COPD: Who cares when it matters most? | National Chronic Obstructive Pulmonary Disease Audit Programme
A new report from the Royal College of Physicians and the British Thoracic Society shows that 43% of patients admitted for hospital treatment of chronic obstructive pulmonary disease (COPD) were readmitted at least once in the 3 months following discharge, representing a considerable increase from 33% in 2008.
COPD: Who cares when it matters most?, demonstrates that, although COPD was the single most common cause of readmission, over 50% of readmissions were in older people with multiple health conditions.
The report also highlights improvements in the safety and efficiency of COPD care. The report shows that inpatient mortality has decreased from 7.9% in 2003 to 4.3% in 2014.
Fewer patients are dying after discharge from hospital. There has been a marked decrease in the average length of stay in hospital for acute exacerbation of COPD, which fell from 6 days to 4 days in the same period.
Recommendations to improve treatment and care of patients with COPD include:
- early identification of individuals at risk of deterioration
- careful assessment of patients with multiple healthcare needs and conditions
- improved discharge planning, particularly for vulnerable and frail patients
- the development of integrated approaches to COPD care.
Download the full report here