Readmissions after hospital discharge with acute exacerbation of COPD: are we missing something? Hosp Pract (1995) 2014 Apr;42(2):58-69
Date
04/29/2014Pubmed ID
24769785DOI
10.3810/hp.2014.04.1104Scopus ID
2-s2.0-84901391230 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is an important part of the disease's morbidity, mortality, and progression, and is associated with increasing utilization of health care resources. The concept of integrated care based on a chronic care model is relatively new to chronic obstructive pulmonary disease, but has proved successful in improving clinical outcomes and probably in decreasing health care utilization in other chronic conditions. A comprehensive approach is needed to target a change in behavioral patterns in patients, increase physician's awareness and adherence to evidence-based recommendations, and address system related issues. This article discusses the evidence for various facets of nonpharmacological management of AECOPD and proposes a model of care that might be the missing link for reducing hospital readmissions for AECOPD. This model may decrease the morbidity, slow disease progression, and curb the increasing health care resource utilization without compromising patient care.
Author List
Gaurav K, Vaid U, Sexauer W, Kavuru MSMESH terms used to index this publication - Major topics in bold
Age FactorsAwareness
Comorbidity
Continuity of Patient Care
Disease Progression
Forced Expiratory Volume
Guideline Adherence
Health Behavior
Health Status
Humans
Patient Compliance
Patient Discharge
Patient Education as Topic
Patient Readmission
Practice Guidelines as Topic
Pulmonary Disease, Chronic Obstructive
Risk Factors
Self Care
Social Support
Socioeconomic Factors