Reducing avoidable COPD emergency presentations: An integrated cross-health service initiative

Grant ID: EMSS-364R28-2017

Lay Summary

Almost 3% of consumers of healthcare services in the Darling Downs, West Moreton and Gold Coast (Including Robina) regions are estimated to have Chronic Obstructive Pulmonary Disease (COPD); which is somewhat higher than the state average of 2.4%. COPD is the second leading cause of avoidable hospital admissions. Anecdotal evidence indicates continued over-utilisation of frontline resources (e.g., Emergency Department [ED]), and potential gaps in outreach services (e.g. underutilised services).

This project will inform the implementation and evaluation of referral treatment initiatives (e.g., anxiety management, smoking cessation referral, and quality intra-professional care [IPC] programs), based on identified causal factors.


Outcomes

This project sought to understand the major contributors surrounding Chronic Obstructive Pulmonary Disease (COPD) presentation in South Queensland emergency departments (ED), in order to develop a baseline measure for future research intervention.

Researchers conducted qualitative interviews with staff and patients, a scoping review, a data summary of COPD admissions, and a health economic analysis of ED presentation cost at three Queensland Health sites.

The total cost of COPD patients’ hospital stay was $42.14 million for the time period 2016-2018. Patient age and time spent in the ED were significantly associated with hospital length of stay, with older adults were reported as having a higher risk of re-presentation to the ED. Results also revealed several areas worthy of future research, one of which is the introduction of Nurse Case management for patients presenting with COPD.


SHARE

Amount Awarded
$67,000


Program


Grant Scheme


Status
Active


Principal Investigator:
Dr Alex King


Co Investigators:
A/Prof Clint Moloney
A/Prof Gavin Beccaria
Dr Amy Mullens
Prof Jeffrey Gow


Associate Investigators:
Prof Gerben Keijzers
Dr Bajee Krishna Sriram
Miss Tania Phillips


Institution


Collaborating Institutions


CONTACT US +61 7 3720 5700 info@emfoundation.org.au Suite 1B, Terraces, 19 Lang Parade, Milton Qld 4064