A care-bundles approach to improving standard of care in AECOPD admissions: results of a national project.

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Abstract

This report describes a care bundles implementation project for COPD undertaken during 2013 in England and Wales. High-level data were collected on outcomes of care for 11 748 patients admitted with an acute exacerbation of COPD (AECOPD). Patient-level data on processes and outcomes of care were collected on 3272 COPD admissions, among which 1174 bundles were delivered. Analysis demonstrated a statistically significant reduction in mortality and length of hospital stay from some bundle elements. Outcomes, including bundle completion rates, were better when specialist respiratory review occurred. The results support wider use of care bundles for AECOPD.

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Journal

Journal ID (iso-abbrev): Thorax

Title: Thorax

Publisher: BMJ

ISSN (Electronic): 1468-3296

ISSN (Print): 0040-6376

Publication date (Electronic): Oct 2015

Volume: 70

Issue: 10

Affiliations

[1 ] Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK Department of Respiratory Medicine, Heart of England NHS Foundation Trust, Birmingham, UK.

[2 ] Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.

[3 ] British Thoracic Society, London, UK.

[4 ] Department of Respiratory Medicine, North Bristol NHS Trust, Bristol, UK.

Article

Publisher Item ID: thoraxjnl-2015-206833

DOI: 10.1136/thoraxjnl-2015-206833

PubMed ID: 26197814

SO-VID: 92f546ea-9f48-4ee2-a6b9-bd3280c6c461

History

Keywords: COPD Exacerbations

Data availability:

Keywords: COPD Exacerbations

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