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June 22, 2023BMC Health Services ResearchOpen Access

Enhancing potential impact of hospital discharge interventions for patients with COPD: a qualitative systematic review

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Why the study?

Patients with COPD are frequently readmitted, yet interventions to reduce readmissions have limited evidence of effectiveness, warranting insight into better intervention design.

How can hospital discharge interventions for patients with COPD be optimized to improve patient outcomes?

Population

Nine qualitative studies of patients with COPD transitioning from hospital to home or community

Design

Qualitative systematic review and thematic synthesis

Key result

Patients with COPD transitioning from hospital to home prefer individually adapted discharge interventions that facilitate a smooth transition and provide tailored information and appropriate follow-up.

Authors

TNTorbjørn NygårdDWDavid WrightHNHamde Nazar

Discussion

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Overview

Supports tailored COPD discharge planning to boost acceptability; extends preference data to inform future trials.

Study Design

Type

Systematic Review (n=9)

Structured PICO

How can hospital discharge interventions for patients with COPD be optimized to improve patient outcomes?

P
Population
A qualitative systematic review of 9 studies exploring patient and staff experiences with hospital discharge interventions for COPD to identify areas for optimization.
I
Intervention
Interventions provided to reduce COPD rehospitalisation in the transition from hospital to home or community
O
Outcome
Areas for optimisation within previously reported interventions (qualitative synthesis)

Hospital discharge interventions for COPD patients should be individually tailored and address the transition process itself to improve acceptability and effectiveness.

Limitations

  • Limited to English and Scandinavian language studies
  • Potential publication bias due to lack of extensive grey literature search
  • Most studies from the UK and English-speaking countries, limiting generalizability to other healthcare systems
  • Varying quality and detail of qualitative data across included studies
  • Medicines-related interventions were underrepresented

Cite This Study

Nygård et al. (2023) conducted a systematic review in Chronic obstructive pulmonary disease (COPD) (n=9). Hospital discharge interventions was evaluated on Patient and staff experiences and preferences regarding COPD discharge interventions. Patients with COPD transitioning from hospital to home prefer individually adapted discharge interventions that facilitate a smooth transition and provide tailored information and appropriate follow-up.

synapsesocial.com/papers/6a6a06002de5377d00e889bchttps://doi.org/10.1186/s12913-023-09712-0
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