当前位置： SCI文献检索 > International Journal of Chronic Obstructive Pulmonary Disease期刊下所有文献 > Effect of a rehabilitation-based chronic disease management program targeting severe COPD exacerbations on readmission patterns.

Effect of a rehabilitation-based chronic disease management program targeting severe COPD exacerbations on readmission patterns.

Abstract：

BACKGROUND:Pulmonary rehabilitation (PR) is recommended after a severe COPD exacerbation, but its short- and long-term effects on health care utilization have not been fully established. AIMS:The aims of this study were to evaluate patient compliance with a chronic disease management (CDM) program incorporating home-based exercise training as the main component after a severe COPD exacerbation and to determine its effects on health care utilization in the following year. MATERIALS AND METHODS:COPD patients with a severe exacerbation were included in a case-cohort study at admission. An intervention group participated in a nurse-supervised CDM program during the 2 months after discharge, comprising of home-based PR with exercise components directly supervised by a physiotherapist, while the remaining patients followed usual care. RESULTS:Nineteen of the twenty-one participants (90.5%) were compliant with the CDM program and were compared with 29 usual-care patients. Compliance with the program was associated with statistically significant reductions in admissions due to respiratory disease in the following year (median [interquartile range]: 0 [0-1] vs 1 [0-2.5]; P=0.022) and in days of admission (0 [0-7] vs 7 [0-12]; P=0.034), and multiple linear regression analysis confirmed the protective effect of the CDM program (β coefficient -0.785, P=0.014, and R2=0.219). CONCLUSION:A CDM program incorporating exercise training for COPD patients without limiting comorbidities after a severe exacerbation achieves high compliance and reduces admissions in the year following after the intervention.

journal_name

Int J Chron Obstruct Pulmon Dis

journal_title

International journal of chronic obstructive pulmonary disease

authors

Lalmolda C,Coll-Fernández R,Martínez N,Baré M,Teixidó Colet M,Epelde F,Monsó E

doi

10.2147/COPD.S138451

subject

Has Abstract

pub_date

2017-08-23 00:00:00

pages

2531-2538

eissn

1176-9106

issn

1178-2005

pii

copd-12-2531

journal_volume

12

pub_type

杂志文章

相关文献

International Journal of Chronic Obstructive Pulmonary Disease文献大全
  • Inhaled corticosteroid use in patients with chronic obstructive pulmonary disease and the risk of pneumonia: a retrospective claims data analysis.

    abstract：BACKGROUND:The use of inhaled corticosteroids in patients with chronic obstructive pulmonary disease (COPD) has been associated with an increased risk of pneumonia in controlled clinical trials and case-control analyses. OBJECTIVE:Using claims databases as a research model of real-world diagnosis and treatment, to det...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S42366

    authors： Yawn BP,Li Y,Tian H,Zhang J,Arcona S,Kahler KH

    更新日期：2013-01-01 00:00:00

  • Clinical significance of laryngopharyngeal reflux in patients with chronic obstructive pulmonary disease.

    abstract：BACKGROUND:Although chronic obstructive pulmonary disease (COPD) is closely associated with gastroesophageal reflux disease (GERD), the clinical significance of laryngopharyngeal reflux (LPR) is not fully understood in COPD. METHODS:Prospective cohorts were established among 118 patients with COPD from March 2013 to J...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S84337

    authors： Jung YH,Lee DY,Kim DW,Park SS,Heo EY,Chung HS,Kim DK

    更新日期：2015-07-15 00:00:00

  • Psychometric properties of the Physical Activity Scale for the Elderly in Chinese patients with COPD.

    abstract：BACKGROUND:For patients with COPD, physical activity (PA) is recommended as the core component of pulmonary rehabilitation, but there is lack of a validated questionnaire for assessing the PA effectively. AIM:To evaluate the reliability and validity of the Chinese version of Physical Activity Scale for the Elderly (PA...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S120700

    authors： Tao YX,Wang L,Dong XY,Zheng H,Zheng YS,Tang XY,Zhao Y,Zhang Q

    更新日期：2016-12-22 00:00:00

  • Occasional review: influenza in COPD: pathogenesis, prevention, and treatment.

    abstract：:Influenza viruses cause respiratory tract infections that in patients with underlying lung diseases such as chronic obstructive pulmonary disease (COPD) are associated with exacerbations and excess morbidity and mortality. Typically, influenza B is associated with relatively mild, local outbreaks, whereas influenza A ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：10.2147/copd.2007.2.1.5

    authors： Wesseling G

    更新日期：2007-01-01 00:00:00

  • Metabolic Syndrome in Early Chronic Obstructive Pulmonary Disease: Gender Differences and Impact on Exacerbation and Medical Costs.

