Web of Science: 2 citas, Scopus: 3 citas, Google Scholar: citas
Effect of a rehabilitation-based chronic disease management program targeting severe COPD exacerbations on readmission patterns
Lalmolda, Cristina (Universitat Autònoma de Barcelona)
Coll Fernández, Roser (Corporació Sanitària Parc Taulí. Departament de Rehabilitació)
Martínez, Natalia (Corporació Sanitària Parc Taulí. Departament de Malalties Respiratòries)
Baré, M (Institut Català de la Salut. Servei d'Atenció Primària Vallès Occidental)
Teixidó Colet, M (Institut Català de la Salut. Servei d'Atenció Primària Vallès Occidental)
Epelde, F (Corporació Sanitària Parc Taulí. Servei d'Emergències)
Monsó, E (Universitat Autònoma de Barcelona)

Fecha: 2017
Resumen: Pulmonary rehabilitation (PR) is recommended after a severe COPD exacerbation, but its short- and long-term effects on health care utilization have not been fully established. The aims of this study were to evaluate patient compliance with a chronic disease management (CDM) program incorporating home-based exercise training as the main component after a severe COPD exacerbation and to determine its effects on health care utilization in the following year. COPD patients with a severe exacerbation were included in a case-cohort study at admission. An intervention group participated in a nurse-supervised CDM program during the 2 months after discharge, comprising of home-based PR with exercise components directly supervised by a physiotherapist, while the remaining patients followed usual care. Nineteen of the twenty-one participants (90. 5%) were compliant with the CDM program and were compared with 29 usual-care patients. Compliance with the program was associated with statistically significant reductions in admissions due to respiratory disease in the following year (median [interquartile range]: 0 [0-1] vs 1 [0-2. 5]; P =0. 022) and in days of admission (0 [0-7] vs 7 [0-12]; P =0. 034), and multiple linear regression analysis confirmed the protective effect of the CDM program (β coefficient −0. 785, P =0. 014, and R 2 =0. 219). A CDM program incorporating exercise training for COPD patients without limiting comorbidities after a severe exacerbation achieves high compliance and reduces admissions in the year following after the intervention.
Derechos: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Lengua: Anglès.
Documento: article ; recerca ; publishedVersion
Materia: COPD ; Chronic disease management ; CDM ; Rehabilitation ; Exacerbation ; Admission
Publicado en: International journal of chronic obstructive pulmonary disease, Vol. 12 (2017) , p. 2531-2538, ISSN 1178-2005

PMID: 28883720
DOI: 10.2147/COPD.S138451


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