Effects of an integrated care intervention on risk factors of COPD readmission

摘要: Summary An integrated care intervention including education, coordination among levels of care, and improved accessibility, reduced hospital readmissions in chronic obstructive pulmonary disease (COPD) after 1 year. This study analyses the effectiveness this terms clinical functional status, quality life, lifestyle, self-management, under hypothesis that changes these factors could explain observed reduction readmissions. A total 113 exacerbated COPD patients (14% female, mean (SD) age 73(8) years, FEV 1.2(0.5)l) were recruited discharge Barcelona, Spain, randomly assigned (1:2) to (IC) ( n =44) or usual (UC) =69). The consisted an individually tailored plan at shared with primary team access a specialized case manager nurse through web-based call centre. After year intervention, subjects group body mass index by 1.34kg/m 2 . Additionally, they scored better self-management items: knowledge 81% vs. 44%, exacerbation identification 85% 22%, early treatment 90% 66%, inhaler adherence 71 37%, correctness 86 24%. There no differences evolution dyspnea, lung function, life scores, lifestyle factors, medical treatment. Conclusions IC trial knowledge, adherence, suggesting may play role prevention severe exacerbations triggering admissions.