Impact of a COPD discharge care bundle on readmissions following admission with acute exacerbation: interrupted time series analysis.

ABSTRACT:

Objectives

We evaluated the impact of a COPD discharge care bundle on readmission rates following hospitalisation with an acute exacerbation.

Design

Interrupted time series analysis, comparing readmission rates for COPD exacerbations at nine trusts that introduced the bundle, to two comparison groups; (1) other NHS trusts in London and (2) all other NHS trusts in England. Care bundles were implemented at different times for different NHS trusts, ranging from October 2009 to April 2011.

Setting

Nine NHS acute trusts in the London, England.

Participants

Patients aged 45 years and older admitted to an NHS acute hospital in England for acute exacerbation of COPD. Data come from Hospital Episode Statistics, April 2002 to March 2012.

Main outcome measures

Annu

SUBMITTER: Laverty AA 

PROVIDER: S-EPMC4332682 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature