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Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates

Overview of attention for article published in International Journal of Chronic Obstructive Pulmonary Disease, March 2017
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Mentioned by

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2 tweeters

Citations

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24 Dimensions

Readers on

mendeley
67 Mendeley
Title
Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates
Published in
International Journal of Chronic Obstructive Pulmonary Disease, March 2017
DOI 10.2147/copd.s124385
Pubmed ID
Authors

Abdulmajeed Alshabanat, Michael Otterstatter, Don Sin, Jeremy Road, Carmen Rempel, Jane Burns, Stephan van Eeden, J Mark FitzGerald

Abstract

COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing. The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP) in reducing length of stay (LOS) and risk of hospital admissions and readmissions in patients with COPD. We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation. A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all causes showed a significant decline, with hazard ratios (HRs) of 0.55 (year 1) and 0.51 (year 2) of intervention (P<0.001). In addition, patients' mean LOS (days) for COPD-related admissions declined significantly from 10.8 to 6.8 (P<0.05). A comprehensive disease management program for COPD patients, including education, case management, and follow-up, was associated with significant reduction in hospital admissions and LOS.

Twitter Demographics

The data shown below were collected from the profiles of 2 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 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 67 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 28%
Student > Bachelor 12 18%
Student > Ph. D. Student 7 10%
Other 5 7%
Researcher 5 7%
Other 8 12%
Unknown 11 16%
Readers by discipline Count As %
Medicine and Dentistry 21 31%
Nursing and Health Professions 12 18%
Engineering 4 6%
Social Sciences 3 4%
Biochemistry, Genetics and Molecular Biology 2 3%
Other 9 13%
Unknown 16 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 01 April 2017.
All research outputs
#5,055,565
of 9,274,545 outputs
Outputs from International Journal of Chronic Obstructive Pulmonary Disease
#735
of 1,219 outputs
Outputs of similar age
#148,119
of 260,737 outputs
Outputs of similar age from International Journal of Chronic Obstructive Pulmonary Disease
#42
of 66 outputs
Altmetric has tracked 9,274,545 research outputs across all sources so far. This one is in the 27th percentile – i.e., 27% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,219 research outputs from this source. They receive a mean Attention Score of 4.7. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
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 260,737 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 66 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.