    abstract：Background:Metabolic syndrome (MetS) is a well-known comorbidity of chronic obstructive pulmonary disease (COPD). However, their interrelationship, particularly in early COPD, remains unclear. Therefore, we aimed to assess the prevalence and clinical characteristics of MetS in patients with early COPD, and to explore t...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S228497

    authors： Choi HS,Rhee CK,Park YB,Yoo KH,Lim SY

    更新日期：2019-12-10 00:00:00

  • Determining prognosis in acute exacerbation of COPD.

    abstract：BACKGROUND:Acute exacerbations are the leading causes of hospitalization and mortality in patients with COPD. Prognostic tools for patients with chronic COPD exist, but there are scarce data regarding acute exacerbations. We aimed to identify the prognostic factors of death and readmission after exacerbation of COPD. ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S122382

    authors： Flattet Y,Garin N,Serratrice J,Perrier A,Stirnemann J,Carballo S

    更新日期：2017-01-31 00:00:00

  • The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic.

    abstract：Purpose:On March 16, 2020, the Spanish government declared a state of alarm due to the rapid spread of coronavirus disease 2019 (COVID-19). Patients with chronic obstructive pulmonary disease (COPD) were restricted to remain confined at home, and medical visits were cancelled for 3 months. The impact of this lockdown o...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S268421

    authors： Pleguezuelos E,Del Carmen A,Moreno E,Ortega P,Vila X,Ovejero L,Serra-Prat M,Palomera E,Garnacho-Castaño MV,Loeb E,Farago G,Miravitlles M

    更新日期：2020-10-23 00:00:00

  • Periodontal Status and Microbiologic Pathogens in Patients with Chronic Obstructive Pulmonary Disease and Periodontitis: A Case-Control Study.

    abstract：Purpose:To evaluate clinical periodontal status and microbiologic pathogens in patients with chronic obstructive pulmonary disease (COPD) and periodontitis. Patients and Methods:We conducted a case-control study of 60 periodontitis patients with COPD (case group) and 60 periodontitis patients with normal pulmonary fun...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S266612

    authors： Zhou X,Wang J,Liu W,Huang X,Song Y,Wang Z,Jia X

    更新日期：2020-09-03 00:00:00

  • Oscillation Mechanics, Integer and Fractional Respiratory Modeling in COPD: Effect of Obstruction Severity.

    abstract：Purpose:This research examines the emerging role of respiratory oscillometry associated with integer (InOr) and fractional order (FrOr) respiratory models in the context of groups of patients with increasing severity. The contributions to our understanding of the respiratory abnormalities along the course of increasing...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S276690

    authors： Ribeiro CO,Lopes AJ,de Melo PL

    更新日期：2020-12-08 00:00:00

  • Candidate genes for COPD: current evidence and research.

    abstract：:COPD is a common complex disease characterized by progressive airflow limitation. Several genome-wide association studies (GWASs) have discovered genes that are associated with COPD. Recently, candidate genes for COPD identified by GWASs include CHRNA3/5 (cholinergic nicotine receptor alpha 3/5), IREB2 (iron regulator...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：10.2147/COPD.S80227

    authors： Kim WJ,Lee SD

    更新日期：2015-10-19 00:00:00

  • Health care utilization history, GOLD guidelines, and respiratory medication prescriptions in patients with COPD.

    abstract：BACKGROUND:The relationship between prior health care utilization and respiratory medication prescriptions in an unselected population of patients with COPD is not known. METHODS:We determined the prescribed respiratory medications and respiratory and nonrespiratory health care encounters in 523 Veterans with COPD at ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/copd.s8822

    authors： Seaman J,Leonard AC,Panos RJ

    更新日期：2010-04-07 00:00:00

  • The Protective Effect of HBO1 on Cigarette Smoke Extract-Induced Apoptosis in Airway Epithelial Cells.

    abstract：Purpose:Epigenetic modification is one of most important mechanisms underlying the pathogenesis of chronic obstructive pulmonary disease (COPD). The purpose of this study was to determine whether histone acetyltransferase binding to ORC1 (HBO1) can protect against cigarette smoke (CS)-induced cell apoptosis and sustain...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S234634

    authors： Chen L,Luo L,Kang N,He X,Li T,Chen Y

    更新日期：2020-01-06 00:00:00

  • Pre- and post-bronchodilator airway obstruction are associated with similar clinical characteristics but different prognosis - report from a population-based study.

    abstract：INTRODUCTION:According to guidelines, the diagnosis of COPD should be confirmed by post-bronchodilator (post-BD) airway obstruction on spirometry; however, in clinical practice, this is not always performed. The aim of this population-based study was to compare clinical characteristics and prognosis, assessed as mortal...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S127923

    authors： Sawalha S,Hedman L,Rönmark E,Lundbäck B,Lindberg A

    更新日期：2017-04-24 00:00:00

  • Strategies for improving outcomes of COPD exacerbations.

