The Efficacy of COPD Outreach in Reducing Length of Stay and Improving Quality of Life

Hdl Handle:
http://hdl.handle.net/10147/558631
Title:
The Efficacy of COPD Outreach in Reducing Length of Stay and Improving Quality of Life
Authors:
Sahadevan, A; Baily, C; Cullen, L; Kooblall, M; Watchorn, DC; Lane, SJ; Moloney, E
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jun-2015
URI:
http://hdl.handle.net/10147/558631
Abstract:
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 re-admissions 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.
Item Type:
Article
Language:
en
Keywords:
CHRONIC DISEASE; LENGTH OF STAY
Local subject classification:
COPD

Full metadata record

DC FieldValue Language
dc.contributor.authorSahadevan, Aen
dc.contributor.authorBaily, Cen
dc.contributor.authorCullen, Len
dc.contributor.authorKooblall, Men
dc.contributor.authorWatchorn, DCen
dc.contributor.authorLane, SJen
dc.contributor.authorMoloney, Een
dc.date.accessioned2015-06-29T14:17:35Zen
dc.date.available2015-06-29T14:17:35Zen
dc.date.issued2015-06en
dc.identifier.urihttp://hdl.handle.net/10147/558631en
dc.description.abstractCOPD 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 re-admissions 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.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectCHRONIC DISEASEen
dc.subjectLENGTH OF STAYen
dc.subject.otherCOPDen
dc.titleThe Efficacy of COPD Outreach in Reducing Length of Stay and Improving Quality of Lifeen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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