The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Integrated care prevents hospitalisations for exacerbations in COPD patients
Abstract
Hospital admissions due to chronic obstructive pulmonary disease (COPD) exacerbations have a major impact on the disease evolution and costs. The current authors postulated that a simple and well-standardised, low-intensity integrated care intervention can be effective to prevent such hospitalisations. Therefore, 155 exacerbated COPD patients (17% females) were recruited after hospital discharge from centres in Barcelona (Spain) and Leuven (Belgium). They were randomly assigned to either integrated care (IC; n = 65; age mean±sd 70±9 yrs; forced expiratory volume in one second (FEV 1) 1.1±0.5 L, 43% predicted) or usual care (UC; n = 90; age 72±9 yrs; FEV 1 1.1±0.05 L, 41% pred). The IC intervention consisted of an individually tailored care plan upon discharge shared with the primary care team, as well as accessibility to a specialised nurse case manager through a web-based call centre. After 12 months’ follow-up, IC showed a lower hospitalisation rate (1.5±2.6 versus 2.1±3.1) and a higher percentage of patients without re-admissions (49 versus 31%) than UC without differences in mortality (19 versus 16%, respectively). In conclusion, this trial demonstrates that a standardised integrated care intervention, based on shared care arrangements among different levels of the system with support of information technologies, effectively prevents hospitalisations for exacerbations in chronic obstructive pulmonary disease patients.
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Cites
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Cited by
COPD exacerbations: Defining their cause and prevention
Wedzicha, J. A., & Seemungal, T. A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61382-8 · Cited by 1,370
Interactive telemedicine: effects on professional practice and health care outcomes
Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098.pub2 · Cited by 806
Self management for patients with chronic obstructive pulmonary disease
Zwerink, M., Brusse-Keizer, M., van der Valk, P. D., Zielhuis, G. A., Monninkhof, E. M., van der Palen, J., Frith, P. A., & Effing, T. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002990.pub3 · Cited by 572
Lenferink, A., Brusse-Keizer, M., van der Valk, P. D., Frith, P. A., Zwerink, M., Monninkhof, E. M., van der Palen, J., & Effing, T. W. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011682.pub2 · Cited by 328
Pinnock, H., Hanley, J., McCloughan, L., Todd, A., Krishan, A., Lewis, S., Stoddart, A., van der Pol, M., MacNee, W., Sheikh, A., et al. (2013) · BMJ · doi:10.1136/bmj.f6070 · Cited by 310
Metadata
- Authors
- Casas, A., Troosters, T., Garcia-Aymerich, J., Roca, J., Hernández, C., Alonso, A., del Pozo, F., de Toledo, P., Antó, J. M., Rodríguez-Roisín, R., & Decramer, M.
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2006-04-12
- Volume
- 28
- Issue
- 1
- Pages
- 123-130
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2122691068
- Cited by
- 469
- References
- 24
- FWCI
- 17.98
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Integrated care prevents hospitalisations for exacerbations in COPD patients. https://app.cochat.ai/papers/10.1183/09031936.06.00063205
- The paper
- Casas, A., Troosters, T., Garcia-Aymerich, J., Roca, J., Hernández, C., Alonso, A., del Pozo, F., de Toledo, P., Antó, J. M., Rodríguez-Roisín, R., & Decramer, M. (2006). Integrated care prevents hospitalisations for exacerbations in COPD patients. European Respiratory Journal. https://doi.org/10.1183/09031936.06.00063205
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.