Admission and discharge care bundles for COPD

Conditions

Topic: Respiratory disorders

Katherine Morton, Emily Sanderson, Padraig Dixon, Anna King, Sue Jenkins et al. (13 authors)

Health Services and Delivery Research2019-06-0110 citations

Evaluation of ‘care bundles’ for patients with chronic obstructive pulmonary disease (COPD): a multisite study in the UK

Katherine Morton, Stephanie MacNeill, Emily Sanderson, Padraig Dixon, Anna King et al. (13 authors)

BMJ Open Respiratory Research2019-05-0133 citations

10.1136/bmjresp-2019-000425

Study protocol for an evaluation of the effectiveness of ‘care bundles’ as a means of improving hospital care and reducing hospital readmission for patients with chronic obstructive pulmonary disease (COPD)

Melanie Chalder, Caroline Wright, Katherine Morton, Padraig Dixon, Anne Daykin et al. (12 authors)

BMC Pulmonary Medicine2016-02-259 citations

10.1186/s12890-016-0197-1

Interventions

The intervention is the delivery of a COPD care bundle at either the point of admission to or discharge from hospital.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. People over 18 years of age admitted to an acute hospital with COPD 2. Primary cause of admission is COPD (ICD10 diagnostic codes J41-44) Target Gender: Male & Female ; Lower Age Limit 18 years

Exclusion criteria

Exclusion criteria: 1. People admitted to hospital with COPD where this is not the primary cause of admission 2. Elective admissions for COPD

Design outcomes

Primary

Measure	Time frame
COPD re-admission rates; Timepoint(s): 28 days post-discharge	—

Secondary

Measure	Time frame
1. Compliance with delivery of COPD care bundles; Timepoint(s): 12 months pre- and post- 2. COPD re-admission rates; Timepoint(s): 90-days post-hospital discharge 3. Costs of in-patient medications and procedures; Timepoint(s): 12 months pre-and post- 4. In-hospital mortality; Timepoint(s): 12-months pre- and post- 5. Length of stay for patients with COPD; Timepoint(s): at end of 12-month data collection 6. Mortality; Timepoint(s): 90-day post-hospital discharge 7. Overall re-admission rates; Timepoint(s): 28-days post-hospital discharge 8. Time taken to deliver COPD care bundles; Timepoint(s): post-admission or pre-discharge 9. Total number of COPD admissions; Timepoint(s): monthly 10. Total number of patients for whom COPD care bundle used; Timepoint(s): 12-months post-hospital data collection As with the primary outcome, the secondary outcomes of the study will be measured for a 12-month period pre-and post- a particular index date. This index date is the date upon which an individual implementation site i.e. NHS Trust began to deliver its COPD care bundle or, in the case of comparator sites, the date upon which an individual site's matched implementation site began to deliver its COPD care bundle. This approach will ensure that data are collected during the same ‘before’ and ‘after’ period for matched implementation and comparator sites. 12/12/2016: "Patient and carer experience; Timepoint(s): at end of 12-month data collection" outcome removed from April 2016 protocol.	—

Measure

Time frame

1. Compliance with delivery of COPD care bundles; Timepoint(s): 12 months pre- and post- 2. COPD re-admission rates; Timepoint(s): 90-days post-hospital discharge 3. Costs of in-patient medications and procedures; Timepoint(s): 12 months pre-and post- 4. In-hospital mortality; Timepoint(s): 12-months pre- and post- 5. Length of stay for patients with COPD; Timepoint(s): at end of 12-month data collection 6. Mortality; Timepoint(s): 90-day post-hospital discharge 7. Overall re-admission rates; Timepoint(s): 28-days post-hospital discharge 8. Time taken to deliver COPD care bundles; Timepoint(s): post-admission or pre-discharge 9. Total number of COPD admissions; Timepoint(s): monthly 10. Total number of patients for whom COPD care bundle used; Timepoint(s): 12-months post-hospital data collection As with the primary outcome, the secondary outcomes of the study will be measured for a 12-month period pre-and post- a particular index date. This index date is the date upon which an individual implementation site i.e. NHS Trust began to deliver its COPD care bundle or, in the case of comparator sites, the date upon which an individual site's matched implementation site began to deliver its COPD care bundle. This approach will ensure that data are collected during the same ‘before’ and ‘after’ period for matched implementation and comparator sites. 12/12/2016: "Patient and carer experience; Timepoint(s): at end of 12-month data collection" outcome removed from April 2016 protocol.

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Countries

England, United Kingdom

Outcome results

None listed