Respiratory day hospital: Impact on the rate of hospital admissions due to chronic obstructive pulmonary disease exacerbations

Luis Fernando Casas Méndez, Concepción Montón Soler, Marisa Baré Mañas, Jordi Casabon Salas, Xavier Pomares Amigó, Urko Aguirre Larracoechea

    Research output: Contribution to journalArticleResearchpeer-review

    12 Citations (Scopus)

    Abstract

    Background and objective: Acute exacerbations of chronic obstructive pulmonary disease (AE-COPD) are considered to be the most important factor in determining the course of the disease, and have great impact on the health care system. We evaluated the effects of a Respiratory Day Hospital (RDH) on the rate of hospital admissions due to AE-COPD. Patients and methods: During 14 months, every case of AE-COPD seen at the RDH and emergency services was recruited prospectively. Patients were excluded when another known cause of exacerbation was present and/or when they required invasive mechanical ventilation. Results: 226 episodes (173 patients) were included (72, SD 8 years old). One hundred and twenty one cases received treatment at the RDH (53.5%). Admissions from the RDH group were noticeably lower (32.2 vs. 66.7%, p < 0.001), even in patients with more admissions due to AE-COPD the year before the study. There were no differences either in terms of AE-COPD severity or in readmissions and mortality rates during the follow up. Conclusions: Management of AE-COPD in a RDH seems to be associated with a lower rate of hospital admissions in comparison with an emergency department. © 2010 Elsevier España, S.L. All rights reserved.
    Original languageEnglish
    Pages (from-to)665-668
    JournalMedicina Clinica
    Volume136
    Issue number15
    DOIs
    Publication statusPublished - 28 May 2011

    Keywords

    • Chronic obstructive pulmonary disease
    • Day Care Clinic
    • Emergency Department

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