/statistics & numerical dataen_GB
dc.subject.meshPhysical Therapy Modalitiesen_GB
dc.subject.meshProgram Developmenten_GB
dc.subject.meshProgram Evaluationen_GB
dc.subject.meshPulmonary Disease, Chronic Obstructive/nursing/*therapyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.mesh*Self Care/utilizationen_GB
dc.subject.meshSeverity of Illness Indexen_GB
dc.subject.meshTelephoneen_GB
dc.subject.meshTime Factorsen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleEarly discharge care with ongoing follow-up support may reduce hospital readmissions in COPD.en_GB
dc.contributor.departmentDepartment of Respiratory Medicine, CResT Directorate, St. James' Hospital,, Dublin 8, Ireland.en_GB
dc.identifier.journalInternational journal of chronic obstructive pulmonary diseaseen_GB
dc.description.provinceLeinster-

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