In this large community based trial of patients post-COPD exacerbation, they were randomized to usual care, or intensive self management for a year. At the end of a year, overall the self management program was not associated with lower rates of readmissions or deaths, but in the subgroup of patients that were “successful” in the home management program (42% of the intervention group), they had half the risk of readmissions/death compared to those “unsuccessful”. The results are encouraging that those compliant with self management can significantly reduce the risk of readmissions / death, but determining in advance who will be motivated to adhere is difficult (abstract)
Share This Post
Categories
Related Posts
While spring 2020 feels like a lifetime ago, COVID-19 is still with us. Unfortunately, this winter has brought more infections, hospitalizations, and death rates that eclipse what many saw last spring. But this time, while the headlines are back about hospitals running low on PPE, ICU bed shortages, and long lines for testing, we now […]
This article is part of a series in The Hospital Leader written by members of the Division of Hospital Medicine at Dell Medical School at The University of Texas in Austin, exploring lessons learned from the coronavirus pandemic and outlining an approach for creating COVID-19 Centers of Excellence. Evidence on emerging treatments for COVID-19 has […]
While all of us see patients who smoke in their 70s or 80s, due to their limited lifespan from COPD, DM, malignancy, etc., and their expressed wishes to continue tobacco, we keep our admonitions to a minimum. We accept our patient has become learned enough through life to make their own decisions and accept whatever […]
Leave A Comment