Erratum to “Inhaler mishandling remains common in real life and is associated with reduced disease control” [Respir Med 105 (6) 2011 930–938]

Chronic obstructive pulmonary disease (COPD) is a chronic condition that leads to signi cant morbidity and mortality. Management of COPD hospitalizations utilizing an evidence-based care bundle can provide consistent quality of care and may reduce readmissions. MethodsThis single center retrospective cohort study evaluated readmission rates in patients hospitalized with a COPD exacerbation. Patients in the pre-intervention cohort received usual care while post-intervention cohort received an innovative inpatient COPD care bundle. The bundle focused on optimizing care in ve areas: consults, inpatient interventions, education, transitions of care, and after discharge care. To ensure consistency of interventions, a formal checklist of items was maintained. ResultsIn this study, 149 subjects were included in the pre-intervention cohort and 214 subjects were included in the post-intervention cohort. Thirty-day readmission rates were lower in the post-intervention cohort, 22.4% vs. 38.3% (p=0.001). A reduction in 60-day and 90-day readmission rates was also observed, 13.7% vs. 40.3% (p< 0.001) and 10.1% vs. 32.2% (p<0.001), respectively.

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Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Kendra

Mansukhani

Rudawsky

et al. 2022

Lung

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Single vs Multiple Inhaler Triple Therapy in the COPD Population

Cho¹,

Gershon²

2022

CHEST

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Adequacy of inhaler technique used by people with asthma or chronic obstructive pulmonary disease

Bryant¹,

Bang²,

Chew³

et al. 2013

J Prim Health Care

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INTRODUCTION: Asthma and chronic obstructive pulmonary disease (COPD) are ongoing concerns to the health system. Poor inhaler technique results in less than optimal delivery of medicine to the lungs and consequent inadequate symptom control. AIM: This study aimed to assess inhaler technique amongst people with asthma and/or COPD. The secondary aims were to investigate who provided education on inhaler technique and whether age, gender or ethnicity was associated with poor inhaler technique. METHODS: People with asthma or COPD who presented to a community pharmacy with a prescription for a respiratory inhaler were invited to participate in the study. Participants completed a brief questionnaire and had their inhaler technique assessed against a standard checklist. RESULTS: There were 103 participants from 26 pharmacies, 86 with asthma and 17 with COPD. Just over half (52.5%) of the assessments indicated good inhaler technique, with 68% of people using the Turbuhaler having good technique compared to 53% for the pressurised metered dose inhaler (pMDI) with spacer and 47% for the pMDI alone. The majority of people (76%) received their initial inhaler technique instruction from their doctor. Over half of participants did not recall having their inhaler technique rechecked. DISCUSSION: After prescribing appropriate therapy, correct inhaler technique is a cornerstone of achieving adequate therapy. Rechecking inhaler technique is a gap in care that needs to be addressed from an interdisciplinary perspective. KEYWORDS: Asthma; chronic obstructive pulmonary disease; dry powder inhalers; metered dose inhalers; spacer inhalers

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Erratum to “Inhaler mishandling remains common in real life and is associated with reduced disease control” [Respir Med 105 (6) 2011 930–938]

Abstract: The publisher regrets that in the above article the name 'DelDonno Mario' appears incorrectly in the appendix. It should appear as 'Del Donno Mario'. The publisher would like to apologise for any inconvenience caused.

Cited by 16 publications

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Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Single vs Multiple Inhaler Triple Therapy in the COPD Population

Adequacy of inhaler technique used by people with asthma or chronic obstructive pulmonary disease

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