Evidence map›Paper›PMID 27330284›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2016

Can a supported self-management program for COPD upon hospital discharge reduce readmissions? A randomized controlled trial.

Vicki Johnson-Warrington, Karen Rees, Colin Gelder, Mike D Morgan, Sally J Singh

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 15 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  7. Effectiveness of home-based pulmonary rehabilitation: systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
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  11. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Vicki Johnson-WarringtonDepartment of Respiratory Medicine, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK; Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
Karen ReesWarwick Medical School, University of Warwick, Coventry, UK.
Colin GelderDepartment of Respiratory Medicine, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Mike D MorganCentre for Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Sally J SinghFaculty of Health and Life Sciences, Coventry University, Coventry, UK; Centre for Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with COPD experience exacerbations that may require hospitalization. Patients do not always feel supported upon discharge and frequently get readmitted. A Self-management Program of Activity, Coping, and Education for COPD (SPACE for COPD), a brief self-management program, may help address this issue.

objectiveTo investigate if SPACE for COPD employed upon hospital discharge would reduce readmission rates at 3 months, compared with usual care.

methodsThis is a prospective, single-blinded, two-center trial (ISRCTN84599369) with participants admitted for an exacerbation, randomized to usual care or SPACE for COPD. Measures, including health-related quality of life and exercise capacity, were taken at baseline (hospital discharge) and at 3 months. The primary outcome measure was respiratory readmission at 3 months.

resultsSeventy-eight patients were recruited (n=39 to both groups). No differences were found in readmission rates or mortality at 3 months between the groups. Ten control patients were readmitted within 30 days compared to five patients in the intervention group (P>0.05). Both groups significantly improved their exercise tolerance and Chronic Respiratory Questionnaire (CRQ-SR) results, with between-group differences approaching statistical significance for CRQ-dyspnea and CRQ-emotion, in favor of the intervention. The "Ready for Home" survey revealed that patients receiving the intervention reported feeling better able to arrange their life to cope with COPD, knew when to seek help about feeling unwell, and more often took their medications as prescribed, compared to usual care (P<0.05).

conclusionSPACE for COPD did not reduce readmission rates at 3 months above that of usual care. However, encouraging results were seen in secondary outcomes for those receiving the intervention. Importantly, SPACE for COPD appears to be safe and may help prevent readmission with 30 days.

Indexed as

Patient DischargePatient ReadmissionAdaptation, PsychologicalAgedDisease ProgressionEnglandExercise ToleranceFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansKaplan-Meier EstimateLungMaleMedication AdherenceMiddle AgedCOPD exacerbationsemphysemaexercisepulmonary rehabilitationself-management

Identifiers

PMID27330284
PMCPMC4898045

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.