Evidence map›Paper›PMID 31865631›Full record

Trial reportScandinavian journal of caring sciences2020

The impact of a personalised action plan delivered at discharge to patients with COPD on readmissions: a pilot study.

Annette Hegelund, Ingrid Charlotte Andersen, Marianne N Andersen, Uffe Bodtger

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scandinavian journal of caring sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
1.7field-weighted citation impact, top 14% of its field
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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  5. Discharge planning from hospital.The Cochrane database of systematic reviews · 2022
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  9. Implementing acute exacerbations of COPD care bundles: evidence, effectiveness and future directions.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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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

4 authors at 2 institutions in 1 country.

Annette HegelundCompetence Center for Pulmonary Disease, Department of Medicine, Naestved and Slagelse Hospitals, Naestved, Denmark.ORCID https://orcid.org/0000-0002-4725-0547
Ingrid Charlotte AndersenDepartment of Medicine, Naestved and Slagelse Hospitals, Odense, Denmark.ORCID https://orcid.org/0000-0003-2558-0673
Marianne N AndersenCompetence Center for Pulmonary Disease, Department of Medicine, Naestved and Slagelse Hospitals, Naestved, Denmark.
Uffe BodtgerInstitute of Regional Health Research, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-1231-9209
Slagelse Hospital · DKUniversity of Southern Denmark · DK

Funding

Department of Medicine 1, Naestved, Slagelse and Ringsted Hospitals, Denmark none
6 · The paper itself

Abstract

backgroundSelf-management interventions in COPD, including action plans, have the potential to increase quality of life and to reduce respiratory-related hospitalisations. However, knowledge is still sparse of the effectiveness of a personally tailored action plan introduced at or right after discharge from hospital.

aimThis pilot study aimed to test whether a personalised, stepwise action plan supported with a short instruction provided at or postdischarge after an acute exacerbation in chronic obstructive pulmonary disease admission as an addition to usual care reduces readmissions and symptom burden, including anxiety and depression levels at 3-month follow-up.

methodsThe study was carried out in a randomised controlled design with follow-up after 3 months. In all, 75 participants were randomly assigned to either an intervention group that received an action plan, including the COPD Assessment Test (CAT), or to a control group that received usual care. The incidence of COPD-related readmissions was measured as the primary outcome.

resultsCompared to the control group, the action plan group significantly reduced the incidence of readmissions. The action plan group showed a trend towards a significant decrease in HADS-depression, but none in HADS-anxiety. Significant improvements in CAT scores were observed for the participants in the intervention group. Only inferior minor differences were found in use of inhalation therapy.

conclusionsA personally tailored action plan introduced at or postdischarge combined with follow-up support is an effective self-management tool to support recovery and to reduce unnecessary readmissions. In future follow-up care, the healthcare professional must initiate the action plan at discharge and immediately after having the opportunity to follow the patient at home. This might require healthcare professionals working across healthcare sectors, who support patients until they have the needed confidence and competence in using the plan.

Indexed as

Patient DischargePulmonary Disease, Chronic ObstructiveAftercareHumansPatient ReadmissionPilot ProjectsQuality of LifeanxietyCOPDCOPD Assessment Test (CAT)cross-sectorialdepressiondischargepersonalised action planquestionnairereadmissionself-management

Identifiers

PMID31865631
PMCPMC7754430
OpenAlexW2996256867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.