Abstract
Review question/objective This review aims to identify discharge interventions that can reduce readmission or prolong the time before the next readmission of patients with chronic obstructive pulmonary disease. The specific review question is: What is the impact of a structured planned discharge intervention for patients with chronic obstructive pulmonary disease after admission to hospital due to exacerbation in chronic obstructive pulmonary disease. Inclusion criteria Types of participants This review will consider studies that include hospitalized patients, aged 18 years or more, who had been diagnosed with chronic obstructive pulmonary disease and was admitted to hospital due to acute exacerbation of chronic obstructive pulmonary disease. Types of intervention(s) This review will consider studies that evaluate discharge interventions including discharge preparation (pre-discharge) and discharge support/after care (post-discharge). Examples of interventions include: • screening patients with a high risk of post-discharge problems • intensive in-hospital discharge preparation • discharge rounds • written information leaflets • implementation of liaison nurses and discharge coordinators • case management • home visits prior to discharge • preventive home visits of district nurses after discharge • post-hospital support programs • telephone follow-up after discharge • discharge planning protocols • ameliorated communication between hospital and primary care providers • telehealth. Comparator Studies that compared discharge interventions as mentioned in the examples with normal care will be included. “Normal care” will in this case include contacting the General Practioner via letter, phoning district nurses, dispensing of prescriptions and other tasks which are done for all patients in the department in order to prepare for discharge. Types of outcomes This review will consider studies that include the following outcome measures: readmission and "time- to -chronic obstructive pulmonary disease hospitalization". Those outcomes will be measured in days or months.
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