    abstract：:COPD is uniquely situated as a chronic disease at the beginning of the 21st century; it is not only an established major cause of mortality and morbidity but is increasing in prevalence despite current medical interventions. In addition COPD is not a stable disease but its natural history is punctuated by periods of a...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：10.2147/copd.2006.1.3.335

    authors： Wilkinson T,Wedzicha JA

    更新日期：2006-01-01 00:00:00

  • Blood Eosinophilia and Its Stability in Hospitalized COPD Exacerbations are Associated with Lower Risk of All-Cause Mortality.

    abstract：Purpose:Peripheral blood eosinophilic counts are susceptible to many factors and have variability over time. There are limited studies on association of blood eosinophilia with long-term mortality of chronic obstructive pulmonary disease (COPD) patients and these results remain controversial. Our aims were to explore t...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S245056

    authors： Zhang Y,Liang LR,Zhang S,Lu Y,Chen YY,Shi HZ,Lin YX

    更新日期：2020-05-19 00:00:00

  • Alterations of the default mode network and cognitive impairments in patients with chronic obstructive pulmonary disease.

    abstract：Background and objectives:Cognitive impairment is a common extrapulmonary comorbidity in COPD patients. The default mode network (DMN) plays a critical role in maintaining the normal activities of humans, and its function can be evaluated by resting state functional magnetic resonance imaging. The aim of this study was...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S146870

    authors： Hu X,Wang H,Tu Y,Fei M,Yin M,Fei G,Yu Y

    更新日期：2018-02-07 00:00:00

  • Estimation of the Clinical and Economic Impact of an Improvement in Adherence Based on the Use of Once-Daily Single-Inhaler Triple Therapy in Patients with COPD.

    abstract：Background:Adherence to treatment is key to achieve desired outcomes. In COPD, adherence is generally suboptimal and is impaired by treatment complexity. Objective:To estimate the clinical and economic impact of an improvement in treatment adherence due to an increased use of once-daily single-inhaler triple therapy (...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S253567

    authors： Miravitlles M,Marín A,Huerta A,Carcedo D,Villacampa A,Puig-Junoy J

    更新日期：2020-07-10 00:00:00

  • Temporal Trends Of Pharmacologic Therapies For Patients With Chronic Obstructive Pulmonary Disease In Alberta, Canada.

    abstract：Objectives:To describe the trends in pharmacologic treatment for patients newly diagnosed with chronic obstructive pulmonary disease (COPD) in Alberta, Canada. Methods:We linked Alberta health databases to identify patients aged ≥35 years with incident COPD between April 2010 and March 2017. Incident cases were define...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S214191

    authors： Tran DT,Akpinar I,Mayers I,Makhinova T,Jacobs P

    更新日期：2019-09-26 00:00:00

  • Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis.

    abstract：BACKGROUND:The causal association between depression, anxiety, and health-related quality of life (HRQoL) in chronic obstructive pulmonary disease (COPD) is unclear. We therefore conducted a systematic review of prospective cohort studies that measured depression, anxiety, and HRQoL in COPD. METHODS:Electronic databas...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,meta分析,评审

    doi：10.2147/COPD.S58136

    authors： Blakemore A,Dickens C,Guthrie E,Bower P,Kontopantelis E,Afzal C,Coventry PA

    更新日期：2014-05-20 00:00:00

  • Cigarette smoke extract induces placental growth factor release from human bronchial epithelial cells via ROS/MAPK (ERK-1/2)/Egr-1 axis.

    abstract：:Etiological evidence demonstrates that there is a significant association between cigarette smoking and chronic airway inflammatory disease. Abnormal expression of placental growth factor (PlGF) has been reported in COPD, and its downstream signaling molecules have been reported to contribute to the pathogenesis of ai...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S120849

    authors： Wu D,Yuan Y,Lin Z,Lai T,Chen M,Li W,Lv Q,Yuan B,Li D,Wu B

    更新日期：2016-12-02 00:00:00

  • Daily duration of long-term oxygen therapy and risk of hospitalization in oxygen-dependent COPD patients.

    abstract：Introduction:Long-term oxygen therapy (LTOT) improves survival and may reduce hospital admissions in patients with chronic obstructive pulmonary disease (COPD) and severe hypoxemia, but the impact of daily duration of LTOT on hospitalization rate is unknown. We aimed to estimate the association between the daily durati...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S167523

    authors： Sundh J,Ahmadi Z,Ekström M

    更新日期：2018-08-28 00:00:00

  • Serum levels of trace minerals and heavy metals in severe COPD patients with and without pulmonary hypertension.

