TITLE

Study protocol for an evaluation of the effectiveness of 'care bundles' as a means of improving hospital care and reducing hospital readmission for patients with chronic obstructive pulmonary disease (COPD)

AUTHOR(S)
Chalder, M. J. E.; Wright, C. L.; Morton, K. J. P.; Dixon, P.; Daykin, A. R.; Jenkins, S.; Benger, J.; Calvert, J.; Shaw, A.; Metcalfe, C.; Hollingworth, W.; Purdy, S.
PUB. DATE
February 2016
SOURCE
BMC Pulmonary Medicine;2/25/2016, Vol. 16, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: Chronic Obstructive Pulmonary Disease is one of the commonest respiratory diseases in the United Kingdom, accounting for 10% of unplanned hospital admissions each year. Nearly a third of these admitted patients are re-admitted to hospital within 28 days of discharge. Whilst there is a move within the NHS to ensure that people with long-term conditions receive more co-ordinated care, there is little research evidence to support an optimum approach to this in COPD. This study aims to evaluate the effectiveness of introducing standardised packages of care i.e. care bundles, for patients with acute exacerbations of COPD as a means of improving hospital care and reducing re-admissions.Methods/ Design: This mixed-methods evaluation will use a controlled before-and-after design to examine the effect of, and costs associated with, implementing care bundles for patients admitted to hospital with an acute exacerbation of COPD, compared with usual care. It will quantitatively measure a range of patient and organisational outcomes for two groups of hospitals - those who deliver care using COPD care bundles, and those who deliver care without the use of COPD care bundles. These care bundles may be provided for patients with COPD following admission, prior to discharge or at both points in the care pathway. The primary outcome will be re-admission to hospital within 28 days of discharge, although the study will additionally investigate a number of secondary outcomes including length of stay, total bed days, in-hospital mortality, costs of care and patient / carer experience. A series of nested qualitative case studies will explore in detail the context and process of care as well as the impact of COPD bundles on staff, patients and carers.Discussion: The results of the study will provide information about the effectiveness of care bundles as a way of managing in-hospital care for patients with an acute exacerbation of COPD. Given the number of unplanned hospital admissions for this patient group and their rate of subsequent re-admission, it is hoped that this evaluation will make a timely contribution to the evidence on care provision, to the benefit of patients, clinicians, managers and policy-makers.Trial Registration: International Standard Randomised Controlled Trials - ISRCTN13022442 - 11 February 2015.
ACCESSION #
113323725

 

Related Articles

  • Psychosocial risk factors for hospital readmission in COPD patients on early discharge services: a cohort study.  // BMC Pulmonary Medicine;2011, Vol. 11 Issue 1, p49 

    The article presents a study focusing on psychosocial risk factors for hospital readmission in chronic obstructive pulmonary disease (COPD) patients on early discharge services (EDS). The study showed that depressive symptoms and socioeconomic status increased risk of readmission for acute...

  • Implementing Respiratory Checklists into Hospital Discharge Planning. Trojanowski, Matthew // AARC Times;Aug2014, Vol. 38 Issue 8, p15 

    The article offers information on the implementation of respiratory checklists into discharge planning of hospital. Topics discussed include the respiratory illness-related readmissions of patients, chronic obstructive pulmonary disease (COPD) bundle checklist, and critical role of respiratory...

  • Review: Hospital-at-home care does not increase mortality or readmission rates in acute exacerbations of COPD.  // ACP Journal Club;May/Jun2004, Vol. 140 Issue 3, p59 

    This article focuses on the effectiveness of hospital-at-home care and hospital inpatient care, of patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). Studies were selected if they were randomized controlled trials in patients presenting to the emergency department...

  • Reducing Readmissions in the COPD Population. Messenger, Robert // RT: The Journal for Respiratory Care Practitioners;Mar2013, Vol. 26 Issue 3, p8 

    The article discusses the strategies to reduce readmissions in the chronic obstructive pulmonary diseases (COPD) population. It mentions that COPD disease is progressive by nature and therefore results in readmissions; however, under the new Affordable Care Act (ACA), healthcare organization who...

  • TRANSFORMING CARE WITH BIG DATA. HEGWER, LAURA RAMOS // Leadership (1948-089X);Winter2015, p23 

    The article offers information on use of big data by engineers, data analysts and clinicians to provide efficient health care to patients. Topics discussed includes data analytics serving as an early warning system, efficient management of patients and in risk evaluation, increased investment in...

  • TRANSFORMING ACUTE CARE IN COPD: FINDINGS FROM A NATIONAL PROGRAMME OF SERVICE IMPROVEMENT. Thompson, C.; Duncan, P.; Blackaby, C.; Lord, Z.; Okosi, O.; Wall, H.; Porter, A. // Thorax;Dec2011 Supplement, pA106 

    Introduction Respiratory disease presents a significant financial burden to the UK. 40% of the cost of managing respiratory disease is spent on hospital admissions. Admissions for respiratory disease account for 12% of all medical admissions and 94 000 are for exacerbation of Chronic Obstructive...

  • Gain Referrals by Reducing Readmissions. Kent, Robert // HomeCare Magazine;Sep2015, Vol. 38 Issue 9, p14 

    The article suggests measures for hospitals to protect themselves against financial risks and in response to the Section 3025 of the U.S. Affordable Care Act, which penalizes hospitals for chronic obstructive pulmonary disease (COPD) readmissions.

  • Caring for the burden of COPD. Calverley, P. M. A. // Thorax;Oct2006, Vol. 61 Issue 10, p831 

    The article comments on two studies on the hospital care of chronic obstructive pulmonary disease (COPD) patients in Great Britain and on some significant findings on COPD worldwide. More than one third of patients admitted with COPD were 75 years or older. Inpatient mortality was higher in...

  • Can Respiratory Therapists Impact COPD Readmissions and Costs? Kauffman, Garry W. // Respiratory Care;Sep2016, Vol. 61 Issue 9, p1267 

    The author discusses a study by K. LaRoché and colleagues, published within the issue on the impact of an electronic medical record screening tool and therapist-driven protocol on length of hospital stay and readmission for chronic obstructive pulmonary disease (COPD). He talks about previous...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics