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      Post-discharge extended care contributes to the disease control of patients with COPD: a Chinese study

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          Abstract

          Background

          The aim of this study was to evaluate the efficacy of extended care in patients with COPD.

          Patients and methods

          A total of 140 patients with GOLD-2 to -4 of COPD were included in final analysis. The care efficacy was evaluated by the St George’s Respiratory Questionnaire 12-item General Health Questionnaire (GHQ-12), pulmonary function test and blood gas analysis.

          Results

          The extended care improved the activity ability of COPD patients, relieved the clinical symptoms as well as reduced the impact degree of COPD to daily life ( P<0.05). In addition, the extended care improved the mental health condition of patients with COPD compared with usual care ( P<0.05). Moreover, the extended care improved the ventilation function of COPD patients, reduced the acute exacerbation rate and improved the blood gas levels compared with the usual care ( P<0.05).

          Conclusion

          The extended care improves the quality of life, respiratory function and the mental health condition of patients with COPD after discharge, indicating that it contributes to the disease control of patients with COPD.

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          Most cited references 20

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          Improving the quality of transitional care for persons with complex care needs.

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            The association between continuity of care and outcomes: a systematic and critical review.

            Numerous studies have tried to determine the association between continuity and outcomes. Studies doing so must actually measure continuity. If continuity and outcomes are measured concurrently, their association can only be determined with time-dependent methods. To identify and summarize all methodologically studies that measure the association between continuity of care and patient outcomes. We searched MEDLINE database (1950-2008) and hand-searched to identify studies that tried to associate continuity and outcomes. English studies were included if they: actually measured continuity; determined the association of continuity with patient outcomes; and properly accounted for the relative timing of continuity and outcome measures. A total of 139 English language studies tried to measure the association between continuity and outcomes but only 18 studies (12.9%) met methodological criteria. All but two studies measured provider continuity and used health utilization or patient satisfaction as the outcome. Eight of nine high-quality studies found a significant association between increased continuity and decreased health utilization including hospitalization and emergency visits. Five of seven studies found improved patient satisfaction with increased continuity. These studies validate the belief that increased provider continuity is associated with improved patient outcomes and satisfaction. Further research is required to determine whether information or management continuity improves outcomes. © 2010 Blackwell Publishing Ltd.
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              Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary.

              This Executive Summary of the Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017 Report focuses primarily on the revised and novel parts of the document. The most significant changes include: (i) the assessment of chronic obstructive pulmonary disease has been refined to separate the spirometric assessment from symptom evaluation. ABCD groups are now proposed to be derived exclusively from patient symptoms and their history of exacerbations; (ii) for each of the groups A to D, escalation strategies for pharmacological treatments are proposed; (iii) the concept of de-escalation of therapy is introduced in the treatment assessment scheme; (iv)non-pharmacological therapies are comprehensively presented and (v) the importance of co-morbid conditions in managing COPD is reviewed.
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                Author and article information

                Journal
                Int J Chron Obstruct Pulmon Dis
                Int J Chron Obstruct Pulmon Dis
                International Journal of COPD
                International Journal of Chronic Obstructive Pulmonary Disease
                Dove Medical Press
                1176-9106
                1178-2005
                2018
                14 December 2018
                : 13
                : 4005-4013
                Affiliations
                [1 ]Department of Respiratory Medicine, Shenmu Hospital, Shenmu, Shaanxi, China, research568rbx@ 123456yeah.net
                [2 ]Department of Nursing, Shenmu Hospital, Shenmu, Shaanxi, China
                [3 ]Department of Surgery, Shenmu Hospital, Shenmu, Shaanxi, China
                [4 ]Department of Respiratory Medicine, Gansu Provincial Hospital, Lanzhou, Gansu, China
                [5 ]Department of Respiratory Medicine, First Affiliated Hospital, Xi’an Medical University, Xi’an, Shaanxi China, research568rbx@ 123456yeah.net
                Author notes
                Correspondence: Biaoxue Rong, Department of Respiratory Medicine, Shenmu Hospital, Shenmu, 719300, Yulin City, Shaanxi, China, Tel +86 1 534 926 0656, Email research568rbx@ 123456yeah.net
                Article
                copd-13-4005
                10.2147/COPD.S177038
                6300378
                © 2018 Li et al. This work is published and licensed by Dove Medical Press Limited

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                Categories
                Original Research

                Respiratory medicine

                extended care, copd, disease control

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