Why the study?
Does a comprehensive and individualized care management strategy reduce readmissions in patients hospitalized for acute exacerbation of COPD?
Population
462 patients admitted for acute exacerbation of COPD (AECOPD) to two inner-city teaching hospitals
Comparison
Comprehensive and individualized care management… vs Historical control group
Design
Cohort
Follow-up
90 days
Key result
Comprehensive individualized care for AECOPD did not reduce 30- and 90-day readmission rates overall (P>0.05), but reduced 90-day all-cause mortality (2.67% vs 7.97%, P=0.0268).
Authors
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Individualized AECOPD care was associated with lower 90-day mortality but not overall readmissions; leaves open targeted benefits pending randomized trials.
Cohort (n=462)
Yes
Does a comprehensive and individualized care management strategy reduce readmissions in patients hospitalized for acute exacerbation of COPD?
p-value: p=>0.05
An individualized care package for AECOPD patients reduced 90-day mortality and reduced 90-day readmissions specifically in females, though it did not reduce overall readmissions.
Eeden et al. (2016) conducted a cohort in Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) (n=462). Comprehensive and individualized care management strategy vs. Historical control (patients whose index AECOPD occurred the year before the program) was evaluated on Total number of readmissions in 30- and 90-day postindex hospitalizations (p=>0.05). Comprehensive individualized care for AECOPD did not reduce 30- and 90-day readmission rates overall (P>0.05), but reduced 90-day all-cause mortality (2.67% vs 7.97%, P=0.0268).