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

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    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.
    Issue Date
    2012-02-01T10:45:41Z
    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
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    Citation
    Int J Chron Obstruct Pulmon Dis. 2009;4:55-60. Epub 2009 Apr 15.
    Journal
    International journal of chronic obstructive pulmonary disease
    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
    ISSN
    1178-2005 (Electronic)
    1176-9106 (Linking)
    Collections
    St. James's Hospital

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