Integrated care prevents hospital isations for exacerbations in COPD patients. Casas, A., Troosters, T., Garcia-Aymerich, J., Roca, J., Hernandez, C., Alonso, A., del Pozo, F., de Toledo, P., Anto, J. M., Rodriguez-Roisin, R., & Decramer, M. European Respiratory Journal, 28(1):123--130, July, 2006. abstract bibtex Hospital admissions due to chronic obstructive pulmonary disease (COPD) exacerbations have a major impact on the disease evolution and costs. The current authors postulated that a simple and well-standardised, low-intensity integrated care intervention can be effective to prevent such hospitalisations. Therefore, 155 exacerbated COPD patients (17% females) were recruited after hospital discharge from centres in Barcelona (Spain) and Leuven (Belgium). They were randomly assigned to either integrated care (IC; n=65; age mean +/- SD 70 +/- 9 yrs; forced expiratory volume in one second (FEV1) 1.1 +/- 0.5 L, 43% predicted) or usual care (UC; n =90; age 72 +/- 9 yrs; FEV1 1.1 +/- 0.05 L, 41% pred). The IC intervention consisted of an individually tailored care plan upon discharge shared with the primary care team, as well as accessibility to a specialised nurse case manager through a web-based call centre. After 12 months' follow-up, IC showed a lower hospitalisation rate (1.5 +/- 2.6 versus 2.1 +/- 3.1) and a higher percentage of patients without re-admissions (49 versus 31%) than UC without differences in mortality (19 versus 16%, respectively). In conclusion, this trial demonstrates that a standardised integrated care intervention, based on shared care arrangements among different levels of the system with support of information technologies, effectively prevents hospitalisations for exacerbations in chronic obstructive pulmonary disease patients.
@article{ deToledo-2006a,
author = {Casas, A. and Troosters, T. and Garcia-Aymerich, J. and Roca, J.
and Hernandez, C. and Alonso, A. and del Pozo, F. and de Toledo,
P. and Anto, J. M. and Rodriguez-Roisin, R. and Decramer, M.},
title = {Integrated care prevents hospital isations for exacerbations in COPD
patients},
journal = {European Respiratory Journal},
year = {2006},
volume = {28},
pages = {123--130},
number = {1},
month = {July},
ca = {CHRONIC Project},
di = {10.1183/09031936.06.00063205},
sn = {0903-1936},
tc = {74},
ut = {WOS:000239066500019},
z9 = {74},
abstract = {Hospital admissions due to chronic obstructive pulmonary disease (COPD)
exacerbations have a major impact on the disease evolution and costs.
The current authors postulated that a simple and well-standardised,
low-intensity integrated care intervention can be effective to prevent
such hospitalisations. Therefore, 155 exacerbated COPD patients (17%
females) were recruited after hospital discharge from centres in
Barcelona (Spain) and Leuven (Belgium). They were randomly assigned
to either integrated care (IC; n=65; age mean +/- SD 70 +/- 9 yrs;
forced expiratory volume in one second (FEV1) 1.1 +/- 0.5 L, 43%
predicted) or usual care (UC; n =90; age 72 +/- 9 yrs; FEV1 1.1 +/-
0.05 L, 41% pred). The IC intervention consisted of an individually
tailored care plan upon discharge shared with the primary care team,
as well as accessibility to a specialised nurse case manager through
a web-based call centre. After 12 months' follow-up, IC showed a
lower hospitalisation rate (1.5 +/- 2.6 versus 2.1 +/- 3.1) and a
higher percentage of patients without re-admissions (49 versus 31%)
than UC without differences in mortality (19 versus 16%, respectively).
