Trial reportCanadian respiratory journal
Integrated interdisciplinary care for patients with chronic obstructive pulmonary disease reduces emergency department visits, admissions and costs: a quality assurance study.
Trial report in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The trial behind it
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Who cites it
13 citing papers in PubMed.
- Reducing Readmission of Hospitalized Patients With Depressive Symptoms: A Randomized Trial.Annals of family medicineTrial
- Recommendations for Improving Discharge-Related Care Following a COPD Exacerbation: An Expert Panel Consensus with Emphasis on Low- and Middle-Income Countries.International journal of chronic obstructive pulmonary disease · 2025Article
- Comment on "Comparison of C-reactive protein and C-reactive protein-to-albumin ratio in predicting mortality among geriatric coronavirus disease 2019 patients".Revista da Associacao Medica Brasileira (1992) · 2022Article
- The Gold Coast Integrated Care Programme: The Perspectives of Patients, Carers, General Practitioners and Healthcare Staff.International journal of integrated care · 2021Article
- Care coordination for veterans with COPD: a positive deviance study.The American journal of managed care · 2020Article
- VA Provider Perspectives on Coordinating COPD Care Across Health Systems.Journal of general internal medicine · 2019Article
- Assessment of a Domiciliary Integrated Pulmonary Rehabilitation Program for Patients with a History of Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Retrospective 12-Month Observational Study.Medical science monitor : international medical journal of experimental and clinical research · 2018Observational
- [Is the introduction of clinical management programs for patients with chronic obstructive pulmonary disease useful? Comparison of the effectiveness of two interventions on the clinical progress and care received].Atencion primaria · 2018Article
- Results of a Medicare Bundled Payments for Care Improvement Initiative for Chronic Obstructive Pulmonary Disease Readmissions.Annals of the American Thoracic Society · 2017Article
- Effect of a rehabilitation-based chronic disease management program targeting severe COPD exacerbations on readmission patterns.International journal of chronic obstructive pulmonary disease · 2017Article
- Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations.Pain research & management · 2016Article
- Preventing COPD exacerbations: new options for a crucial and growing problem.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2014Article
- Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDedicated programs for the management of chronic obstructive pulmonary disease (COPD) can reduce hospitalizations and improve quality of life.
objectiveTo investigate whether health care utilization could be reduced by a newly developed integrated, interdisciplinary initiative that included a COPD nurse navigator who educates patients and families, transitions patients through various points of care and integrates services.
methodsThe present quality assurance, pre-post study included patients followed by a COPD nurse navigator from January 25, 2010 to November 5, 2011. Information regarding emergency department visits and hospitalizations, including lengths of stay, were obtained from hospital databases. Diagnoses were classified as respiratory or nonrespiratory, and used primary and secondary hospitalization diagnoses to identify acute exacerbations of COPD (AECOPD). Paired sign tests were performed.
resultsThe sample consisted of 202 patients. Following nurse navigator intervention, significantly more patients experienced a decrease in the number of respiratory-cause emergency department visits (P<0.05), number of respiratory hospitalizations (P<0.001), total hospital days for respiratory admissions (P<0.001), number of hospitalizations with AECOPD (P<0.001) and total hospital days for admissions with AECOPD (P<0.001). Financial modelling estimated annual savings in excess of $260,000.
conclusionThe present quality assurance study indicated that the implementation of an integrated interdisciplinary program for the care of patients with COPD can improve patient outcomes despite the tendency of COPD to worsen over time.
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