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Efficacy of a self-management plan in exacerbations for patients with advanced COPD

Overview of attention for article published in International Journal of Chronic Obstructive Pulmonary Disease, August 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

Mentioned by

policy
1 policy source
twitter
6 tweeters
facebook
5 Facebook pages

Citations

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10 Dimensions

Readers on

mendeley
91 Mendeley
Title
Efficacy of a self-management plan in exacerbations for patients with advanced COPD
Published in
International Journal of Chronic Obstructive Pulmonary Disease, August 2016
DOI 10.2147/copd.s104728
Pubmed ID
Authors

Roberto Bernabeu-Mora, Juan Miguel Sánchez-Nieto, Rubén Andújar-Espinosa, Chunshao Hu, Beatriz Gálvez-Martínez, Andrés Carrillo-Alcaraz, Carlos Federico Álvarez-Miranda, Olga Meca-Birlanga, Eva Abad-Corpa

Abstract

Self-management interventions improve different outcome variables in various chronic diseases. Their role in COPD has not been clearly established. We assessed the efficacy of an intervention called the self-management program on the need for hospital care due to disease exacerbation in patients with advanced COPD. Multicenter, randomized study in two hospitals with follow-up of 1 year. All the patients had severe or very severe COPD, and had gone to either an accident and emergency (A&E) department or had been admitted to a hospital at least once in the previous year due to exacerbation of COPD. The intervention consisted of a group education session on the main characteristics of the disease, an individual training session on inhalation techniques, at the start and during the 3rd month, and a written action plan containing instructions for physical activity and treatment for stable phases and exacerbations. We determined the combined number of COPD-related hospitalizations and emergency visits per patient per year. Secondary endpoints were number of patients with visits to A&E and the number of patients hospitalized because of exacerbations, use of antibiotics and corticosteroids, length of hospital stay, and all-cause mortality. After 1 year, the rate of COPD exacerbations with visits to A&E or hospitalization had decreased from 1.37 to 0.89 (P=0.04) and the number of exacerbations dropped from 52 to 42 in the group of patients who received the intervention. The numbers of patients hospitalized, at 19 (40.4%) versus 20 (52.6%) (P=0.26), and those who went to A&E, at 9 (19.1%) versus 14 (36.8%) (P=0.06), due to exacerbation of COPD were also lower in this group. Intake of antibiotics was higher in the intervention group, whereas use of glucocorticoids was slightly lower, though there were no significant differences (P=0.30). There were also no differences between groups in the length of hospital stay (P=0.154) or overall mortality (P=0.191). The implementation of a self-management program for patients with advanced COPD reduced exacerbations that required hospital care.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 91 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Unknown 90 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 19%
Student > Bachelor 11 12%
Student > Ph. D. Student 10 11%
Student > Postgraduate 9 10%
Researcher 9 10%
Other 18 20%
Unknown 17 19%
Readers by discipline Count As %
Nursing and Health Professions 23 25%
Medicine and Dentistry 21 23%
Social Sciences 5 5%
Sports and Recreations 5 5%
Psychology 4 4%
Other 11 12%
Unknown 22 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2018.
All research outputs
#2,266,622
of 13,976,883 outputs
Outputs from International Journal of Chronic Obstructive Pulmonary Disease
#303
of 1,715 outputs
Outputs of similar age
#55,377
of 264,014 outputs
Outputs of similar age from International Journal of Chronic Obstructive Pulmonary Disease
#8
of 100 outputs
Altmetric has tracked 13,976,883 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,715 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.2. This one has done well, scoring higher than 82% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,014 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 100 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.