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The influence of adherence to COPD exacerbation action plans on health outcomes

Helden, J.A. van (2020) The influence of adherence to COPD exacerbation action plans on health outcomes.

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Abstract:Introduction: Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of death worldwide. Exacerbations are a major part of its disease burden. COPD exacerbation action plans are effective methods for self-management, but adherence to these plans is low. Studies on the effect of adherence to COPD exacerbation action plans found adherence reducing the duration of COPD exacerbations, hospital visits, anxiety and depression. Most of these studies considered patients as being either adherent or not. The effect of timing of adherence to COPD exacerbation action plans on health outcomes is not known. The aim of this study was to determine the effect of timing of adherence to COPD exacerbation action plans in patients who experienced COPD exacerbations or took a course of oral prednisolone from the COPD exacerbation action plans groups in the COPE-II and COPE-III studies. Methods: This study was a retrospective cohort study. Adherence was categorized in four categories. Studied health outcomes were the total number of COPD exacerbations and of COPD exacerbation days, the average duration of COPD exacerbation, mortality, hospital visits, anxiety, depression and Health Related Quality of Life. Results: In total, 145 patients were included. Being adherent within two days was associated with significantly shorter duration of COPD exacerbations and less COPD exacerbation days. Conclusion: Taking a course of oral prednisolone within two days prior to or after the start of a COPD exacerbation appears to contribute to shorter durations of COPD exacerbations and less COPD exacerbation days per year.
Item Type:Essay (Bachelor)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences BSc (56553)
Link to this item:http://purl.utwente.nl/essays/81666
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