Hospitalization due to exacerbation of COPD: "Real-life" outcomes

Camargo, Lilia Azzi Collet da Rocha; Castellano, Maria Vera Oliveira; Ferreira, Fábio Checchia; Faria, Flávio Vieira de; Carvas, Nelson

doi:10.1590/1806-9282.63.06.543

Cited by 1 publication

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References 28 publications

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“…13 Furthermore, because evidence indicates a correlation between the readmission rate and mortality rate, health care services should ensure proper comorbidity management and resource allocation to identify, review, and increase management for patients with COPD at particular risk of hospital readmission. 18 Evidence suggests that patients with COPD readmitted for a comorbid condition, such as infarction, pneumonia, septicemia, or pulmonary heart disease, are more likely to die within 30 d than are those readmitted with COPD alone. 19 Properly managed and effective care transitions for patients with COPD can mitigate the risk of readmission and mortality, particularly for those who require complex care from a wide range of services.…”

Section: Introductionmentioning

confidence: 99%

Effects of Transitional Care on Hospital Readmission and Mortality Rate in Subjects With COPD: A Systematic Review and Meta-Analysis

Ridwan

Hadi

Wu³

et al. 2019

Respir Care

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BACKGROUND: Studies on the effect of transitional care on hospital readmissions have reported inconsistent findings, and the effect on mortality has not been reviewed systematically. This systematic review and meta-analysis of randomized controlled trials aims to examine the effect of transitional care interventions on COPD-related readmissions, all-cause hospital readmissions, and all-cause mortality rates in subjects with COPD. METHODS: Electronic databases (CINAHL, Embase, Scopus, MEDLINE, Cochrane, PubMed, Web of Science, Airity, BMJ Respiratory Research Journal, and National Digital Library of Theses and Dissertations) were searched from inception to April 26, 2017. Online searches were conducted using key words and MeSH terms for COPD and transitional care. Entry terms for searching included chronic obstructive pulmonary disease, COPD, COPD transitional care or care transition, continuity of patient care, patient discharge, and patient transfer. The quality of the included trials was assessed using the Cochrane Collaboration tool. RESULTS: 13 randomized controlled trials met the inclusion criteria. Transitional care significantly reduced the risk of COPD-related readmissions (odds ratio ‫؍‬ 0.599, 95% CI 0.421-0.852) and all-cause hospital readmissions (odds ratio ‫؍‬ 0.720, 95% CI 0.531-0.978), but not that of all-cause mortality (odds ratio ‫؍‬ 0.863, 95% CI 0.576-1.294) in subjects with COPD. The effects of transitional care on hospital readmissions were moderated by the duration of interventions, type of care providers, and use of telephone follow-up as an element of the intervention. CONCLUSIONS: There was a significant effect of transitional care on both COPD-related and all-cause hospital readmissions in subjects with COPD. Duration of interventions, type of care providers, and use of telephone follow-up appeared to moderate the beneficial effects of transitional care.

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Section: Introductionmentioning

confidence: 99%