title: A care-bundles approach to improving standard of care in AECOPD admissions: results of a national project.
abstract: This report describes a care bundles implementation project for COPD undertaken during 2013 in England and Wales. High-level data were collected on outcomes of care for 11 748 patients admitted with an acute exacerbation of COPD (AECOPD). Patient-level data on processes and outcomes of care were collected on 3272 COPD admissions, among which 1174 bundles were delivered. Analysis demonstrated a statistically significant reduction in mortality and length of hospital stay from some bundle elements. Outcomes, including bundle completion rates, were better when specialist respiratory review occurred. The results support wider use of care bundles for AECOPD.
authors.affiliation: Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK Department of Respiratory Medicine, Heart of England NHS Foundation Trust, Birmingham, UK.
authors.forename: A M
authors.initials: AM
authors.lastname: Turner
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: W S
authors.initials: WS
authors.lastname: Lim
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: C
authors.initials: C
authors.lastname: Rodrigo
authors.affiliation: British Thoracic Society, London, UK.
authors.forename: S A
authors.initials: SA
authors.lastname: Welham
authors.affiliation: Department of Respiratory Medicine, North Bristol NHS Trust, Bristol, UK.
authors.forename: J M
authors.initials: JM
authors.lastname: Calvert
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D004739:England; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D064872:Patient Care Bundles; D010865:Pilot Projects; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000628:therapy*; D059039:Standard of Care; D014852:Wales
keywords: COPD Exacerbations