Key result
Appropriate drug therapy, patient education, and a multidisciplinary approach to hospital transition can decrease rehospitalizations in patients with chronic obstructive pulmonary disease.
Why the study?
Do multidisciplinary care and optimized medical therapy reduce hospital readmissions in patients with COPD?
Do multidisciplinary care and optimized medical therapy reduce hospital readmissions in patients with COPD?
Optimizing in-hospital care, multidisciplinary transition, and appropriate palliative care are essential to reducing COPD readmissions.
Answers are grounded in this paper and cite their sources.
Multidisciplinary transitions and education may reduce COPD readmissions; leaves open need for rigorous prospective trials given sparse evidence.
PURPOSE OF REVIEW: This article examines factors associated with readmission for chronic obstructive pulmonary disease and interventions that may decrease readmissions. RECENT FINDINGS: The literature on this topic is relatively sparse. Drug therapy revolves around appropriate use of bronchodilators, antibiotics, and steroids. Patient education and participation and a multidisciplinary approach to the transition out of hospital can lead to decreased rehospitalizations. Patients who cannot participate in self-care may do better in skilled nursing facilities. SUMMARY: We must optimize in-hospital care and see that patients receive a continuum of care upon discharge. We must also recognize that some patients have received optimal care and yet continue to suffer with end-stage disease on an ongoing basis; palliative medications such as long-acting narcotics and end-of-life discussions need to be considered in patients unable to survive for long outside of hospital.
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Raghavan et al. (2016) conducted a review in chronic obstructive pulmonary disease. Drug therapy, patient education, and multidisciplinary transition approach was evaluated on hospital readmissions. Appropriate drug therapy, patient education, and a multidisciplinary approach to hospital transition can decrease rehospitalizations in patients with chronic obstructive pulmonary disease.
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