Multi-disciplinary community respiratory team management of patients with chronic respiratory illness during the COVID-19 pandemic

Autor: Emily Turner, Emma Johnson, Kate Levin, Stewart Gingles, Elaine Mackay, Claire Roux, Marianne Milligan, Marion Mackie, Kirsten Farrell, Kirsty Murray, Suzanne Adams, Joan Brand, David Anderson, Hannah Bayes
Rok vydání: 2021
Předmět:
Zdroj: NPJ primary care respiratory medicine. 32(1)
ISSN: 2055-1010
Popis: The Greater Glasgow & Clyde NHS Trust Community Respiratory Response Team was established to manage patients with chronic respiratory disease at home during the COVID-19 pandemic. The team aimed to avert hospital admission while maximally utilising remote consultations. This observational study analysed outcomes of the triage pathway used, use of remote consultations, hospital admissions and mortality among patients managed by the team. Patients’ electronic health records were retrospectively reviewed. Rates of emergency department attendance, hospital admission and death within 28 days of referral were compared across triage pathways. Segmented linear regression was carried out for emergency admissions in Greater Glasgow and Clyde pre- and post- Community Respiratory Response Team implementation, using emergency admissions for chronic obstructive pulmonary disease in the rest of Scotland as control and adjusting for all-cause emergency admissions. The triage category correlated with hospital admission and death. The red pathway had the highest proportion attending the emergency department (21%), significantly higher than the amber and green pathways (p = 0.03 and p = 0.004, respectively). The highest number of deaths were in the blue “end-of-life” pathway (p
Databáze: OpenAIRE
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