Patients Hospitalised with an Acute Exacerbation of COPD: Is There a Need for a Discharge Bundle of Care?

Hdl Handle:
http://hdl.handle.net/10147/581553
Title:
Patients Hospitalised with an Acute Exacerbation of COPD: Is There a Need for a Discharge Bundle of Care?
Authors:
Migone, C; O’Connor, M; Kelly, E; McDonnell, TJ
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
Oct-2015
URI:
http://hdl.handle.net/10147/581553
Abstract:
Acute Exacerbations of COPD (AECOPD) are the commonest cause of hospitalisation for patients with COPD. A number of interventions are known to improve care for such patients. Internationally and in Ireland, there is significant variation in care delivered to such patients. We reviewed admissions with AECOPD (n=174) to an Irish teaching hospital during one year, to determine if recommended interventions had been delivered to patients prior to discharge. The most frequently delivered of such interventions were: assessment of oxygen requirements 151 (87%) and arrangements for follow-up 135 (78%). The least frequently delivered were: referral for pulmonary rehabilitation 19 (11%) and advice given regarding influenza vaccination 27 (17%). Patients who received care from a respiratory physician or respiratory clinical nurse specialist (RCNS) received more interventions than those cared for by other specialties. This study demonstrates poor compliance with internationally agreed interventions. The introduction of a discharge bundle of care for use in Irish hospitals should be considered.
Item Type:
Article
Language:
en
Keywords:
CHRONIC DISEASE
Local subject classification:
CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Full metadata record

DC FieldValue Language
dc.contributor.authorMigone, Cen
dc.contributor.authorO’Connor, Men
dc.contributor.authorKelly, Een
dc.contributor.authorMcDonnell, TJen
dc.date.accessioned2015-11-02T15:51:17Zen
dc.date.available2015-11-02T15:51:17Zen
dc.date.issued2015-10en
dc.identifier.urihttp://hdl.handle.net/10147/581553en
dc.description.abstractAcute Exacerbations of COPD (AECOPD) are the commonest cause of hospitalisation for patients with COPD. A number of interventions are known to improve care for such patients. Internationally and in Ireland, there is significant variation in care delivered to such patients. We reviewed admissions with AECOPD (n=174) to an Irish teaching hospital during one year, to determine if recommended interventions had been delivered to patients prior to discharge. The most frequently delivered of such interventions were: assessment of oxygen requirements 151 (87%) and arrangements for follow-up 135 (78%). The least frequently delivered were: referral for pulmonary rehabilitation 19 (11%) and advice given regarding influenza vaccination 27 (17%). Patients who received care from a respiratory physician or respiratory clinical nurse specialist (RCNS) received more interventions than those cared for by other specialties. This study demonstrates poor compliance with internationally agreed interventions. The introduction of a discharge bundle of care for use in Irish hospitals should be considered.en
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en
dc.subjectCHRONIC DISEASEen
dc.subject.otherCHRONIC OBSTRUCTIVE PULMONARY DISEASEen
dc.titlePatients Hospitalised with an Acute Exacerbation of COPD: Is There a Need for a Discharge Bundle of Care?en
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.