Pre-Discharge Bundle for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease to Reduce Readmissions
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About
Hospital readmissions for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) pose burdens to the healthcare system and patients. The aim of this study was to determine whether a screening and educational tool, administered prior to discharge, would result in a decrease in the rate of hospital readmissions.
Full description
Hospital readmissions for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) pose burdens to the healthcare system and patients. A current gap in knowledge is whether a pre-discharge screening and educational tool, administered to patients with COPD, reduces readmissions and emergency department (ED) visits.
A single center, randomized trial of patients admitted with AECOPD. Patients will be randomized to control (standard care) or "bundle" group in which patients receive smoking cessation counseling, screening for gastroesophageal reflux disease and depression or anxiety, standardized inhaler teaching, and a 48-hour post-discharge phone call.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
- diagnosis of COPD with the presence of an AECOPD
- Age > 40
- Current or ex-smoker with history of at least 20 pack-years
Exclusion criteria
- Past history of asthma, interstitial lung disease, bronchiectasis, presence of airway hardware (e.g. tracheal stents or tracheotomy), lung cancer, any other cancer with a life expectancy of less than 1 year
- Presence of a language barrier
- Residence in a nursing home
- Intensive care unit stay during the current admission
- Delirium or dementia.
Trial design
Primary purpose
Allocation
Interventional model
Masking
172 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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