In conclusion, this trial demonstrates that a standardised integrated
care intervention, based on shared care arrangements among different
levels of the system with support of information technologies, effectively
prevents hospitalisations for exacerbations in chronic obstructive
pulmonary disease patients.}
}
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{"_id":{"_str":"51f65b0e59ced8df440008cc"},"__v":2,"authorIDs":[],"author_short":["Casas, A.","Troosters, T.","Garcia-Aymerich, J.","Roca, J.","Hernandez, C.","Alonso, A.","del Pozo, F.","de<nbsp>Toledo, P.","Anto, J.<nbsp>M.","Rodriguez-Roisin, R.","Decramer, M."],"bibbaseid":"casas-troosters-garciaaymerich-roca-hernandez-alonso-delpozo-detoledo-anto-rodriguezroisin-decramer-integratedcarepreventshospitalisationsforexacerbationsincopdpatients-2006","bibdata":{"html":"<div class=\"bibbase_paper\">\n\n\n<span class=\"bibbase_paper_titleauthoryear\">\n\t<span class=\"bibbase_paper_title\"><a name=\"deToledo-2006a\"> </a>Integrated care prevents hospital isations for exacerbations in COPD patients.</span>\n\t<span class=\"bibbase_paper_author\">\nCasas, A.; Troosters, T.; Garcia-Aymerich, J.; Roca, J.; Hernandez, C.; Alonso, A.; del Pozo, F.; de Toledo, P.; Anto, J. M.; Rodriguez-Roisin, R.; and Decramer, M.</span>\n\t<!-- <span class=\"bibbase_paper_year\">2006</span>. -->\n</span>\n\n\n\n<i>European Respiratory Journal</i>,\n\n28(1):123--130.\n\nJuly 2006.\n\n\n\n\n<br class=\"bibbase_paper_content\"/>\n\n<span class=\"bibbase_paper_content\">\n \n \n \n <a href=\"javascript:showBib('deToledo-2006a')\">\n <img src=\"http://www.bibbase.org/img/filetypes/bib.png\" \n\t alt=\"Integrated care prevents hospital isations for exacerbations in COPD patients [bib]\" \n\t class=\"bibbase_icon\"\n\t style=\"width: 24px; height: 24px; border: 0px; vertical-align: text-top\"><span class=\"bibbase_icon_text\">Bibtex</span></a>\n \n \n\n \n \n \n \n \n\n \n <a class=\"bibbase_abstract_link\" href=\"javascript:showAbstract('deToledo-2006a')\">Abstract</a>\n \n \n</span>\n\n<!-- -->\n<!-- <div id=\"abstract_deToledo-2006a\"> -->\n<!-- Hospital admissions due to chronic obstructive pulmonary disease (COPD) exacerbations have a major impact on the disease evolution and costs. The current authors postulated that a simple and well-standardised, low-intensity integrated care intervention can be effective to prevent such hospitalisations. Therefore, 155 exacerbated COPD patients (17% females) were recruited after hospital discharge from centres in Barcelona (Spain) and Leuven (Belgium). They were randomly assigned to either integrated care (IC; n=65; age mean +/- SD 70 +/- 9 yrs; forced expiratory volume in one second (FEV1) 1.1 +/- 0.5 L, 43% predicted) or usual care (UC; n =90; age 72 +/- 9 yrs; FEV1 1.1 +/- 0.05 L, 41% pred). The IC intervention consisted of an individually tailored care plan upon discharge shared with the primary care team, as well as accessibility to a specialised nurse case manager through a web-based call centre. After 12 months' follow-up, IC showed a lower hospitalisation rate (1.5 +/- 2.6 versus 2.1 +/- 3.1) and a higher percentage of patients without re-admissions (49 versus 31%) than UC without differences in mortality (19 versus 16%, respectively). In conclusion, this trial demonstrates that a standardised integrated care intervention, based on shared care arrangements among different levels of the system with support of information technologies, effectively prevents hospitalisations for exacerbations in chronic obstructive pulmonary disease patients. -->\n<!-- </div> -->\n<!-- -->\n\n</div>\n","downloads":0,"urls":{},"abstract":"Hospital admissions due to chronic obstructive pulmonary disease (COPD) exacerbations have a major impact on the disease evolution and costs. The current authors postulated that a simple and well-standardised, low-intensity integrated care intervention can be effective to prevent such hospitalisations. Therefore, 155 exacerbated COPD patients (17% females) were recruited after hospital discharge from centres in Barcelona (Spain) and Leuven (Belgium). They were randomly assigned to either integrated care (IC; n=65; age mean +/- SD 70 +/- 9 yrs; forced expiratory volume in one second (FEV1) 1.1 +/- 0.5 L, 43% predicted) or usual care (UC; n =90; age 72 +/- 9 yrs; FEV1 1.1 +/- 0.05 L, 41% pred). The IC intervention consisted of an individually tailored care plan upon