Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug;200(4):481-486.
doi: 10.1007/s00408-022-00548-9. Epub 2022 Jul 7.

Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Moira Kendra  1 , Rupal Mansukhani  2   3 , Nicole Rudawsky  4   5 , Lisa Landry  4 , Natalie Reyes  4 , Stephanie Chiu  6 , Brittney Daley  4 , Daniel Markley  7 , Brandee Fetherman  1 , Edward A Dimitry Jr  7 , Federico Cerrone  7 , Chirag V Shah  7
Affiliations

Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Moira Kendra et al. Lung. 2022 Aug.

Abstract

Purpose: Chronic obstructive pulmonary disease (COPD) is a chronic condition that leads to significant morbidity and mortality. Management of COPD hospitalizations utilizing an evidence-based care bundle can provide consistent quality of care and may reduce readmissions.

Methods: This single-center retrospective cohort study evaluated readmission rates in patients hospitalized with a COPD exacerbation. Patients in the pre-intervention cohort received usual care, while patients in the post-intervention cohort received an innovative inpatient COPD care bundle. The bundle focused on optimizing care in five areas: consults, inpatient interventions, education, transitions of care, and after discharge care.

Results: In this study, 149 subjects were included in the pre-intervention cohort and 214 subjects were included in the post-intervention cohort. Thirty-day readmission rates were lower in the post-intervention cohort compared to the pre-intervention cohort, 22.4% vs. 38.3% (p = 0.001). A reduction in 60-day and 90-day readmission rates was also observed, 13.7% vs. 40.3% (p < 0.001) and 10.1% vs. 32.2% (p < 0.001), respectively.

Conclusion: Bundled care is an effective and inexpensive method for institutions to provide consistent and quality care. The findings of this study demonstrate that the implementation of a COPD care bundle is an effective strategy to decrease hospital readmissions.

Keywords: Chronic obstructive pulmonary disease; Discharge planning; Disease exacerbation; Hospital readmission; Transitions of care.

PubMed Disclaimer

References

    1. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease, 2021 report. 2021. www.goldcopd.org/ . Accessed 30 Nov 2021.
    1. COPD Burden | American Lung Association. American Lung Association | American Lung Association. https://www.lung.org/research/trends-in-lung-disease/copd-trends-brief/c... . Accessed 30 Nov 2021.
    1. Shah T, Press V, Huisingh-Scheetz M, White SR (2016) COPD readmissions: addressing COPD in the era of value-based health care. Chest 150(4):916–926 - DOI
    1. Press VG, Au DH, Bourbeau J et al (2019) Reducing chronic obstructive pulmonary disease hospital readmissions. An official American thoracic society workshop report. Ann Am Thorac Soc. 16(2):161–170. https://doi.org/10.1513/AnnalsATS.201811-755WS - DOI - PubMed - PMC
    1. Stone RA, Holzhauer-Barrie J, Lowe D et al (2017) COPD: who cares when it matters most? National Chronic Obstructive Pulmonary Disease (COPD) audit programme: outcomes from the clinical audit of COPD exacerbations admitted to Acute Units in England 2014. National Supplementary Report. Royal College of Physicians, London

LinkOut - more resources