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Respiratory Clinicians' Views on Offering "Rescue Packs" to Patients Discharged After COPD Exacerbation: Qualitative
Karolina Kuberska1, Graham Martin1, John R Hurst2
1THIS Institute, University of Cambridge, UK.
COPD
|June 30, 2025
Summary
Respiratory clinicians have mixed views on COPD rescue packs, balancing potential benefits like self-management support against concerns of antibiotic resistance and steroid side effects for patients with chronic obstructive pulmonary disease (COPD).
Area of Science:
- Respiratory Medicine
- Clinical Practice
- Patient Self-Management
Background:
- "Rescue packs" (antibiotics and steroids) are used for self-management of chronic obstructive pulmonary disease (COPD) exacerbations.
- While guideline-recommended in the UK, they are not routinely provided on hospital discharge but are common in primary care.
Purpose of the Study:
- To investigate hospital-based respiratory clinicians' perspectives on offering rescue packs to patients after hospitalization for COPD exacerbations.
Main Methods:
- Semi-structured interviews were conducted with 30 respiratory clinicians (consultants, registrars, specialist nurses) across 20 UK hospitals.
- Interview data were analyzed using the constant comparative method.
Main Results:
- Clinicians expressed both potential benefits and concerns regarding rescue packs.
- Benefits include preventing exacerbations, empowering patient self-management, and overcoming primary care access issues.
- Concerns involve antimicrobial resistance, antibiotic overuse, steroid side effects, and patient understanding or access to primary care.
Conclusions:
- There is a consensus on the importance of supporting COPD self-management.
- Appropriate patient use of rescue packs is crucial, given their increasing role in managing chronic obstructive pulmonary disease.
Keywords:
COPDCOPD exacerbationantimicrobial resistance (AMR)doctor-patient relationshiprescue packsteroid overuseMore Related Videos
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