discharge shared with the primary care team, as well as accessibility to a specialised nurse case manager through a web-based call centre. After 12 months' follow-up, IC showed a lower hospitalisation rate (1.5 +/- 2.6 versus 2.1 +/- 3.1) and a higher percentage of patients without re-admissions (49 versus 31%) than UC without differences in mortality (19 versus 16%, respectively). In conclusion, this trial demonstrates that a standardised integrated care intervention, based on shared care arrangements among different levels of the system with support of information technologies, effectively prevents hospitalisations for exacerbations in chronic obstructive pulmonary disease patients.","author":["Casas, A.","Troosters, T.","Garcia-Aymerich, J.","Roca, J.","Hernandez, C.","Alonso, A.","del Pozo, F.","de Toledo, P.","Anto, J. M.","Rodriguez-Roisin, R.","Decramer, M."],"author_short":["Casas, A.","Troosters, T.","Garcia-Aymerich, J.","Roca, J.","Hernandez, C.","Alonso, A.","del Pozo, F.","de<nbsp>Toledo, P.","Anto, J.<nbsp>M.","Rodriguez-Roisin, R.","Decramer, M."],"bibtex":"@article{ deToledo-2006a,\n author = {Casas, A. and Troosters, T. and Garcia-Aymerich, J. and Roca, J.\n\tand Hernandez, C. and Alonso, A. and del Pozo, F. and de Toledo,\n\tP. and Anto, J. M. and Rodriguez-Roisin, R. and Decramer, M.},\n title = {Integrated care prevents hospital isations for exacerbations in COPD\n\tpatients},\n journal = {European Respiratory Journal},\n year = {2006},\n volume = {28},\n pages = {123--130},\n number = {1},\n month = {July},\n ca = {CHRONIC Project},\n di = {10.1183/09031936.06.00063205},\n sn = {0903-1936},\n tc = {74},\n ut = {WOS:000239066500019},\n z9 = {74},\n abstract = {Hospital admissions due to chronic obstructive pulmonary disease (COPD)\n\texacerbations have a major impact on the disease evolution and costs.\n\tThe current authors postulated that a simple and well-standardised,\n\tlow-intensity integrated care intervention can be effective to prevent\n\tsuch hospitalisations. Therefore, 155 exacerbated COPD patients (17%\n\tfemales) were recruited after hospital discharge from centres in\n\tBarcelona (Spain) and Leuven (Belgium). They were randomly assigned\n\tto either integrated care (IC; n=65; age mean +/- SD 70 +/- 9 yrs;\n\tforced expiratory volume in one second (FEV1) 1.1 +/- 0.5 L, 43%\n\tpredicted) or usual care (UC; n =90; age 72 +/- 9 yrs; FEV1 1.1 +/-\n\t0.05 L, 41% pred). The IC intervention consisted of an individually\n\ttailored care plan upon discharge shared with the primary care team,\n\tas well as accessibility to a specialised nurse case manager through\n\ta web-based call centre. After 12 months' follow-up, IC showed a\n\tlower hospitalisation rate (1.5 +/- 2.6 versus 2.1 +/- 3.1) and a\n\thigher percentage of patients without re-admissions (49 versus 31%)\n\tthan UC without differences in mortality (19 versus 16%, respectively).\n\tIn conclusion, this trial demonstrates that a standardised integrated\n\tcare intervention, based on shared care arrangements among different\n\tlevels of the system with support of information technologies, effectively\n\tprevents hospitalisations for exacerbations in chronic obstructive\n\tpulmonary disease patients.}\n}","bibtype":"article","ca":"CHRONIC Project","di":"10.1183/09031936.06.00063205","id":"deToledo-2006a","journal":"European Respiratory Journal","key":"deToledo-2006a","month":"July","number":"1","pages":"123--130","sn":"0903-1936","tc":"74","title":"Integrated care prevents hospital isations for exacerbations in COPD patients","type":"article","ut":"WOS:000239066500019","volume":"28","year":"2006","z9":"74","role":"author","bibbaseid":"casas-troosters-garciaaymerich-roca-hernandez-alonso-delpozo-detoledo-anto-rodriguezroisin-decramer-integratedcarepreventshospitalisationsforexacerbationsincopdpatients-2006"},"bibtype":"article","biburl":"http://www.caos.inf.uc3m.es/~beatriz/PublicacionesCAOS/pubCAOS.bib","downloads":0,"search_terms":["integrated","care","prevents","hospital","isations","exacerbations","copd","patients","casas","troosters","garcia-aymerich","roca","hernandez","alonso","del pozo","de<nbsp>toledo","anto","rodriguez-roisin","decramer"],"title":"Integrated care prevents hospital isations for exacerbations in COPD patients","title_words":["integrated","care","prevents","hospital","isations","exacerbations","copd","patients"],"year":2006,"dataSources":["XKHkwZ9ZJkqf7N99w"]}