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

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    Authors
    Sahadevan, A
    Baily, C
    Cullen, L
    Kooblall, M
    Watchorn, DC
    Lane, SJ
    Moloney, E
    Issue Date
    2015-06
    Keywords
    CHRONIC DISEASE
    LENGTH OF STAY
    Local subject classification
    COPD
    
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    Publisher
    Irish Medical Journal
    Journal
    Irish Medical Journal
    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
    Collections
    Tallaght University Hospital

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