content test-Optimizing COPD Acute Care Patient Outcomes Using a Standardized Transition Bundle and Care Coordinator Article (2)

Optimizing COPD Acute Care Patient Outcomes Using a Standardized Transition Bundle and Care Coordinator Article (2)

Pdf Summary

This study evaluated the effectiveness of a COPD transition bundle, with and without a care coordinator, in reducing rehospitalizations and ED revisits among patients with acute exacerbations of COPD (AECOPD). The study included two patient cohorts: one exposed to the transition bundle and one receiving usual care. Among the 604 patients in the transition bundle group, there was a 83% reduction in 7-day readmission rates and a 26% reduction in 30-day readmission rates compared to the usual care group. However, 90-day readmissions were not significantly different. The transition bundle was also associated with a 7.3% increase in median length of stay (LOS) and a 76% greater risk of a 30-day ED revisit. The addition of a care coordinator did not improve outcomes in terms of readmissions or ED revisits. Overall, the use of the transition bundle was effective in reducing short-term readmissions and facilitating care continuity with primary care, but it was also associated with longer hospital stays and increased ED visits. The low uptake of the bundle and other implementation challenges were identified as limitations of the study. Further research is needed to evaluate the impact of bundle implementation strategies and potential solutions to improve bundle uptake and patient outcomes.

Keywords

COPD transition bundle

care coordinator

rehospitalizations

ED revisits

acute exacerbations of COPD

readmission rates

length of stay

care continuity

primary care

implementation challenges