Document Detail


Nurse-led 24-h hotline for patients with chronic obstructive pulmonary disease reduces hospital use and is safe.
MedLine Citation:
PMID:  18298559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite recent advances in the management of patients with chronic obstructive pulmonary disease (COPD), interventions to reduce hospitalization have had only modest success. The aim of this study was to report the outcomes of a novel, nurse-led 24-h telephone support line (hotline) for patients with COPD. METHODS: Observational study of patients' use of hotline between September 2002 and November 2004. All patients with COPD referred to a Respiratory Ambulatory Care programme over this period (n = 458) were given access to the hotline. The number and time of calls to the hotline, outcomes of hotline calls and safety of hotline, were assessed. The characteristics of hotline callers and non-callers were compared using an unpaired Student's t-test for normally distributed variables, a chi(2) test for categorical variables and a Mann-Whitney test for non-normally distributed variables. RESULTS: Over the period studied, 675 calls were made to the hotline by 118 patients and 56% of calls were made after hours. For 78 calls (12%), advice and interventions given by hotline staff averted potential 000 calls by patients/carers. Specific advice about interventions for acute exacerbations of COPD (AECOPD) was given in a further 117 calls (17%). Callers had more severe COPD than non-callers (worse lung function, lower exercise capacity and higher prescription of home oxygen, all P < 0.05). No adverse events related to use of the hotline were documented. CONCLUSION: A nurse-led 24-h hotline for patients with COPD is safe, is used by patients and carers and, when used, reduces hospital presentations with AECOPD.
Authors:
M M Roberts; S R Leeder; T D Robinson
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-02-19
Journal Detail:
Title:  Internal medicine journal     Volume:  38     ISSN:  1445-5994     ISO Abbreviation:  Intern Med J     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  334-40     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, Westmead and Blacktown Hospitals, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Hospitalization* / trends
Hotlines / trends,  utilization*
Humans
Male
Middle Aged
Nurse's Role*
Pulmonary Disease, Chronic Obstructive / diagnosis,  psychology,  therapy*
Quality of Life / psychology
Respiratory Function Tests / methods
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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