Local implementation of a pathway to manage malnourished COPD patients in the community
| Autor: | Natalie Kominek, Rebecca J. Stratton, Rose Evill, Linda Webb, Lucy Janik, A.L. Cawood, Bridget Fitzsimmons |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Healthcare use medicine.medical_specialty COPD 030109 nutrition & dietetics business.industry Copd patients Nice medicine.disease Low volume 03 medical and health sciences Malnutrition Health care Copd assessment test Medicine business Intensive care medicine computer computer.programming_language |
| Zdroj: | General Practice and Primary Care. |
| DOI: | 10.1183/1393003.congress-2017.pa1609 |
| Popis: | Background: Malnourished COPD patients have higher healthcare use and poorer outcomes than those not at risk. NICE (CG101, CG32) and the national “COPD pathway” (www.malnutritionpathway.co.uk/copd) highlight the importance of managing malnutrition in COPD but evaluations of the impact locally need investigation. Aim: To investigate the effect of locally implementing the “COPD pathway” on the nutritional status, well-being and health care use of malnourished COPD patients in the community. Methods: 19 patients (75±9.4y) identified at high risk of malnutrition (BMI 18.3±3.1kg/m2) were initiated on the pathway and received dietary advice plus low volume, high protein oral nutritional supplements (600kcal, 36g protein) and followed up at 6 and 12 weeks. Malnutrition risk, health care use, health rating (bad – great, 0-10 scale), COPD assessment test (CAT) (0-40 scale), compliance and satisfaction were recorded for 12 weeks before and after implementation. Results: Implementation of the pathway led to a significant reduction in malnutrition risk (19 high risk to 10 high, 4 medium, 5 low) (p Conclusion: This local pilot suggests appropriate management of malnourished COPD patients in the community improves nutritional status, health and CAT rating with associated reductions in health care use. A larger project to explore the clinical and economic effects is required. |
| Databáze: | OpenAIRE |
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