Long term effects of an integrated care intervention on hospital utilization in patients with severe COPD: a single centre controlled study

• DOI: 10.1186/s12931-015-0170-1
• Publication Date: 2015-02-02T16:33:36Z
• Authors: Elena Titova; Sigurd Steinshamn; Bent Indredavik; Anne Hildur Henri...
• Keywords: Integrated Care

Chronic obstructive pulmonary disease (COPD) is one of the main causes morbidity and mortality globally. In Trondheim in 2008 an integrated care model (COPD-Home) consisting education program, self-management plan, home visits a call centre for patient support communication was developed. The objective to determine efficacy intervention according COPD-Home reducing hospital utilization among patients with COPD stage III IV (GOLD 2007) discharged after hospitalization acute exacerbations (AECOPD). A single centre, prospective, open, controlled clinical study comparing (IC) usual (UC). Ninety-one versus 81 mean age 73.4 ± 9.3 years (57% women) were included IC group (ICG) UC (UCG) respectively, 2 51 49 available control respective groups. During year prior start there 71 admissions (HA) ICG 84 UCG. There 12.6% reduction HA during first follow-up 46.5% second (p = 0.01) compared 8.3% increase no change ICG. start, number days (HD) 468 479 group, HD reduced by 48.3% 0.01), remained low (p=0.02). unchanged period. trend towards shorter survival time UCG, hazard ratio 1.33 [95% CI 0.77 2.33]. Intervention persisting effect throughout follow-up. However, group.