COPD discharge care bundles – Do they reduce hospital readmission rates?
Emma Crawford (Shropshire, United Kingdom), Emma Crawford, Karen Leech, Janice Bailey, Carole Lynch, Gillian Owen, Barbara Rickard, Ian Evans, Naveed Mustfa, Imran Hussain, Helen Stone
Source: International Congress 2016 – Non-inflammatory assessment of airway disorders
Session: Non-inflammatory assessment of airway disorders
Session type: Thematic Poster
Number: 1029
Disease area: Airway diseases
Abstract BackgroundHospital admissions for patients with acute exacerbations of COPD (AECOPD) have been rising and are associated with a significant 30 day mortality and readmission rate. A key recommendations from the National COPD Audit Programme (COPD: Who cares matters, RCP/BTS, Feb 2015) was to improve the quality of care of these patients on discharge, ideally as part of a discharge care bundle.AimsWe aimed to assess whether performing the interventions within the British Thoracic Society discharge care bundle reduced the 30 day readmission rate for patients admitted with AECOPD. The four interventions studied were medication and inhaler technique review, rescue pack administration, smoking cessation referral and pulmonary rehabilitation referral.MethodsWe undertook a retrospective audit of 118 patients admitted to hospital with AECOPD, and compared the number of interventions undertaken with readmission rate.ResultsReadmission rate was 30%. There was no correlation between the number of bundle interventions completed and the risk of 30 day readmission in this cohort. The figure demonstrates the number of interventions in relation to subsequent hospital readmission.ConclusionsDischarge bundle interventions did not impact on readmission rate in this cohort of patients.
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Emma Crawford (Shropshire, United Kingdom), Emma Crawford, Karen Leech, Janice Bailey, Carole Lynch, Gillian Owen, Barbara Rickard, Ian Evans, Naveed Mustfa, Imran Hussain, Helen Stone. COPD discharge care bundles – Do they reduce hospital readmission rates?. Eur Respir J 2016; 48: Suppl. 60, 1029
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