Low-Cost Program Slashes Readmission Rates for COPD Low-Cost Program Slashes Readmission Rates for COPD

When COPD patients are discharged from the hospital with good education and a referral for timely follow-up, rates of readmission for acute exacerbation drop significantly, new research shows.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Pulmonary Medicine News Source Type: news

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Publication date: Available online 15 January 2019Source: Preventive MedicineAuthor(s): Mary L. Adams, Joseph Grandpre, David L. Katz, Douglas ShensonAbstractWe studied associations between 7 cardiovascular disease (CVD) risk factors (RFs) and 9 chronic conditions and estimated population-attributable risk. Data (N = 358,218) were from the 2017 Behavioral Risk Factor Surveillance System. Outcomes included asthma, arthritis, chronic obstructive pulmonary disease (COPD), cognitive impairment, CVD, and kidney disease. Risk factors (RF) were obesity, ever smoking, sedentary lifestyle, and inadequate fruit and vegetable con...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Conclusion: Although this pilot study was underpowered to formally exclude a benefit from palliative care in severe COPD, it raises several questions as to patient selection, reluctance to palliative care in this group, and modalities of future trials.Respiration
Source: Respiration - Category: Respiratory Medicine Source Type: research
Condition:   Pulmonary Disease, Chronic Obstructive Interventions:   Dietary Supplement: Targeted nutrient supplementation (Long-drink);   Dietary Supplement: Placebo supplement;   Behavioral: Counselling Sponsors:   Maastricht University Medical Center;   Nutricia Research Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Neurophysiology;   Physiology Intervention:   Other: Transcranial magnetic stimulation (TMS) Sponsor:   5 Santé Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: Functional limitations at discharge from home health are associated with increased risk for potentially preventable readmissions. Future research is needed to determine whether improving functional independence decreases the risk for potentially preventable readmissions following home health care.
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research
This study analyzes the relationship between the occurrence of spontaneous pneumothorax and atmospheric pressure. PATIENTS AND METHODS: We conducted a retrospective study on 74 patients hospitalized for spontaneous pneumothorax in the department of respiratory diseases from the Ibn Roshd university hospital of Casablanca between January 2013 and June 2014. The value of atmospheric pressure at the time of the occurrence of pneumothorax was recorded and analyzed. RESULTS: The mean age was 46 years with 70 men and 4 women. Eighty-one percent of patients were smokers and 89% lived in an urban zone. Overall, 79.7% of pn...
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research
Chronic obstructive pulmonary disease (COPD) and heart failure (HF) often coexist. Moreover, elderly patients suffering from HF have a higher incidence of COPD, which further complicates their clinical conditi...
Source: BMC Cardiovascular Disorders - Category: Cardiology Authors: Tags: Research article Source Type: research
In an effort to increase the value of care, the US Centers for Medicare and Medicaid Services (CMS) committed to changing 50% of its Medicare reimbursement to alternative payment plans by 2018. One strategy included the introduction of outcome-based pay-for-performance. As of fiscal year 2018 (October 2017), the approach included metrics for complications and mortality (Hospital Value-Based Purchasing Program and Hospital Acquired Condition Reduction Program) and readmissions (Hospital Readmissions Reduction Program [HRRP]). Within the HRRP, payments to hospitals are determined based on performance on 6 condition-specific ...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
New LC methods were applied to evaluate the metabolic stability, plasma protein binding affinity and in vivo pharmacokinetic profiles of roflumilast analogs. All the tested compounds showed comparable pharmacokinetic profile to roflumilast. III can be considered as a good drug candidate for treating COPD. AbstractWith the aim of studying theirin vitro andin vivo pharmacokinetics, new chromatographic methods were developed for the determination of three new roflumilast synthetic analogs (I −III) as PDE ‐4B inhibitors in rat liver S9 fraction, phosphate buffered saline, pH 7.4, and human and rat plasma. The deve...
Source: Drug Testing and Analysis - Category: Drugs & Pharmacology Authors: Tags: RESEARCH ARTICLE Source Type: research
Various determinants of osteoporosis have been previously identified. However, only a few longitudinal studies have examined related factors. We aimed to investigate factors predicting and modifying rapid decline of bone mineral density in patients with chronic obstructive pulmonary disease.
Source: Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
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