Using Standardized Care Bundles in the Emergency Department to Decrease Mortality in Patients Presenting with Community-Acquired Pneumonia (CAP) and Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)

Current Infectious Disease Reports

Volumn 17, Issue 2, 2015, Pages

  Marcos, Pedro J ^a   Huerta, Arturo ^b   Enzler, Mark J ^c  

^a HOSPITAL JUAN CANALEJO   (Spain)

^b HOSPITAL CLÍNIC   (Spain)

^c MAYO CLINIC   (United States)

Author keywords

Acute exacerbation; CAP; Care bundle; Chronic bronchitis; COPD; Pneumonia; Respiratory infections; Sepsis

Indexed keywords

CARE BUNDLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COMMUNITY ACQUIRED PNEUMONIA; DISEASE EXACERBATION; EMERGENCY CARE; EMERGENCY PATIENT; EMERGENCY WARD; EVIDENCE BASED PRACTICE; HEALTH CARE QUALITY; HUMAN; MORTALITY; PATIENT CARE; REVIEW; SEPSIS;

EID: 84923238779     PISSN: 15233847     EISSN: 15343146     Source Type: Journal    
DOI: 10.1007/s11908-014-0458-1     Document Type: Review

References (32)

1. Marcos PJ, Díaz-Lagares C, Ferreira-Gonzalez LMD, Bello L, Llinares D, Trigás M. Unidad de preingreso (UPI): análisis de los ingresos hospitalarios evitados en una unidad de nueva creación Pre-admission unit (UPI): analysis of avoided hospital admissions in a new unit. Galicia Clin. 2009;70:21–6.
2. Müllerova H, Chigbo C, Hagan GW, Woodhead MA, Miravitlles M, Davis KJ, et al. The natural history of community-acquired pneumonia in COPD patients: a population database analysis. Resp Med. 2012;106:1124–33.
3. Welte T, Welte T, Torres A, Torres A, Nathwani D, Nathwani D. Clinical and economic burden of community-acquired pneumonia among adults in Europe. Thorax. 2012;67:71–9.
4. Blanchette CM, Gross NJ, Altman P. Rising costs of COPD and the potential for maintenance therapy to slow the trend. Am Health Drug Benefits. 2014;7:98–106.
5. Dalal AA, Shah M, D’Souza AO, Rane P. Costs of inpatient and emergency department care for chronic obstructive pulmonary disease in an elderly Medicare population. J Med Econ. 2010;13:591–8.
6. Woodhead M, Blasi F, Ewig S, Garau J, Huchon G, Ieven M, et al. Guidelines for the management of adult lower respiratory tract infections. Clin Microbiol Infect. 2011;17:E1–59.
7. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious diseases society of america/american thoracic society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007;44:S27–72.
8. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease,GOLD 2014. [Updated January, 2014][Last accessed on 2014 Aug 27]. Available from: http://www.goldcopd.org/guidelines-global-strategy-for-diagnosis-management.html
9. Julián Jiménez A. Palomo de los Reyes MJ, Laín-Terés N. Is it possible to improve the management of community acquired pneumonia in hospital emergency departments? Arch Bronconeumol. 2010;46:448–9.
10. Pozo-Rodríguez F, López-Campos JL, Alvarez-Martínez CJ, Castro-Acosta A, Agüero R, Hueto J, et al. Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study. Caylà JA, editor. PLoS ONE. 2012;7:e42156. An original arcticle reflecting the huge variability among hospitals in the manegement of COPD in an spanish audit.
11. Dambrava PG, Torres A, Vallès X, Mensa J, Marcos MA, Peñarroja G, et al. Adherence to guidelines’ empirical antibiotic recommendations and community-acquired pneumonia outcome. Eur Resp J. 2008;32:892–901.
12. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725–32.
13. Robb E, Jarman B, Suntharalingam G, Higgens C, Tennant R, Elcock K. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234–4.
14. Connors AF, Dawson NV, Thomas C, Harrell FE, Desbiens N, Fulkerson WJ, et al. Outcomes following acute exacerbation of severe chronic obstructive lung disease. The SUPPORT investigators (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments). Am J Respir Crit Care Med. 1996;154:959–67.
15. Funk G-C, Bauer P, Burghuber OC, Fazekas A, Hartl S, Hochrieser H, et al. Prevalence and prognosis of COPD in critically ill patients between 1998 and 2008. Eur Resp J. 2013;41:792–9.