    abstract：Aim:The aim of the current study was to assess the serum levels of trace minerals/heavy metals in COPD patients with and without pulmonary hypertension (PH) and to investigate their correlations to demographic, clinical, and biochemical variables. Materials and methods:This cross-sectional study was performed in Van Y...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S164431

    authors： Asker S,Asker M,Yeltekin AC,Aslan M,Ozbay B,Demir H,Turan H

    更新日期：2018-05-31 00:00:00

  • A functional SNP upstream of the ADRB2 gene is associated with COPD.

    abstract：Background:Previous studies have suggested that β2-adrenergic receptor (ADRB2) is associated with COPD. However, the role of genetic polymorphisms in ADRB2 on COPD has not been evaluated yet. Methods:In this study, SNaPshot genotyping, luciferase assay, chromatin immunoprecipitation and real-time polymerase chain reac...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S151153

    authors： Li JX,Fu WP,Zhang J,Zhang XH,Sun C,Dai LM,Zhong L,Yu L,Zhang YP

    更新日期：2018-03-16 00:00:00

  • Comprehensive analysis of gene-expression profile in chronic obstructive pulmonary disease.

    abstract：OBJECTIVE:To investigate the gene-expression profile of chronic obstructive pulmonary disease (COPD) patients and explore the possible therapeutic targets. METHODS:The microarray raw dataset GSE29133, including three COPD samples and three normal samples, was obtained from Gene Expression Omnibus. After data preproces...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S68570

    authors： Wei L,Xu D,Qian Y,Huang G,Ma W,Liu F,Shen Y,Wang Z,Li L,Zhang S,Chen Y

    更新日期：2015-06-10 00:00:00

  • Creatine supplementation and physical training in patients with COPD: a double blind, placebo-controlled study.

    abstract：STUDY OBJECTIVES:Patients with chronic obstructive pulmonary disease (COPD) have low exercise capacity and low content of high energetic phosphates in their skeletal muscles. The aim of the present study was to investigate whether creatine supplementation together with exercise training may increase physical performanc...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,随机对照试验

    doi：10.2147/copd.2006.1.4.445

    authors： Faager G,Söderlund K,Sköld CM,Rundgren S,Tollbäck A,Jakobsson P

    更新日期：2006-01-01 00:00:00

  • Effect of background long-acting beta2-agonist therapy on the efficacy and safety of a novel, nebulized glycopyrrolate in subjects with moderate-to-very-severe COPD.

    abstract：Background:Phase III studies demonstrated efficacy and safety of nebulized glycopyrrolate inhalation solution (GLY) in subjects with COPD. Secondary analyses were performed to examine the effect of background long-acting beta2-agonist (LABA) use on the efficacy and safety of nebulized GLY. Methods:In two 12-week place...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.2147/COPD.S172408

    authors： Kerwin EM,Tosiello R,Price B,Sanjar S,Goodin T

    更新日期：2018-09-19 00:00:00

  • Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation for COPD.

    abstract：OBJECTIVE:To determine the feasibility and efficacy of a six-month, cell phone-based exercise persistence intervention for patients with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation. METHODS:Participants who completed a two-week run-in were randomly assigned to either MOBILE-Coached ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,随机对照试验

    doi：10.2147/copd.s6643

    authors： Nguyen HQ,Gill DP,Wolpin S,Steele BG,Benditt JO

    更新日期：2009-01-01 00:00:00

  • Preventing and managing exacerbations in COPD--critical appraisal of the role of tiotropium.

    abstract：:The course of COPD is punctuated by acute exacerbations that are associated with an increase in the morbidity and mortality related to this chronic disease and may contribute to its rate of progression. Therefore, preventing and treating exacerbations are major goals of COPD management. The role of tiotropium in the p...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：10.2147/copd.s9443

    authors： Tashkin DP

    更新日期：2010-02-18 00:00:00

  • Spreading improvements for advanced COPD care through a Canadian Collaborative.

    abstract：BACKGROUND:A year-long pan-Canadian quality improvement collaborative (QIC) led by the Canadian Foundation for Healthcare Improvement (CFHI) supported the spread of the successful Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ to 19 teams in the 10 Canadian provinces. We describe QIC results, addressing two...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S140043

    authors： Rocker GM,Amar C,Laframboise WL,Burns J,Verma JY

    更新日期：2017-07-26 00:00:00

  • Evaluation of isokinetic muscle strength of upper limb and the relationship with pulmonary function and respiratory muscle strength in stable COPD patients.

    abstract：Background:Upper limb muscle strength plays an important role in respiratory and pulmonary function, and limited research focuses on the role of strength and endurance of the elbow extensor and flexor. This study was conducted to accurately assess upper limb muscle function and quantified associations with pulmonary fu...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S214737

    authors： Liu X,Li P,Wang Z,Lu Y,Li N,Xiao L,Duan H,Wang Z,Li J,Shan C,Wu W

    更新日期：2019-09-05 00:00:00