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

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    Authors
    Migone, C
    O’Connor, M
    Kelly, E
    McDonnell, TJ
    Issue Date
    2015-10
    Keywords
    CHRONIC DISEASE
    Local subject classification
    CHRONIC OBSTRUCTIVE PULMONARY DISEASE
    
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    Publisher
    Irish Medical Journal (IMJ)
    Journal
    Irish Medical Journal (IMJ)
    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
    Collections
    St. Vincent's University Hospital

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