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Making collaborative self-management successful in COPD patients with high disease burden
Jean Bourbeau1, Nathalie Saad, Alexandre Joubert
1Montreal Chest Institute, McGill University Health Centre, Montréal, Québec, Canada. jean.bourbeau@mcgill.ca
Respiratory Medicine
|April 2, 2013
Summary
Severe COPD patients can learn self-management skills for exacerbations, leading to fewer hospital visits. This real-world study shows improved self-care behaviors and reduced healthcare utilization in patients with a high burden of disease.
Area of Science:
- Pulmonary Medicine
- Chronic Disease Management
Background:
- Severe Chronic Obstructive Pulmonary Disease (COPD) exacerbations pose significant self-management challenges.
- Patients with a high burden of disease often struggle with acute exacerbations and subsequent hospitalizations.
Purpose of the Study:
- To assess the feasibility of self-management for acute exacerbations in severe COPD patients.
- To evaluate the impact of self-management on reducing hospital use among COPD patients with a high disease burden.
Main Methods:
- A retrospective review of 100 randomly selected patient charts from a specialized COPD clinic (2006 and 2009 cohorts).
- Extraction of data on patient characteristics, COPD severity, and exacerbation management strategies.
Main Results:
- The 2009 cohort, despite a higher exacerbation rate, demonstrated improved self-management behaviors (60% vs. 42%, p=0.05) compared to the 2006 cohort.
- Patients in the 2009 cohort experienced fewer emergency room visits and hospital admissions (39% vs. 57%, p=0.02).
- Increased communication with case managers and fewer physician office visits were noted in the 2009 cohort.
Conclusions:
- Severe COPD patients can be effectively taught self-management skills for exacerbations.
- Implementing self-management strategies leads to a reduction in healthcare visits and hospital admissions for COPD patients.
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