Sygeplejerske konsultationer med udskrevet KOL-patient reducerer antallet af genindlæggelser: Tidlig udskrivelse af KOL-patient understøttet med telemedicinske sygeplejerske konsultationer efter indlæggelse med forværring

Activity: Talks and presentationsTalks and presentations in private or public companies

Description

Introduction:  Exacerbations of chronic obstructive pulmonary disease (ECOPD) are the most common cause for admissions and readmissions to medical wards worldwide.

 Objectives: To investigate the effect on early readmissions of telemedicine, video consultations (TVC) between respiratory nurses placed at the hospital and COPD patients in their homes after a discharge from the hospital, which was caused by exacerbations of chronic obstructive pulmonary disease (ECOPD).

Methods: This study was an interventional study in which all ECOPD were consecutively allocated into two groups (TVC or control) depending on their home municipality. The patient received daily telemedicine video consultations (TVC) at home with a nurse based at the hospital for approximately one week. Thereafter the patient received at least one follow up call and they could call the nurse for rest of the study period of 28 days. The telemedicine equipment consisted of a computer with web camera, microphone and measurement equipment.

Results Within each of the two groups, TVC (n=50) and control (n=50), 12 % and 22 % respectively, were readmitted (differences between rates -10 % [95% confidence interval -25;5] ) due to ECOPD. The multivariate Cox-regression model showed TVC assignment as a significant protective factor for early re-admission (Hazard ratio (HR) 0.25 [0.09-0.69]. High age (HR 3.94 [1.46-10.6]) and male gender (HR 2.97 [0.99-8.97]) were associated with a high hazard. Patient satisfaction was high.

Conclusions: In a hospitalized population with ECOPD, a nurse TVC assignment is protective against early readmission and reduces the days of readmission.


Emneord: Telemedicine, COPD, Nurse consultations, readmission
Period13. Sept 2009
Event titleEuropean Respiratory Society (ERS) konference
Event typeConference
OrganiserEuropean Respiratory Society
LocationWien, AustriaShow on map

Keywords

  • Telemedicine, COPD, Nurse consultations, readmission