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    A retrospective study of the impact of a telephone alert service (Healthy Outlook) on hospital admissions for patients with chronic obstructive pulmonary disease

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    URI
    http://hdl.handle.net/11287/593798
    Author
    Sarran, C.
    Halpin, David M
    Levy, M. L.
    Prigmore, S.
    Sachon, P.
    Date
    2014-10-23
    Journal
    NPJ primary care respiratory medicine
    Type
    Journal Article
    Research Support, Non-U.S. Gov't
    Publisher
    Nature
    DOI
    10.1038/npjpcrm.2014.80
    Metadata
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    Abstract
    BACKGROUND: Healthy Outlook is a service delivered by the UK Met Office directly to patients with chronic obstructive pulmonary disease (COPD) that has been in place since 2006. Its objective is to reduce the severity and length of COPD exacerbations, hence improving the quality of life and life expectancy. AIMS: To assess the effect of the Healthy Outlook service on hospital admission rates of all general practitioners that have used the service. METHODS: Control practices were selected for each of the 661 participating practices. The number of hospital admissions for each practice was extracted from the Hospital Episode Statistics database. The differences in admission rates per practice between the first year of use of the Healthy Outlook service and the previous year were compared by paired t-test analyses. RESULTS: For admissions with a primary diagnosis of COPD, the difference between participating and control practices was -0.8% (95% confidence interval (CI)=-1.8 to 0.2%; P=0.13). For admissions with a primary or co-morbid diagnosis of COPD, the difference was -2.3% (95% CI=-4.2 to -0.4%; P=0.02). CONCLUSIONS: Participation in the Healthy Outlook service reduces hospital admission rates for patients coded on discharge with COPD (including co-morbid).
    Citation
    NPJ Prim Care Respir Med. 2014 Oct 23;24:14080.
    Publisher URL
    http://dx.doi.org/10.1038/npjpcrm.2014.80
    Note
    This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
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    • 2014 RD&E publications
    • Respiratory Medicine

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