Intervención domiciliaria y variables predictoras para reingreso hospitalario en la enfermedad pulmonar obstructiva crónica agudizada

Decrease in Readmissions after Hospitalisation for COPD Exacerbation through a Home Care Model

“…The severity of the COPD of the subjects included in our ACRCU, as measured by the airflow limitation, corresponded to severe obstruction (mean FEV 1 of 44.6%), with our results being similar to those of the PROMETE study (FEV 1 < 50%) 30 as well as the research carried out by Jurado et al (40.4%) 25 and Davies et al (36.1%). 26 In addition, the severity of our patients’ disease was classified as GOLD class D, and, according to the GesEPOC, the prevalent phenotype was exacerbator with emphysema.…”

“…Numerous HH programmes have been implemented with the same purpose of avoiding readmissions after hospitalisation for COPDE. 22 , 23 , 24 , 25 , 26 , 27 While some of these studies yielded results similar to those found in the present study in terms of the decrease in the number of readmissions, others failed to achieve this outcome. 22 It should be noted that, as was the case in our ACRCU, in most other studies reporting a decrease in the rate of readmissions, a specialised nurse was in charge of following the patients at their home after their discharge from the hospital while maintaining continuous contact with the pulmonologist responsible for their case.…”

“…In our study, the HC population included in our ACRCU did not have a shorter mean length of hospital stay compared with patients not included in this programme, which we believe could be explained by a greater severity of the COPD and the presence of a higher number of comorbidities in these patients. Similar data were yielded by a study performed by Jurado et al, 25 who limited their study population to patients with a diagnosis of COPD, under the age of 75, and without severe comorbidities (criteria of lesser frailty that we did not apply). Hernando et al 24 analysed the mean length of hospital stay (2.82 days) and, on the other hand, the mean length of home stay (7.29 days), with the sum of both parameters being lower in their study population than in the population included in our ACRCU.…”

Análisis de una intervención para la mejora de resultados en salud en EPOC agudizada en atención primaria

“…Existen escasos estudios realizados en AP en la práctica clínica habitual, para mejorar la atención de los pacientes con AEPOC. Los resultados en el seguimiento domiciliario no parecen disminuir el número de reingresos10, 11, y la educación sanitaria a los pacientes puede mejorar el manejo de la exacerbaciones 12 .…”

Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial

“…Acute exacerbation (AE) of AECOPD is characterized by a sudden worsening of COPD symptoms. Older adults with COPD have a high risk of experiencing AECOPD, 1 which typically leads to a decreased lung function, an increased incidence of respiratory failure, and even death. 2 , 3 Patients with COPD who experience aggravation of symptoms, such as dyspnea, cough, and sputum production, for >48 hours are diagnosed with AECOPD.…”