Does a Supported Discharge and Admission Avoidance service improve outcomes for patients with COPD? (ID 294)
Southern Health NHS Trust
Funding: None
Abstract
BackgroundPatients with a COPD exacerbation are reviewed at home by respiratory specialist hcp within 24 hours of hospital discharge or GP referral.
Patients in the community are assessed and advised on optimal inhaler technique. They are supported to help reduce the impact of COPD on wellbeing and daily life through training and self management education, using COPD Assessment Test (CAT) questionnaire.
Aims
To identify whether patients’ with COPD demonstrate improvements in inhaler technique and reduce CAT scores after assessment and training by Southern Health NHS Foundation Trust respiratory specialist hcps.
Methods
Following COPD exacerbation, patients had their inhaler technique assessed in the community using (UKIG) 7 steps scoring guidance.
Patients were supported to complete a COPD Assessment Test (CAT) questionnaire.
Education and training on inhaler technique and self management was given by respiratory specialist hcp.
Both assessments were completed on day 1 and reassessed at day 28, on discharge from SD / AA.
Results
Between January and December 2019, results show when patients inhaler technique was assessed on days 1 and 28 of SD/AA, 61% (62) increased their 7 steps score, 39% (40) were optimised. Results show 33% (34) patients showed no change and, 64% (66) of all patients scored 7 out of 7.
Results show CAT score decreased in 62% (70) patients by day 28 of SD/AA pathway indicating reduced impact of COPD on wellbeing and daily life. .
Conclusions
Supported Discharge and Admission Avoidance service improves CAT scores and inhaler technique for patients with COPD
Further work is needed to identify if improved inhaler technique and reduced CAT scores reduces COPD exacerbations for patients in Southern Health NHS Foundation Trust.
Conflicts of interest: None
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