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The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD).

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD)./
Author:	McElveen, Jennifer.
Description:	1 online resource (70 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
Contained By:	Dissertation Abstracts International79-03B(E).
Subject:	Health care management. -
Online resource:	click for full text (PQDT)
ISBN:	9780355518009

The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD).
McElveen, Jennifer.

The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD). - 1 online resource (70 pages)

Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.

Thesis (D.N.P.)--Wilmington University (Delaware), 2018.

Includes bibliographical references

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the United States, but projected to be the third leading cause by 2020 (Global Initiative of Chronic Obstructive Lung Disease [GOLD], 2017). COPD exacerbation is a leading cause of readmissions to hospitals. This study was designed to determine whether pulmonary rehabilitation (PR) improved quality of life and reduced 30-day hospital readmission rates. The retrospective portion of the study included a review of the charts of patients discharged after an admission for COPD exacerbation who did not participate in PR and their 30-day readmission rates. Participants in the prospective portion enrolled in PR and completed a COPD assessment test (CAT) and a 6-minute walk test (6MWT) during their first and last visits to the PR facility. Further, participants were monitored for 30-day hospital readmissions after the completion of the PR program. The analysis evaluated pre-and post-CAT and 6MWT scores. A decrease in CAT scores (100%) and an increase in 6MWT scores (94%) revealed clear improvements in quality of life. A Mann-Whitney U test demonstrated a mean score of 38 for hospital readmission rates on the part of those who did not attend PR, which was statistically significantly higher than the mean of 13 for those who attended PR, (p value < 0.001). Advanced COPD patients who participated in PR were not readmitted to an acute care facility for a COPD exacerbation within 30-days after completion of the PR program. Increasing awareness of the benefits of PR is the first step in improving this global issue. Advance practice nurses are equipped with the knowledge and ability to develop and lead an interdisciplinary team that would manage a PR program and move this initiative forward.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355518009Subjects--Topical Terms:

1148454
Health care management.
Index Terms--Genre/Form:

554714
Electronic books.

The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD).
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245 1 4 $a The Effect of Pulmonary Rehabilitation on Quality of Life and 30-Day Hospital Readmission Rates in Patients with Advanced Chronic Obstructive Pulmonary Disease (COPD).
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500 $a Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
500 $a Advisers: Joanne Fletcher; John J. Goodill.
502 $a Thesis (D.N.P.)--Wilmington University (Delaware), 2018.
504 $a Includes bibliographical references
520 $a Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the United States, but projected to be the third leading cause by 2020 (Global Initiative of Chronic Obstructive Lung Disease [GOLD], 2017). COPD exacerbation is a leading cause of readmissions to hospitals. This study was designed to determine whether pulmonary rehabilitation (PR) improved quality of life and reduced 30-day hospital readmission rates. The retrospective portion of the study included a review of the charts of patients discharged after an admission for COPD exacerbation who did not participate in PR and their 30-day readmission rates. Participants in the prospective portion enrolled in PR and completed a COPD assessment test (CAT) and a 6-minute walk test (6MWT) during their first and last visits to the PR facility. Further, participants were monitored for 30-day hospital readmissions after the completion of the PR program. The analysis evaluated pre-and post-CAT and 6MWT scores. A decrease in CAT scores (100%) and an increase in 6MWT scores (94%) revealed clear improvements in quality of life. A Mann-Whitney U test demonstrated a mean score of 38 for hospital readmission rates on the part of those who did not attend PR, which was statistically significantly higher than the mean of 13 for those who attended PR, (p value < 0.001). Advanced COPD patients who participated in PR were not readmitted to an acute care facility for a COPD exacerbation within 30-days after completion of the PR program. Increasing awareness of the benefits of PR is the first step in improving this global issue. Advance practice nurses are equipped with the knowledge and ability to develop and lead an interdisciplinary team that would manage a PR program and move this initiative forward.
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