Nurse‐led 24‐h hotline for patients with chronic obstructive pulmonary disease reduces hospital use and is safe

Roberts, Melissa M.; Leeder, S. R.; Robinson, Toni

doi:10.1111/j.1445-5994.2007.01519.x

Cited by 24 publications

(22 citation statements)

References 28 publications

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“…However, during the course of our service, a group from Australia have reported their findings. 16 44% of calls were received in office hours (here defined as Monday-Friday 0900-1700) and 25% of calls were not related to COPD. In contrast to our study, only one quarter of patients used the service.…”

mentioning

confidence: 99%

Use and utility of a 24-hour Telephone Support Service for ‘high risk’ patients with COPD

Hurst

Fitzgerald-Khan

Quint

et al. 2010

Primary Care Respiratory Journal

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confidence: 99%

Use and utility of a 24-hour Telephone Support Service for ‘high risk’ patients with COPD

Hurst

Fitzgerald-Khan

Quint

et al. 2010

Primary Care Respiratory Journal

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“…Those that have been published show significant demand for telephone support from service providers in the setting of a paediatric neurology service [7] and from parents of children with congenital anomalies following discharge from hospital [9]. There is more data in adult chronic disease populations where a significant demand for telephone support has been shown [10-12]. Providing telephone support is becoming an integral part of adult rheumatology care in England and Wales [13].…”

Section: Discussionmentioning

confidence: 99%

Out-of-clinic patient communication in paediatric rheumatology: the extent and nature of demand

et al. 2013

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BackgroundTraditional funding models for public paediatric rheumatology care are typically based on providing medical services for a defined number of clinics per week. Anecdotally there is significant demand by patients and families for out-of-clinic communication with care providers and services provided under traditional funding models may not meet this need. Our aim was to determine the extent and nature of this ‘hidden’ demand in a tertiary paediatric rheumatology centre.MethodsCommunication data and diagnoses were extracted from the Rheumatology service database at our centre for the period 1/1/2009 to 31/12/2011. Clinical activity data over the same time were obtained from hospital clinic databases.ResultsThere were 5672 instances of communication with 749 patients/families over 3 years, (mean 7.3/weekday). This increased over time in parallel with clinical activity. 41% of clinic patients sought communication with the team out of clinic hours. 58% were telephone calls, 36% emails and 6% letters. The communication topics were for advice, results or general updates (28%), medication queries (24%), appointment/admission coordination (20%), disease flare or other disease events (14%), psychosocial, school or transition issues (6%) and miscellaneous queries (8%). Of the most frequent communicators, those with juvenile idiopathic arthritis were the majority (85%). The remainder had other chronic inflammatory conditions.ConclusionsThe communication and support needs of patients with chronic rheumatic diseases and their families extend beyond that which can be provided in the clinic environment. It is essential that funding for paediatric rheumatology services allows for staffing sufficient to meet this need.

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“…It has been shown that a nurse-led 24-hour hotline for patients with COPD is safe, is used by patients and caregivers, and potentially reduces hospital presentations even in a group of patients with severe disease (Roberts, Leeder, & Robinson, 2008). Nonspecifi c home-based intervention provides long-term cost benefi ts in a range of chronic illnesses, except for COPD.…”

Section: Discussionmentioning

confidence: 99%

Role of the Management Pathway in the Care of Advanced COPD Patients in Their Own Homes

Ramani

Pickston²,

Clark³

et al. 2010

Care Management Journals

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Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide, and the incidence and prevalence are rising every decade. The cost of hospital admission is substantial and is the single largest source of expenditure in care of COPD patients. Home-based intervention has been shown to provide long-term cost benefit in a range of chronic illnesses; however, the role of home visits by respiratory therapists (RT) in COPD management has not been evaluated. The aim of this study was to assess the efectiveness of a management pathway in the care of oxygen-dependent COPD patients in their homes. Oxygen-dependent COPD patients were enrolled in the management pathway after discharge from the hospital or referred from a provider's office. At least three home visits were made: the first within 3 days of enrollment; the second in 1 month, and the third 10 months later. Three hundred and twenty-four patients were enrolled in the study. During the study period the overall hospitalization rate dropped (11% per month at the second visit vs. 2.1% per month at the third visit). The patients' understanding of the disease improved substantially (21.6% vs. 83.9%), knowledge of medications the patients were taking improved (56.0% vs. 87.0%), and appropriate use of medications increased (52.0% vs. 86.0%). In our community, this RT-led program helped patients' self-management of COPD in their own homes by increasing understanding of the disease, assisted physicians in monitoring their patients, and reduced hospitalization.

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Nurse‐led 24‐h hotline for patients with chronic obstructive pulmonary disease reduces hospital use and is safe

Abstract: A nurse-led 24-h hotline for patients with COPD is safe, is used by patients and carers and, when used, reduces hospital presentations with AECOPD.

Cited by 24 publications

References 28 publications

Use and utility of a 24-hour Telephone Support Service for ‘high risk’ patients with COPD

Use and utility of a 24-hour Telephone Support Service for ‘high risk’ patients with COPD

Out-of-clinic patient communication in paediatric rheumatology: the extent and nature of demand

Role of the Management Pathway in the Care of Advanced COPD Patients in Their Own Homes

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