Effectiveness of community-based integrated care in frail COPD patients: A randomised controlled trial

npj Primary Care Respiratory Medicine

Volumn 25, Issue , 2015, Pages

  Hernández, Carme ^a   Alonso, Albert ^b   Garcia Aymerich, Judith ^c   Serra, Ignasi ^d   Marti, Dolors ^e   Rodriguez Roisin, Robert ^f   Narsavage, Georgia ^a   Carmen Gomez, Maria ^a   Roca, Josep ^a  

^a INSTITUT D INVESTIGACIONS BIOMÈDIQUES AUGUST PI I SUNYER IDIBAPS   (Spain)

^b HOSPITAL CLÍNIC   (Spain)

^c CENTRE FOR RESEARCH IN ENVIRONMENTAL EPIDEMIOLOGY CREAL   (Spain)

^d Programa D'Atenció Domiciliaria i Equips de Suport PADES Grup MUTUAM   (Spain)

^e WEST VIRGINIA UNIVERSITY   (United States)

^f UNIVERSITY OF BARCELONA   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ANXIETY; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ASSESSMENT; CLINICAL EFFECTIVENESS; COMMUNITY; CONTROLLED STUDY; DEPRESSION; EMERGENCY WARD; FEMALE; FOLLOW UP; FORCED EXPIRATORY VOLUME; FRAIL ELDERLY; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INTEGRATED HEALTH CARE SYSTEM; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; STATISTICAL ANALYSIS; SURVIVAL; DISEASE COURSE; EMERGENCY HEALTH SERVICE; HEALTH CARE QUALITY; INTENTION TO TREAT ANALYSIS; ORGANIZATION AND MANAGEMENT; PATIENT CARE; RISK ASSESSMENT; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; DISEASE PROGRESSION; EMERGENCY SERVICE, HOSPITAL; FEMALE; FRAIL ELDERLY; HOSPITALIZATION; HUMANS; INTENTION TO TREAT ANALYSIS; MALE; PATIENT CARE TEAM; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITY OF HEALTH CARE; RISK ASSESSMENT;

EID: 84937046550     PISSN: None     EISSN: 20551010     Source Type: Journal    
DOI: 10.1038/npjpcrm.2015.22     Document Type: Article

References (49)

