| Autor: |
Monica Truumees, Moira Kendra, Danielle Tonzola, Stephanie Chiu, Federico Cerrone, Debra Zimmerman, Cristen Mackwell, Catherine Stevens, Katelyn Scannell, Brittney Daley, Daniel Markley, Chirag V Shah, Rupal Mansukhani |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Respiratory care. 67(6) |
| ISSN: |
1943-3654 |
| Popis: |
In 2015, the Centers for Medicare and Medicaid Services limited payments to hospitals with high readmission rates for patients admitted with COPD exacerbation. Decreasing readmissions in this patient population improves patient health and decreases health care utilization of resources. We hypothesized a COPD disease management program delivered by a respiratory therapist (RT) in the patient's home may reduce readmission rates for COPD exacerbation.We performed a pre/post interventional study comparing hospital readmissions for subjects with COPD exacerbation that received standard of care in the home versus an RT-led home COPD disease management program. Subjects discharged home from Atlantic Health System with COPD exacerbation were enrolled in the pre-intervention group. Subsequently, an evidence-based home COPD disease management program was implemented by an RT from At Home Medical in the home. The home COPD Disease Management Program was implemented from April 2017-September 2019, and this served as the post-intervention group. The primary end point was readmission rates at 30 d. Secondary end points included 60-d and 90-d readmission rates.A total of 1,093 participants were included in the study, 658 in the pre-intervention cohort and 435 participants in the post-intervention group. Approximately 22.3% (The COPD Disease Management Program is significantly associated with decreased readmission adjusting for demographics and smoking status. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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