Impact of Community Respiratory Team on individual hospital admissions and region based improvements.
J. Macfie (Glasgow, United Kingdom), K. Levin (Glasgow, United Kingdom), M. Milligan (Glasgow, United Kingdom), D. Anderson (Glasgow, United Kingdom), H. Bayes (Glasgow, United Kingdom), D. Anderson (Glasgow, United Kingdom)
Source: International Congress 2018 – Pulmonary rehabilitation: exercise training, body composition, physical activity and other aspects
Disease area: Airway diseases
Abstract Introduction
Glasgow Community Respiratory Team(CRT) is a patient-centred service established in 2014 providing MDT support to patients with severe COPD in Glasgow City. Greater Glasgow and Clyde Health Board(GG+C) provides secondary care support to Glasgow City(GC) and surrounding area(Clyde).
Aim
This study aims to examine impact of CRT on hospital admissions and bed days in the area covered by CRT(GC) compared to area not covered(Clyde).
Methods
Discharge and total bed days were collected from all GG+C hospitals for patients with admission diagnosis of COPD from December 2012-May 2017. Patients were labelled GC or Clyde dependant on home postcode. Comparison of hospital admissions/bed days was made between groups, with year prior to CRT introduction as baseline. Individual admission rates were compared for those in CRT project 6 months before and after intervention.
Results
Glasgow City had total 2823 patients discharged post-exacerbation in 2013, with annual mean from 2014-2017 of 2781(down 1.5%). Clyde had 1521 admissions in 2013 and annual mean 1560 from 2014-2017(up 2.5%).
GC Total COPD bed days was 23877 in 2013, and 10709 in Clyde. Mean from 2014-2017 was 22385(down 6.2%) in GC and 10879 in Clyde(up 1.6%).
Of the 1510 patients managed by CRT from 2013-2017 who were alive and registered within 6 months of end of study period, admissions fell from 2227 to 1968(p=<0.001) post-CRT introduction.
Conclusion
Our observational data suggests patient-centred, community-based MDT support in severe COPD can reduce hospital admissions and bed days. Additional work is required to demonstrate if expansion of the service can further impact on hospital admissions, however, this data is encouraging.
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J. Macfie (Glasgow, United Kingdom), K. Levin (Glasgow, United Kingdom), M. Milligan (Glasgow, United Kingdom), D. Anderson (Glasgow, United Kingdom), H. Bayes (Glasgow, United Kingdom), D. Anderson (Glasgow, United Kingdom). Impact of Community Respiratory Team on individual hospital admissions and region based improvements.. 4121
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