A pilot study of identification and case management of high-risk COPD patients in a general practice

Family Practice
Kevin Gruffydd-JonesXu Wang

Abstract

A variety of individual therapeutic interventions have been shown to reduce hospital admissions and improve quality of life in patients with chronic obstructive pulmonary disease (COPD). However, there is a paucity of data of looking at the effect of case management in primary care (i.e. using an integrated care approach) of people at higher risk of mortality from COPD. To examine the effect of case management in primary care of patients with COPD at high risk of hospital admission, identified using a novel multidimensional index of disease severity (DOSE index). Observational pilot study in a single general practice. High-risk patients were identified using the DOSE index and case managed using an IT system according to British National Guidelines over a 6-month period. Eleven patients entered and completed the study. There was no improvement in health status, but there was a non-significant reduction in total hospital admissions (three versus zero) and total bed days (16 versus 0) compared to the same reference period in the previous year. There was an increase in self-management knowledge. Case management of high-risk patients in primary care may reduce hospital admissions. This needs to be tested in a randomized controlled ...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Mar 8, 2003·Archives of Internal Medicine·Jean BourbeauUNKNOWN Chronic Obstructive Pulmonary Disease axis of the Respiratory Network Fonds de la Recherche en Santé du Québec
May 30, 2003·Health and Quality of Life Outcomes·Thys van der MolenElizabeth F Juniper
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Nov 3, 2005·The European Respiratory Journal·M-A GadouryUNKNOWN Chronic Obstructive Pulmonary Disease axis of the Respiratory Health Network, Fonds de la recherche en santé du Québec (FRSQ
Oct 3, 2009·American Journal of Respiratory and Critical Care Medicine·Rupert C JonesMichael E Hyland

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Citations

Nov 16, 2011·Respiratory Research·Wouter D van DijkTjard R J Schermer
May 24, 2012·BMC Medical Informatics and Decision Making·Margrethe SmidthPeter Vedsted
Mar 30, 2013·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Myrte RolinkLisette van den Bemt
Jan 27, 2015·European Journal of Public Health·Alessandra BujaVincenzo Baldo
Jul 13, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Kevin Gruffydd-Jones

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