Tables
- TABLE 1
10 leading reasons for COPD readmissions following index COPD admission [11]
COPD
Respiratory failure
Pneumonia
Congestive heart failure
Asthma
Septicaemia
Cardiac dysrhythmias
Fluid and electrolyte disorders
Intestinal infection
Nonspecific chest pain
- TABLE 2
Components of various predictive models [68–71]
ADO BODEX DOSE LACE FEV1 % pred
mMRC dyspnoea scale
Age
FEV1 % pred
Number of exacerbations per year
mMRC dyspnoea scale
BMI
mMRC dyspnoea scale
FEV1 % pred
Smoking status
Number of exacerbations per year
Length of stay
Acuity of admission
Comorbidities
Emergency department visits
ADO: age, dyspnoea, airflow obstruction; BODEX: body mass index (BMI), airflow obstruction, dyspnoea, exacerbation; DOSE: dyspnoea, obstruction, smoking, exacerbation; LACE: length of hospital stay, acuity of admission, comorbidities, emergency department use; FEV1: forced expiratory volume in 1 s; % pred: % predicted; mMRC: modified Medical Research Council.
- TABLE 3
PEARL (previous admissions, extended Medical Research Council (eMRC) dyspnoea score, age, right-sided heart failure, left-sided heart failure) indices and weighting [68]
Weighting Previous admissions (≥2) 3 eMRC dyspnoea score 4 1 eMRC dyspnoea score 5a 2 eMRC dyspnoea score 5b 3 Age ⩾80 years 1 Left ventricular failure 1 Right ventricular failure 1 Maximum PEARL score 9 - TABLE 4
Components of the British Thoracic Society (BTS) COPD discharge care bundle [125]
Review patient's medications and demonstrate use of inhalers
Provide written self-management plan and emergency drug pack
Assess and offer referral for smoking cessation
Assess for suitability of pulmonary rehabilitation
Arrange follow-up call within 72 h of discharge