How to reduce hospital readmissions in chronic obstructive pulmonary disease?
Curr Opin Pulm Med. 2016 Mar;22(2):106-12
Authors: Raghavan D, Bartter T, Joshi M
PURPOSE OF REVIEW: This article examines factors associated with readmission for chronic obstructive pulmonary disease and interventions that may decrease readmissions.
RECENT FINDINGS: The literature on this topic is relatively sparse. Drug therapy revolves around appropriate use of bronchodilators, antibiotics, and steroids. Patient education and participation and a multidisciplinary approach to the transition out of hospital can lead to decreased rehospitalizations. Patients who cannot participate in self-care may do better in skilled nursing facilities.
SUMMARY: We must optimize in-hospital care and see that patients receive a continuum of care upon discharge. We must also recognize that some patients have received optimal care and yet continue to suffer with end-stage disease on an ongoing basis; palliative medications such as long-acting narcotics and end-of-life discussions need to be considered in patients unable to survive for long outside of hospital.
PMID: 26814142 [PubMed - in process]