16. López-Campos JL, Hartl S, Pozo-Rodríguez F, Roberts CM. European COPD Audit team. Variability of hospital resources for acute care of COPD patients: the European COPD Audit. Eur Resp J. 2014;43:754–62. An original arcticle reflecting the huge variability among hospitals in the manegement of COPD in an european audit.
17. Lindenauer PK, Pekow P, Gao S, Crawford AS, Gutierrez B, Benjamin EM. Quality of care for patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease. Ann Intern Med. 2006;144:894–903.
18. Price LC, Lowe D, Hosker HSR, Anstey K, Pearson MG, Roberts CM, et al. UK National COPD Audit 2003: impact of hospital resources and organisation of care on patient outcome following admission for acute COPD exacerbation. Thorax. 2006;61:837–42.
19. Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernández C, Alonso A, et al. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J Eur esp J. 2006;28:123–30.
20. Hopkinson NS, Englebretsen C, Cooley N, Kennie K, Lim M, Woodcock T, et al. Designing and implementing a COPD discharge care bundle. Thorax. 2012;67:90–2. Original arcticle wich demostrate the efficacy of a discharge COPD care bundle.
21. McCarthy C, Brennan J, Brown L, Donaghy D, Jones P, Whelan R, et al. Use of a care bundle in the emergency department for acute exacerbations of chronic obstructive pulmonary disease: a feasibility study. COPD. 2013;8:605–11. Original arcticle which demostrate that the use of a care bundle for managing acute exacerbation of COPD was associated with improvement in quality of care.
22. Austin MA, Wills KE, Blizzard L, Walters EH, Wood-Baker R. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ. 2010;341:c5462.
23. British Thoracic Society Care Bundles for COPD and CAP, 2014. [Updated September 2014] [Last accessed 2014 Aug 31]. Available from: https://www.brit-thoracic.org.uk/audit-and-quality-improvement/bts-care-bundles-for-cap-and-copd/. Web page from the British Thoracic Society explaining the project of improvement of care in CAP and COPD through applying bundles of care.
24. Slade E, Tamber PS, Vincent J-L. The Surviving Sepsis Campaign: raising awareness to reduce mortality. Crit Care. 2003;7:1–2.
25. Alberti C, Brun-Buisson C, Burchardi H, Martin C, Goodman S, Artigas A, et al. Epidemiology of sepsis and infection in ICU patients from an international multicentre cohort study. Intensive Care Med. 2002;28:108–21.
26. Woodhead M, Welch CA, Harrison DA, Bellingan G, Ayres JG. Community-acquired pneumonia on the intensive care unit: secondary analysis of 17,869 cases in the ICNARC Case Mix Programme Database. Crit Care. 2006;10 Suppl 2:S1.
27. Hortmann M, Heppner H-J, Popp S, Lad T, Christ M. Reduction of mortality in community-acquired pneumonia after implementing standardized care bundles in the emergency department. Eur J Emerg Med. 2013;[In press]. This study demonstrated the utility of care bundle for reducing mortality in patients treated of community acquired pneumonia.
28. Crisafulli E, Menéndez R, Huerta A, Martinez R, Montull B, Clini E, et al. Systemic inflammatory pattern of patients with community-acquired pneumonia with and without COPD. Chest. 2013;143:1009–17.
29. Georges H, Journaux C, Devos P, Alfandari S, Delannoy PY, Meybeck A, et al. Improvement in process of care and outcome in patients requiring intensive care unit admission for community acquired pneumonia. BMC Infect. 2013;13:196.
30. Ferrer M, Valencia M, Nicolas JM, Bernadich O, Badia JR, Torres A. Early noninvasive ventilation averts extubation failure in patients at risk: a randomized trial. Am J Respir Crit Care Med. 2006;173:164–70.
31. Ruokonen E, Pettilä V. Surviving Sepsis campaign – outcome of severe sepsis can be improved by revising procedural standards. Acta Anaesthesiol Scand. 2005;49:597–8.
32. Drago L, Nicola L, Rodighiero V, Larosa M, Mattina R, De Vecchi E. Comparative evaluation of synergy of combinations of beta-lactams with fluoroquinolones or a macrolide in Streptococcus pneumoniae. J Antimicrob Chemother. 2011;66:845–9.