GOH1, SM.TAN1, LP.NEO1, L.PRABHAKARAN1, KJA.TEOH1, SY.LEE1, WT.CHEN1, JZW.KOW1, HY.XU1
Tan Tock Seng Hospital1
Chronic obstructive pulmonary disease (COPD) management include symptom control, improving quality of life, reducing acute exacerbations (AECOPD) and readmissions. We aim to investigate the effectiveness of discharge care bundles on 30 days’ readmission.
A prospective cohort study of consecutive patients discharged from Tan Tock Seng Hospital after AECOPD between February to April 2021 were studied. Patients with existing follow-up with general respiratory specialist outpatient clinic (SOC) formed the standard care (SC) group. The rest entered the intervention group (IG) and received a discharge care bundle comprises of a COPD Action plan with standby medication upon discharge, weekly telephonic consults for 2 weeks, home visitation on the 3rd week and a review at dedicated COPD SOC on the 4th week.
A total of 38 patients with similar demographics profile completed the study, 21 in IG and 17 in SC. Mean age of 74 vs 71 and smoker was 43% vs 41%. The average length of stays was 5.3 and 5.1 days respectively. COPD Assessment Test (CAT) scoring in IG was 13.4 on admission and 11.1 at SOC review.4 patients were readmitted within 30 days in both groups. The days to readmission was 21 vs 15 in IG and SC.
Using COPD discharge care bundle has demonstrated no reduction on 30 days’ readmission. However, the timely intervention initiated using the bundles showed a trend towards longer duration of days to readmission in the IG.Larger studies are required to fully assess the utility of a COPD discharge bundles in our population.