P291 COPD Discharge Bundles: The Exeter Experience 2011–12

Halpin, Dmg; Batten, Peter J.; Chamberlain, Chervonne

doi:10.1136/thoraxjnl-2012-202678.383

Cited by 2 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Apart from four scientific abstracts,26 27 35 37 all studies were journal publications. Characteristics of individual studies are described in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Characteristics of individual studies are described in table 1. Of the 14 studies, 4 were RCTs,25 29 30 32 1 was a CCT,24 2 were ITS,26 31 and 7 used BA designs 27 28 33–37. Half of the studies published in this area were funded by government,24 25 28 29 31–33 37 while a few studies received financial support from foundations37 or industry partners 36.…”

Section: Resultsmentioning

confidence: 99%

“…Half of the studies published in this area were funded by government,24 25 28 29 31–33 37 while a few studies received financial support from foundations37 or industry partners 36. Four studies did not explicitly report the source of funding,26 27 34 35 whereas one study30 reported that no financial support was received.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were performed in a single centre27–30 33–37 and mainly in academic institutions 24 25 27 28 30 33–36. More than half of the studies implemented the discharge care bundles in respiratory wards,24 27 28 30 31 33–35 with some in medicine/internal medicine wards24 26 31 36 or the ED 26. Three studies did not report the setting of bundle implementation 25 29 32.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of the effectiveness of discharge care bundles for patients with COPD

Ospina

Mrklas

Deuchar

et al. 2016

Thorax

102

View full text Add to dashboard Cite

“…Apart from four scientific abstracts,26 27 35 37 all studies were journal publications. Characteristics of individual studies are described in table 1.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of the effectiveness of discharge care bundles for patients with COPD

Ospina

Mrklas

Deuchar

et al. 2016

Thorax

102

View full text Add to dashboard Cite

Implementing an Evidence-Based COPD Hospital Discharge Protocol: A Narrative Review and Expert Recommendations

et al. 2023

View full text Add to dashboard Cite

Discharge bundles, comprising evidence-based practices to be implemented prior to discharge, aim to optimise patient outcomes. They have been recommended to address high readmission rates in patients who have been hospitalised for an exacerbation of chronic obstructive pulmonary disease (COPD). Hospital readmission is associated with increased morbidity and healthcare resource utilisation, contributing substantially to the economic burden of COPD. Previous studies suggest that COPD discharge bundles may result in fewer hospital readmissions, lower risk of mortality and improvement of patient quality of life. However, evidence for their effectiveness is inconsistent, likely owing to variable content and implementation of these bundles. To ensure consistent provision of high-quality care for patients hospitalised with an exacerbation of COPD and reduce readmission rates following discharge, we propose a comprehensive discharge protocol, and provide evidence highlighting the importance of each element of the protocol. We then review care bundles used in COPD and other disease areas to understand how they affect patient outcomes, the barriers to implementing these bundles and what strategies have been used in other disease areas to overcome these barriers. We identified four evidence-based care bundle items for review prior to a patient’s discharge from hospital, including (1) smoking cessation and assessment of environmental exposures, (2) treatment optimisation, (3) pulmonary rehabilitation, and (4) continuity of care. Resource constraints, lack of staff engagement and knowledge, and complexity of the COPD population were some of the key barriers inhibiting effective bundle implementation. These barriers can be addressed by applying learnings on successful bundle implementation from other disease areas, such as healthcare practitioner education and audit and feedback. By utilising the relevant implementation strategies, discharge bundles can be more (cost-)effectively delivered to improve patient outcomes, reduce readmission rates and ensure continuity of care for patients who have been discharged from hospital following a COPD exacerbation. Supplementary Information The online version contains supplementary material available at 10.1007/s12325-023-02609-8.

show abstract

P291 COPD Discharge Bundles: The Exeter Experience 2011–12

Cited by 2 publications

References 1 publication

A systematic review of the effectiveness of discharge care bundles for patients with COPD

A systematic review of the effectiveness of discharge care bundles for patients with COPD

Implementing an Evidence-Based COPD Hospital Discharge Protocol: A Narrative Review and Expert Recommendations

Contact Info

Product

Resources

About