PRAXIS Resource Repository

Search our extensive library of COPD care and readmissions reduction resources, including best practices, research articles, educational materials and toolkits.

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Don't forget the diet

Resource Type: Opinion/Editorials
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This one-page Lancet Respiratory Medicine editorial focuses on the need for clinicians to address diet and nutrition as part of their comprehensive care for COPD patients. Addressed are COPD-specific factors (e.g., the extra calorie expenditure associated with effort required...

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Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes

Resource Type: Articles Research Papers
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Researchers examined the relationship between vital sign instability at hospital discharge and subsequent readmissions and mortality. The presence of one or more unstable vital signs (i.e., temperature, heart rate...

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The Global Emergence of Unregulated Stem Cell Treatments for Respiratory Diseases: Professional Societies Need to Act

Resource Type: Opinion/Editorials
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This editorial is written as a call to action for the respiratory and critical care communities to speak out against the international boom in unproven respiratory stem cell treatments. The authors cite the absence of an evidence base for these therapies, ones that are becoming available...

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Comorbidity as a contributor to frequent severe acute exacerbation in COPD patients

Resource Type: Research Papers
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This retrospective observational study examined the relationship between several COPD comorbidities and frequency of COPD exacerbation at follow up. The comorbid conditions studied included hypertension, ischemic heart disease, congestive heart failure, cerebrovascular disease...

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Determinants of activation for self-management in patients with COPD

Resource Type: Research Papers
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In this cross sectional study, researchers in the Netherlands examined activation for self-management in COPD patients. In other words, these researchers studied the tendency of a group of COPD patients toward taking charge of the treatment and management of their disease as well as addressing its comorbidities and psychosocial impacts. Survey and chart review data were analyzed for 290 patients with mild to very severe COPD.

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Managing comorbidities in COPD

Resource Type: Research Papers
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This article provides an overview of the most common COPD comorbidities and guideline-based treatment approaches. Respiratory, cardiovascular, metabolic, mental and other comorbidities (i.e., GERD, OSA, chronic renal failure) are addressed. The authors offer ways in which COPD and comorbidities may be linked...

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Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews

Resource Type: White Papers/Reports
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This 125-page Agency for Healthcare Research and Quality (AHRQ) technical brief describes the available evidence on the use of telehealth for a variety of disease states, including respiratory disease. The paper provides an in-depth account of the review methodology and outlines results of the analysis of 58 studies...

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Effectiveness of Interventions to Teach Metered-Dose and Diskus Inhaler Techniques. A Randomized Trial

Resource Type: Research Papers
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Researchers conducted a randomized clinical trial comparing impacts of inpatient teach-to-goal inhaler instruction to brief education...

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Order Set to Improve the Care of Patients Hospitalized for an Exacerbation of Chronic Obstructive Pulmonary Disease

Resource Type: Research Papers
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Researchers examined the relationship between implementation of COPD order sets and 1) accurate physician use of these standardized orders and 2) patient outcomes. Post-implementation, subsequent hospital length of stay decreased. Significantly more patients received all appropriate...

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Prompt initiation of maintenance treatment following a COPD exacerbation: outcomes in a large insured population

Resource Type: Research Papers
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In this observational study, U.S. researchers examined the relationship between initiation of approved maintenance therapy following COPD exacerbation and 1) insurance claims and medical costs as well as 2) patient health outcomes at one year. Retrospective analysis of insurance claims data...

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Meeting the challenge of COPD care delivery in the USA: a multiprovider perspective

Resource Type: Research Papers
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Presented at the 2016 American Thoracic Society conference in San Francisco, this expert report synthesizes the input of patients, family members, healthcare providers, payers, and pharmaceutical companies to highlight the COPD patient experience and address gaps in COPD care delivery.

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Patient Involvement in the Design of a Patient-Centered Clinical Trial to Promote Adherence to Supplemental Oxygen Therapy in COPD

Resource Type: Research Papers
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This paper describes the process and outcomes of including patients and caregivers in the design and refinement of a study of oxygen use in a COPD population. Researchers employed a variety of feedback forums to obtain responses: in-person focus groups, individual phone sessions and email correspondence...

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Updates in the Management of COPD: Managing Exacerbations

Resource Type: Presentations Webinars
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This 26-minute webinar aims to help viewers assess the severity of acute COPD exacerbations (AECOPD); compare pharmacologic treatments for AECOPD; and differentiate AECOPD from congestive heart failure exacerbations...

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Overall Hospital Quality Star Ratings on Hospital Compare

Resource Type: Presentations Webinars
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This webinar, from the Hospital Inpatient and Outpatient Quality Reporting Outreach and Education Support Programs, is devoted to the Overall Hospital Quality Star Rating System. the summary five-star rating initiative being implemented in U.S. hospitals...

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COPD 2015: Hospitalizations and Readmissions

Resource Type: Presentations Webinars
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This short presentation provides a snapshot of the current state of policy and care delivery in relation to COPD hospitalizations and readmissions. The 12-minute webinar includes: an overview of basic COPD statistics; an outline of the Hospital Readmissions Reduction Program (HRRP)...

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