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Written action plans in chronic obstructive pulmonary disease increase appropriate treatment for acute exacerbations

Citation

Wood-Baker, R and McGlone, S and Venn, A and Walters, EH, Written action plans in chronic obstructive pulmonary disease increase appropriate treatment for acute exacerbations, Respirology, 11, (5) pp. 619-626. ISSN 1323-7799 (2006) [Refereed Article]

DOI: doi:10.1111/j.1400-1843.2006.00902.x

Abstract

Objective and background: COPD is a progressive disorder characterized by periodic exacerbations. While comprehensive self-management programmes decrease health-care resource utilization, the essential components are unclear. We performed a study of written action plans in the management of COPD. Methodology: A randomized, controlled, prospective parallel-group study compared written action plans to usual practice. Subjects: Recruited from general practices, received an educational intervention with or without an action plan, which usually emphasized prompt treatment with antibiotics and corticosteroids. Subjects were followed up 3-monthly for a year. Results: One hundred and thirty-nine participants, mean FEV1 45 ± 16% predicted, were recruited, 81% completing the study. Both groups had a decline in lung function and physical activity, but increase in quality of life over the study period. Exacerbations were common. The intervention group was significantly more likely to have treatment with antibiotics (χ2 = 3.86; d.f. = 1; P = 0.05) or short course oral corticosteroids (χ2 = 14.25; d.f. = 1; P < 0.001). No differences were found between the number of general practitioner consultations, attendances at emergency departments or hospitalizations. Conclusions: The use of a written action plan in COPD increased appropriate therapeutic interventions for exacerbations, but this effect was not associated with a decrease in the use of health-care resources. © 2006 The Authors.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Respiratory Diseases
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Respiratory System and Diseases (incl. Asthma)
Author:Wood-Baker, R (Professor Richard Wood-Baker)
Author:Venn, A (Professor Alison Venn)
Author:Walters, EH (Professor Haydn Walters)
ID Code:41615
Year Published:2006
Web of Science® Times Cited:31
Deposited By:Medicine (Discipline)
Deposited On:2006-08-01
Last Modified:2009-08-20
Downloads:0

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