Self-Management Program Beneficial for Patients With COPD
HealthDay News — A 3-month intervention, including chronic obstructive pulmonary disease (COPD) self-management support, results in fewer COPD-related acute care events at 6 months after discharge, according to a study published online November 12 in the Journal of the American Medical Association.
Hanan Aboumatar, MD, MPH, from the Johns Hopkins School of Medicine in Baltimore, and colleagues conducted a single-site randomized clinical trial involving 240 patients hospitalized because of COPD. Participants were randomly assigned to intervention or usual care and were followed for 6 months after discharge. The intervention was a 3-month program to assist patients and family caregivers with long-term self-management of COPD and was delivered by COPD nurses.
The researchers found that per participant, the mean number of COPD-related acute care events was 0.72 and 1.4 in the intervention and usual care groups, respectively, at 6 months (difference, 0.68; 95% confidence interval, 0.22 to 1.15; P=.004). The mean change in participants' St. George's Respiratory Questionnaire total score at 6 months was −1.53 and +5.44 in the intervention and usual care groups, respectively (adjusted difference, −6.69; 95% confidence interval, −12.97 to −0.4; P=.04).
"COPD is incurable and chronic, and our new program – which combines hospital to home transition support with chronic disease management support – is 1 way of reorganizing care in a way that reduces future hospitalization risk and expenses, while preserving patients' quality of life," Aboumatar said in a statement.
Two authors disclosed financial ties to the pharmaceutical and health care industries.