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A retrospective study of the impact of a telephone alert service (Healthy Outlook) on hospital admissions for patients with chronic obstructive pulmonary disease.

Sarran C, Halpin D, Levy ML, Prigmore S, Sachon P - NPJ Prim Care Respir Med (2014)

Bottom Line: Its objective is to reduce the severity and length of COPD exacerbations, hence improving the quality of life and life expectancy.To assess the effect of the Healthy Outlook service on hospital admission rates of all general practitioners that have used the service.The differences in admission rates per practice between the first year of use of the Healthy Outlook service and the previous year were compared by paired t-test analyses.

View Article: PubMed Central - PubMed

Affiliation: Met Office, Exeter, UK.

ABSTRACT

Background: Healthy Outlook is a service delivered by the UK Met Office directly to patients with chronic obstructive pulmonary disease (COPD) that has been in place since 2006. Its objective is to reduce the severity and length of COPD exacerbations, hence improving the quality of life and life expectancy.

Aims: To assess the effect of the Healthy Outlook service on hospital admission rates of all general practitioners that have used the service.

Methods: Control practices were selected for each of the 661 participating practices. The number of hospital admissions for each practice was extracted from the Hospital Episode Statistics database. The differences in admission rates per practice between the first year of use of the Healthy Outlook service and the previous year were compared by paired t-test analyses.

Results: For admissions with a primary diagnosis of COPD, the difference between participating and control practices was -0.8% (95% confidence interval (CI)=-1.8 to 0.2%; P=0.13). For admissions with a primary or co-morbid diagnosis of COPD, the difference was -2.3% (95% CI=-4.2 to -0.4%; P=0.02).

Conclusions: Participation in the Healthy Outlook service reduces hospital admission rates for patients coded on discharge with COPD (including co-morbid).

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Related in: MedlinePlus

Locations of the Primary Care Trusts (PCT) in England with practices participating in the Healthy Outlook service.
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fig4: Locations of the Primary Care Trusts (PCT) in England with practices participating in the Healthy Outlook service.

Mentions: This study is the first to examine the impact of the Healthy Outlook service in England by examining the admission rates for all of the 661 participating practices where the participating COPD patients were registered. Not all COPD patients registered at a participating practice received the Healthy Outlook service. Therefore, the effect of the Healthy Outlook service on the admission rates is expected to be dependent on the patient participation rate within each practice. Admission rates per practice are also dependent on the severity of COPD of the patients registered in the practice as well as on other efforts made by the practice to address COPD admissions. Furthermore, the risk to COPD patients and therefore the risk of an emergency hospital admission will vary from year to year because of factors such as changes in levels of circulating viruses. While participating practices were clustered by commissioning organisation, usually Primary Care Trusts, they present a wide geographical distribution illustrated in Figure 4, such that it is unlikely that participating practices were climatically biased compared with the controls.


A retrospective study of the impact of a telephone alert service (Healthy Outlook) on hospital admissions for patients with chronic obstructive pulmonary disease.

Sarran C, Halpin D, Levy ML, Prigmore S, Sachon P - NPJ Prim Care Respir Med (2014)

Locations of the Primary Care Trusts (PCT) in England with practices participating in the Healthy Outlook service.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4373472&req=5

fig4: Locations of the Primary Care Trusts (PCT) in England with practices participating in the Healthy Outlook service.
Mentions: This study is the first to examine the impact of the Healthy Outlook service in England by examining the admission rates for all of the 661 participating practices where the participating COPD patients were registered. Not all COPD patients registered at a participating practice received the Healthy Outlook service. Therefore, the effect of the Healthy Outlook service on the admission rates is expected to be dependent on the patient participation rate within each practice. Admission rates per practice are also dependent on the severity of COPD of the patients registered in the practice as well as on other efforts made by the practice to address COPD admissions. Furthermore, the risk to COPD patients and therefore the risk of an emergency hospital admission will vary from year to year because of factors such as changes in levels of circulating viruses. While participating practices were clustered by commissioning organisation, usually Primary Care Trusts, they present a wide geographical distribution illustrated in Figure 4, such that it is unlikely that participating practices were climatically biased compared with the controls.

Bottom Line: Its objective is to reduce the severity and length of COPD exacerbations, hence improving the quality of life and life expectancy.To assess the effect of the Healthy Outlook service on hospital admission rates of all general practitioners that have used the service.The differences in admission rates per practice between the first year of use of the Healthy Outlook service and the previous year were compared by paired t-test analyses.

View Article: PubMed Central - PubMed

Affiliation: Met Office, Exeter, UK.

ABSTRACT

Background: Healthy Outlook is a service delivered by the UK Met Office directly to patients with chronic obstructive pulmonary disease (COPD) that has been in place since 2006. Its objective is to reduce the severity and length of COPD exacerbations, hence improving the quality of life and life expectancy.

Aims: To assess the effect of the Healthy Outlook service on hospital admission rates of all general practitioners that have used the service.

Methods: Control practices were selected for each of the 661 participating practices. The number of hospital admissions for each practice was extracted from the Hospital Episode Statistics database. The differences in admission rates per practice between the first year of use of the Healthy Outlook service and the previous year were compared by paired t-test analyses.

Results: For admissions with a primary diagnosis of COPD, the difference between participating and control practices was -0.8% (95% confidence interval (CI)=-1.8 to 0.2%; P=0.13). For admissions with a primary or co-morbid diagnosis of COPD, the difference was -2.3% (95% CI=-4.2 to -0.4%; P=0.02).

Conclusions: Participation in the Healthy Outlook service reduces hospital admission rates for patients coded on discharge with COPD (including co-morbid).

Show MeSH
Related in: MedlinePlus