Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Follow-Up After Discharge in COPD Readmissions

Chronic Obstr Pulm Dis; ePub 2019 Mar; Budde, et al

Prompt follow-up soon after discharge is not associated with a reduced risk of 30-day readmission following acute exacerbation of chronic obstructive pulmonary disease (AECOPD), a new study found. Researchers retrospectively examined electronic health records of all AECOPD-related hospitalizations at an urban, academic medical center for patients aged ≥40 years between June 2011 and June 2016. They also evaluated whether visiting a primary care provider (PCP) or medical subspecialist within 10 days of discharge reduces 30-day readmissions following hospitalization for AECOPD. Researchers found:

  • Of the 2,653 hospital discharges, 17.6% (n=468) had 30-day readmission.
  • 644 individuals (24.3%) had follow-up within 10 days of discharge.
  • Follow-up did not affect 30-day readmission risk (adjusted odds ratio 1.14).

Citation:

Budde J, Agarwal P, Mazumdar M, Braman SS. Follow-up soon after discharge may not reduce COPD readmissions. Chronic Obstr Pulm Dis. 2019;6(2). In press. doi:10.15326/jcopdf.6.2.2018.0149.

Must Reads in COPD

LABA-LAMA vs LABA-ICS in Treatment of COPD, Chest; ePub 2019 Mar 26; Suissa, et al

Follow-Up After Discharge in COPD Readmissions, Chronic Obstr Pulm Dis; ePub 2019 Mar; Budde, et al

CAP Burden in Patients with COPD, Chronic Obstr Pulm Dis; ePub 2019 Mar; Pasquale, et al

COPD and Angiographically Diagnosed CAD, COPD: J Chron Obstr Pulm Dis; ePub 2019 Mar 22; Hong, et al

Methodologies to Identify Patients with AECOPD, Int J Chron Obstruct Pulmon Dis; 2019 Mar 22; Shah, et al