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An analysis of the economic and patient outcome impact of an integrated COPD service in east London

Overview of attention for article published in International Journal of Chronic Obstructive Pulmonary Disease, June 2017
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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 (79th percentile)
  • Good Attention Score compared to outputs of the same age and source (76th percentile)

Mentioned by

twitter
12 tweeters

Citations

dimensions_citation
2 Dimensions

Readers on

mendeley
32 Mendeley
Title
An analysis of the economic and patient outcome impact of an integrated COPD service in east London
Published in
International Journal of Chronic Obstructive Pulmonary Disease, June 2017
DOI 10.2147/copd.s127843
Pubmed ID
Authors

Anna Garner, Matthew Hodson, Georgios Ketsetzis, Laurence Pulle, Janelle Yorke, Angshu Bhowmik

Abstract

Exacerbations of COPD carry a huge burden of morbidity and a significant economic impact. It has been shown that home care may be useful for exacerbations of COPD. This article presents a review of an integrated COPD service in east London. Hospital Episode Statistics, Public Health Mortality Files and clinical data were used to analyze differences in health care usage and COPD patient outcomes, including COPD assessment test (CAT) scores for a subsample, before and after the introduction of the integrated service. There was a significant (30%) reduction in the number of hospital bed days for COPD patients (P<0.05), alongside a significant increase in patients with only a short stay (0-1 days) in hospital (P<0.0001). There was a significant increase in the number of patients dying outside of hospital (a proxy for quality of end-of-life care) following introduction of the service (P=0.00015). Patients also reported a clinically significant improvement in CAT scores. A locally developed economic model shows that the economic benefits of the service (via impact on place of death and reduction in length of hospital stay) were almost equal to the cost of the service. The increase in proportion of short-stay admissions and the reduction in bed days suggest an impact of the service on early supported discharge and that this along with an improvement in patient clinical outcomes and in quality of end-of-life care shows that an exemplar integrated COPD service can provide benefits that equate to a nearly cost-neutral service.

Twitter Demographics

The data shown below were collected from the profiles of 12 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 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 19%
Student > Master 5 16%
Student > Doctoral Student 5 16%
Researcher 3 9%
Student > Ph. D. Student 3 9%
Other 5 16%
Unknown 5 16%
Readers by discipline Count As %
Medicine and Dentistry 12 38%
Nursing and Health Professions 5 16%
Economics, Econometrics and Finance 3 9%
Social Sciences 2 6%
Psychology 2 6%
Other 3 9%
Unknown 5 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. 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 03 August 2017.
All research outputs
#2,262,604
of 15,281,155 outputs
Outputs from International Journal of Chronic Obstructive Pulmonary Disease
#302
of 1,811 outputs
Outputs of similar age
#53,780
of 267,835 outputs
Outputs of similar age from International Journal of Chronic Obstructive Pulmonary Disease
#14
of 60 outputs
Altmetric has tracked 15,281,155 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,811 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one has done well, scoring higher than 83% 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 267,835 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 79% of its contemporaries.
We're also able to compare this research output to 60 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 76% of its contemporaries.