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Continuity of Care to Prevent Readmissions for Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.

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  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 101211769 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-2563 (Electronic) Linking ISSN: 15412563 NLM ISO Abbreviation: COPD Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: Monticello, NY : Marcel Dekker, c2004-
    • الموضوع:
      Continuity of Patient Care* ; Health Education* ; House Calls* ; Telemedicine*; Patient Readmission/*statistics & numerical data ; Pulmonary Disease, Chronic Obstructive/*nursing; Humans ; Monitoring, Physiologic/methods ; Pulmonary Disease, Chronic Obstructive/mortality ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Quality of Life ; Randomized Controlled Trials as Topic
    • نبذة مختصرة :
      Readmissions of patients with chronic obstructive pulmonary disease (COPD) to hospitals cast a heavy burden to health care systems. This meta-analysis was aimed to assess the efficacy of continuity of care as interventions, which reduced readmission and mortality rates of such patients. PubMed, Cochrane Library and Embase were searched for articles published before July 2015. A total of 31 reports with randomized controlled trials (RCTs) were finally included in this meta-analysis. The results showed that health education reduced all-cause readmission at 3 months. In addition, health education, comprehensive nursing intervention (CNI) and telemonitoring reduced all-cause readmissions over 6-12 months, and the effect of CNI was best because CNI also reduced COPD-specific readmissions. Home visits also reduced COPD-specific readmissions (the quality more than moderate), but it did not reduce the risk for all-cause readmissions (risk ratios (RRs), 0.92 [95% CI, 0.82-1.04]; moderate quality). There was no statistically significant difference in reducing mortality and quality of life (QOL) among various continued cares. In conclusion, CNI, telemonitoring, health education and home visits should receive more consideration than other interventions by caregivers seeking to implement continued care interventions for patients with COPD.
    • Contributed Indexing:
      Keywords: Chronic obstructive pulmonary disease; continuity of care; interventions; readmissions
    • الموضوع:
      Date Created: 20170323 Date Completed: 20171201 Latest Revision: 20250623
    • الموضوع:
      20250623
    • الرقم المعرف:
      10.1080/15412555.2016.1256384
    • الرقم المعرف:
      28326901