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August 1, 2017The JBI Database of Systematic Reviews and Implementation Reports

Effectiveness of structured planned post discharge support to patients with chronic obstructive pulmonary disease for reducing readmission rates: a systematic review

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Why the study?

Does structured planned post discharge support reduce readmission in hospitalized patients with COPD?

Population

Hospitalized patients, aged 18 years or over, diagnosed with COPD and admitted to hospital due to acute…

Comparison

Structured planned post discharge support and… vs Control groups (standard care).

Design

Meta-analysis

Follow-up

up to 1 year (30 days and 180 days reported)

Key result

Post discharge support interventions in patients with COPD significantly reduced the readmission rate at 30 days (RR 0.67; 95% CI 0.45-0.98).

Authors

PPPreben Ulrich PedersenKEKaren Bagger ErsgardTSTina Brandt Soerensen

Discussion

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Overview

Structured post-discharge support reduces 30-day COPD readmissions; reinforces multimodal interventions in guidelines while warranting larger RCTs on optimal components.

Study Design

Type

Systematic Review

Structured PICO

Does structured planned post discharge support reduce readmission in hospitalized patients with COPD?

P
Population
Systematic review of 10 studies evaluating post-discharge support interventions in patients aged ≥18 years hospitalized for acute exacerbation of COPD.
I
Intervention
Structured planned post discharge support and interventions to help patients manage symptoms of COPD.
C
Comparator
Control groups (standard care).
O
Outcome
Readmission, defined as hospitalization to the same or different hospital for any reason within the following year after discharge.hard clinical

Main Result

Relative Risk: 0.67 (95% CI 0.45–0.98)

Structured post-discharge support for COPD patients significantly reduces readmission rates at 30 days.

Limitations

  • The analysis could not identify a single set of interventions that could be recommended.

Cite This Study

Pedersen et al. (2017) conducted a systematic review in Chronic obstructive pulmonary disease (COPD). Post discharge support interventions vs. Control was evaluated on Readmission, defined as hospitalization to the same or different hospital for any reason within the following year after discharge (RR 0.67, 95% CI 0.45 to 0.98). Post discharge support interventions in patients with COPD significantly reduced the readmission rate at 30 days (RR 0.67; 95% CI 0.45-0.98).

synapsesocial.com/papers/6a5c4abdad271d6a345eafa7https://doi.org/10.11124/jbisrir-2016-003045
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Enhancing potential impact of hospital discharge interventions for patients with COPD: a qualitative systematic review2023 · 5 citations
  2. 2Risk factors for hospital readmission in chronic obstructive pulmonary disease: a systematic review and meta-analysis2026
  3. 3B94-06 Hospital Readmission Among Patients Enrolled in a COPD Transitions of Care Program2026
  4. 4Transitional care interventions to reduce readmission in patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials2017 · 17 citations
  5. 5Strategies to Prevent Readmissions to Hospital for COPD: A Systematic Review2021 · 12 citations