兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Continuity of care to prevent readmissions for patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis

2017-4

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.

研究类型
Meta分析
人群
混合人群
主题
["慢性非传染性疾病医疗护理卫生服务医疗服务质量"]
作者
Fen Yang; Zhen-Fang Xiong; Chongming Yang; Lin Li; Guiyuan Qiao; Yuncui Wang; Taoyun Zheng; Huijuan He; Hui Hu
国家
China
关键词
Chronic obstructive pulmonary disease; continuity of care; interventions; readmissions.
来源期刊
Copd-journal of Chronic Obstructive Pulmonary Disease
发布日期
2017-4
全文链接
https://pubmed.ncbi.nlm.nih.gov/28326901/#full-view-affiliation-1
相关网址
https://www.healthsystemsevidence.org/articles/62fe6f78ef088708d8dd0abb-continuity-of-care-to-prevent-readmissions-for-patients-with-chronic-obstructive-pulmonary-disease-a-systematic-review-and-meta-analysis?source=saved_email
DOI
10.1080/15412555.2016.1256384
学科领域
DiseasesNon-communicable diseasesChronic obstructive pulmonary diseaseSectorsHome and community carePrimary careProvidersNurses