ArticleBMJ open respiratory research2018
Development of a patient-centred, evidence-based and consensus-based discharge care bundle for patients with acute exacerbation of chronic obstructive pulmonary disease.
Article in BMJ open respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 27 citations in OpenAlex.
- Implementing acute exacerbations of COPD care bundles: evidence, effectiveness and future directions.European respiratory review : an official journal of the European Respiratory Society · 2026Review
- Tracing the Satisfactory Care of the Chronically Ill in Emergency Departments: A Scoping Review.Scandinavian journal of caring sciences · 2026Article
- Specialty-led inpatient chronic obstructive pulmonary disease management and mortality: a propensity-weighted cohort study.Journal of thoracic disease · 2026Article
- Variation in inpatient investigations and treatment practices for COPD exacerbations between respiratory and internal medicine specialties: a retrospective cohort study.Frontiers in medicine · 2026Article
- Enhancing patient flow through standardised discharge pathways for neurology and medicine services.BMJ open quality · 2025Article
- Scoping Review of Adult Emergency Department Discharge Interventions.The western journal of emergency medicine · 2025Article
- 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
- Review
- Cost Analysis of a Transition Care Bundle Compared with Usual Care for COPD Patients Being Discharged from Hospital: Evaluation of a Randomized Controlled Trial.PharmacoEconomics - open · 2023Article
- Care Quality for Patients with Chronic Obstructive Pulmonary Disease in the Readmission Penalty Era.American journal of respiratory and critical care medicine · 2023Article
- Frailty and Mortality Risk in COPD: A Cohort Study Comparing the Fried Frailty Phenotype and Short Physical Performance Battery.International journal of chronic obstructive pulmonary disease · 2023Article
- Treatment Burden Discussion in Clinical Encounters: Priorities of COPD Patients, Carers and Physicians.International journal of chronic obstructive pulmonary disease · 2022Article
- Contextual factors and mechanisms that influence sustainability: a realist evaluation of two scaled, multi-component interventions.BMC health services research · 2021Article
- Factors influencing the implementation and uptake of a discharge care bundle for patients with acute exacerbation of chronic obstructive pulmonary disease: a qualitative focus group study.Implementation science communications · 2020Article
- Reducing the Number of Hospitalization Days for COPD: Setting up a Transmural-Care Pathway.International journal of chronic obstructive pulmonary disease · 2020Article
- Respiratory Health Strategic Clinical Network: Five years of innovation in respiratory care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Co-producing Progression Criteria for Feasibility Studies: A Partnership between Patient Contributors, Clinicians and Researchers.International journal of environmental research and public health · 2019Article
- Patient engagement in the development of best practices for transitions from hospital to home: a scoping review.BMJ open · 2019Article
- Care Bundles after Discharging Patients with Chronic Obstructive Pulmonary Disease Exacerbation from the Emergency Department.Medical sciences (Basel, Switzerland) · 2018Review
- Effectiveness of Peri-Discharge Complex Interventions for Reducing 30-Day Readmissions among COPD Patients: Overview of Systematic Reviews and Network Meta-Analysis.International journal of integrated careArticle
Corrections and comments
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Authors and funding
15 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHospital and emergency department discharge for patients with chronic obstructive pulmonary disease (COPD) is often poorly organised. We developed a patient-centred, evidence-based and consensus-based discharge care bundle for patients with acute exacerbations of COPD.
methodsA purposeful sample of clinicians and patients were invited to participate in a two-round Delphi study (July-November 2015). In round 1, participants rated on a seven-point Likert scale (1=not at all important; 7=extremely important) the importance of 29 unique COPD care actions. Round 2 comprised items selected from round 1 based on consensus (>80% endorsement for Likert values 5-7). A list of 18 care items from round 2 was discussed in a face-to-face nominal group meeting.
resultsSeven care items were included in the COPD discharge bundle based on clinician and patient input: (1) ensure adequate inhaler technique is demonstrated; (2) send discharge summary to family physician and arrange follow-up; (3) optimise and reconcile prescription of respiratory medications; (4) provide a written discharge management plan and assess patient's and caregiver's comprehension of discharge instructions; (5) refer to pulmonary rehabilitation; (6) screen for frailty and comorbidities; and (7) assess smoking status, provide counselling and refer to smoking cessation programme.
conclusionWe present a seven-item, patient-centred, evidence-based and consensus-based discharge bundle for patients with acute exacerbations of COPD. Alignment with clinical practice guidelines and feasibility of local adaptations of the bundle should be explored to facilitate wide applicability and evaluation of the effectiveness of the COPD discharge bundle.
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