1. Lopez-Campos JL, Hartl S, Pozo-Rodriguez F, Roberts CM. Variability of hospital resources for acute care of COPD patients: European COPD Audit. Eur Respir J 2013; 43: 754-762
2. Pozo-Rodriguez F, Lopez-Campos JL, Alvarez-Martinez CJ, Castro-Acosta A, Aguero R, Hueto J et al. Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study. PLoS One 2012; 7: e42156
3. World Health Organization Chronic obstructive pulmonary disease (COPD). (2014). http://www.who.int/respiratory/copd/en/, accessed on 20 September 2014
4. Murray CJ, Lopez AD. Measuring the global burDen of disease. N Engl J Med 2013; 369: 448-457
5. Sullivan SD, Ramsey SD, Lee TA. The economic burDen of COPD. Chest 2000; 117: 5S-9S
6. Vestbo J, Hurd SS, Agusti AG, Jones PW, Vogelmeier C, Anzueto A et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 2013; 187: 347-365
7. Hernandez C, Jansa M, Vidal M, Nunez M, Bertran MJ, Garcia-Aymerich J et al. The burDen of chronic disorders on hospital admissions prompts the need for new modalities of care: A cross-sectional analysis in a tertiary hospital. QJM 2009; 102: 193-202
8. Mannino DM, Buist AS. Global burDen of COPD: risk factors, prevalence, and future trends. Lancet 2007; 370: 765-773
9. Epping-Jordan JE, Galea G, Tukuitonga C, Beaglehole R. Preventing chronic diseases: taking stepwise action. Lancet 2005; 366: 1667-1671
10. Hong CS, Abrams MK, Ferris TG. Toward increased adoption of complex care management. N Engl J Med 2014; 371: 491-493
11. Roca J, Garasen HM, Grimsmo A, Meya M, Alonso A, Gorman J et al. Supporting healthier and indepenDent living for chronic patients and elderly: final report (2013). http.//www.nexeshealth.eu/media/pdf/nexes-final-report.pdf, accessed on 20 September 2014
12. Stewart S, Pearson S, Luke CG, Horowitz JD. Effects of home-based intervention on unplanned readmissions and out-of-hospital deaths. J Am Geriatr Soc 1998; 46: 174-180
13. World Health Organization (WHO) Innovative care for chronic conditions: building blocks for action Global Report (2002). http://www.who.int/chp/knowledge/publications/icccglobalreport.pdf, accessed on 15 September 2014
14. Evaluation of the first year of the Inner North West London Integrated Care Pilot. Nuffield Trust-Imperial College London, 2013
15. Kruis AL, Smidt N, Assendelft WJ, Gussekloo J, Boland MR, Rutten-van MM et al. Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2013; 10: CD009437
16. Kruis AL, Boland MR, Assendelft WJ, Gussekloo J, Tsiachristas A, Stijnen T et al. Effectiveness of integrated disease management for primary care chronic obstructive pulmonary disease patients: results of cluster randomised trial. BMJ 2014; 349: g5392
17. Boland MR, Tsiachristas A, Kruis AL, Chavannes NH, Rutten-van Molken MP. The health economic impact of disease management programs for COPD: A systematic literature review and meta-analysis. BMC Pulm Med 2013; 13: 40
18. Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernandez C, Alonso A et al. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J 2006; 28: 123-130
19. Hernandez C, Alonso A, Garcia-Aymerich J, Grimsmo A, Vontetsianos T, Garcia-Cuyas F et al. Integrated care services: lessons learnt from the deployment of the Nexes project. (submitted
20. Hernandez C. Deployment of integrated care services for chronic patients supported by information and communication technologies: the NEXES project. Thesis, University of Barcelona, 2015
21. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992; 45: 613-619
22. WHO Adherence to long-term therapies. EviDence for action (2003). http://www. who.int/chp/knowledge/publications/adherence-report/en/index.html, accessed on 5 September 2014
23. Hernandez C, Giner J, Cabarcos R, Burgos F, Calpena M, Morante F et al. Controlando la EPOC (2011). http://www.separ.es/pacientes, accessed on 15 September 2014
24. Generalitat de Catalunya, Departament de Sanitat i Seguretat social Enquesta de salut de Catalunya (ESCA) (2002). http://www gencat cat/salut/esca, accessed on 15 January 2013
25. Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med 2006; 166: 1822-1828
26. de TP, Jimenez S, del PF, Roca J, Alonso A, Hernandez C. Telemedicine experience for chronic care in COPD. IEEE Trans Inf Technol Biomed 2006; 10: 567-573
27. Garcia-Aymerich J, Hernandez C, Alonso A, Casas A, Rodriguez-Roisin R, Anto JM et al. Effects of an integrated care intervention on risk factors of COPD readmission. Respir Med 2007; 101: 1462-1469
28. Hernandez C, Casas A, Escarrabill J, Alonso J, Puig-Junoy J, Farrero E et al. Home hospitalisation of exacerbated chronic obstructive pulmonary disease patients. Eur Respir J 2003; 21: 58-67
29. Folstein MF, Folstein SE, McHugh PR. 'Mini-mental state'. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-198
30. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179-186
31. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J 1965; 14: 61-65, 2013
32. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-370
33. Ferrer M, Alonso J, Prieto L, Plaza V, Monso E, Marrades R et al. Validity and reliability of the St George's Respiratory Questionnaire after adaptation to a different language and culture: the Spanish example. Eur Respir J 1996; 9: 1160-1166
34. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14: 540-545
35. Weaver TE, Laizner AM, Evans LK, Maislin G, Chugh DK, Lyon K et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep 1997; 20: 835-843
36. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111-117
37. Baarends EM, van Marken Lichtenbelt WD, Wouters EF, Schols AM. Body-water compartments measured by bio-electrical impedance spectroscopy in patients with chronic obstructive pulmonary disease. Clin Nutr 1998; 17: 15-22
38. Marrugat J, Vila J, Pavesi M, Sanz F. [Estimation of the sample size in clinical and epidemiological investigations]. Med Clin (Barc) 1998; 111: 267-276
39. Fletcher M, Hernandez C. An exciting future for respiratory nurses? Chron Respir Dis 2006; 3: 177-178
40. Fletcher MJ, Dahl BH. Expanding nurse practice in COPD: is it key to providing high quality, effective and safe patient care? Prim Care Respir J 2013; 22: 230-233
41. Hawkes N. Hospitals without walls. BMJ 2013; 347: f5479
42. Leff B, Spragens LH, Morano B, Powell J, Bickert T, Bond C et al. Rapid reengineering of acute medical care for medicare beneficiaries: the medicare innovations collaborative. Health Aff (Millwood) 2012; 31: 1204-1215
43. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006; 173: 1390-1413
44. Nici L, Zuwallack R. An official American Thoracic Society workshop report: the Integrated Care of The COPD Patient. Proc Am Thorac Soc 2012; 9: 9-18
45. Nolte E, Mckee M (eds) Caring for People with Chronic Conditions: A Health System Perspective. Open University Press, MaiDenhead, UK, 2008
46. Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Hospitalinitiated transitional care interventions as a patient safety strategy: A systematic review. Ann Intern Med 2013; 158: 433-440
47. Sin DD, Anthonisen NR, Soriano JB, Agusti AG. Mortality in COPD: Role of comorbidities. Eur Respir J 2006; 28: 1245-1257
48. Bouillon K, Kivimaki M, Hamer M, Sabia S, Fransson EI, Singh-Manoux A et al. Measures of frailty in population-based studies: An overview. BMC Geriatr 2013; 13: 64
49. Orueta JF, Mateos Del PM, Barrio B, I, Nuno SR, Cuadrado ZM, Sola SC. [Stratification of the population in the Basque Country: results in the first year of implementation]. Aten Primaria 2013; 45: 54-60