Discharge Medication Counseling and its Correlation with Reducing Readmissions for Patients with Chronic Obstructive Pulmonary Disease Exacerbations

Svelund, Elizabeth; Laswell, Emily M.; Hartzler, Melody L.; Kauflin, Matt; Chen, Aleda M.H.

doi:10.24926/iip.v6i3.396

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…This result is in agreement with that of prior work. Laswell et al 20 conducted a pilot study, with the purpose of reducing readmissions and emergency department visits in COPD patients hospitalized after COPD attacks. The intervention group underwent patient counseling before discharge; whereas, matched retrospective patients referred to as the comparison group did not received the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16] As regards other work choosing hospitalized patients having a high chance of being readmitted to the hospital as study participants, no significant differences in hospital readmissions between the two groups have been evident in several studies. [17][18][19][20] However, a reduction in the number of readmissions was found in the studies for which pre-discharge counseling and medication reconciliation were employed. 21,22 It is concluded that patient care by a pharmacist could improve clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Pharmacy Counseling on Readmissions in Patients with Acute Exacerbations of COPD: A Randomized Controlled Trial

Prasungriyo

Sooksai

2021

J Health Sci Med Res

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Objective: To investigate the effects of pharmacy counseling on clinical and economic outcomes in acute exacerbations of chronic obstructive pulmonary disease (AECOPD) patients.Material and Methods: The outcomes consisted of 28-day hospital readmissions related to AECOPD, direct costs, medication adherence calculated by proportion of days covered (PDC), and health-related quality of life (HRQoL) measured by chronic obstructive pulmonary disease assessment test (CAT). The data derived from the intervention group, for which pharmacy counseling was provided, was compared with that obtained from the control group provided with usual pharmaceutical care. The study also drew comparisons between the PDC and CAT scores of pre- and postintervention periods.Results: Forty-four patients (23 intervention and 21 control) were included in the analysis. There were no significant differences in the readmission rate (13% vs 19%, p-value>0.050), nor the number of readmitted patients (3 vs 3, p-value >0.050). A decrease in direct costs did not reach statistical significance (p-value>0.050). In addition, no difference between the PDC scores was found (96.67 vs 100.00, p-value>0.050). Intervention patients obtained significantly lower CAT scores than the control patients did (9 vs 19, p-value<0.050). Compared with the pre-intervention period, PDC scores were identical; however, CAT scores measured during the post-intervention period were significantly different.Conclusion: Pharmacy counseling for AECOPD patients could enhance HRQoL. Drug therapy and pulmonary rehabilitation may cause such improvement. Further work, which has adequate participants, is required to detect a significant difference in readmissions between the two groups.

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Section: Discussionmentioning

confidence: 99%