{"id":19910,"date":"2024-07-10T15:24:00","date_gmt":"2024-07-10T19:24:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=19910"},"modified":"2024-07-25T15:28:03","modified_gmt":"2024-07-25T19:28:03","slug":"timing-of-follow-up-visits-after-hospital-discharge-for-copd-application-of-a-new-method","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/timing-of-follow-up-visits-after-hospital-discharge-for-copd-application-of-a-new-method\/","title":{"rendered":"Timing of follow-up visits after hospital discharge for COPD: application of a new method"},"content":{"rendered":"

Rationale<\/strong> \u2014 A common strategy to reduce COPD readmissions is to encourage patient follow-up with a physician within 1 to 2 weeks of discharge, yet evidence confirming its benefit is lacking. We used a new study design called target randomized trial emulation to determine the impact of follow-up visit timing on patient outcomes.<\/p>\n

Methods<\/strong> \u2014 All Ontario residents aged 35 or older discharged from a COPD hospitalization were identified using health administrative data and randomly assigned to those who received and did not receive physician visit follow-up by within seven days. They were followed to all-cause emergency department visits, readmissions or death. Targeted randomized trial emulation was used to adjust for differences between the groups. COPD emergency department visits, readmissions or death was also considered.<\/p>\n

Results<\/strong> \u2014 There were 94,034 patients hospitalized with COPD, of whom 73.5% had a physician visit within 30 days of discharge. Adjusted hazard ratio for all-cause readmission, emergency department visits or death for people with a visit within seven days post discharge was 1.03 (95% Confidence Interval [CI]: 1.01-1.05) and remained around 1 for subsequent days; adjusted hazard ratio for the composite COPD events was 0.97 (95% CI 0.95-1.00) and remained significantly lower than 1 for subsequent days.<\/p>\n

Conclusion<\/strong> \u2014 While a physician visit after discharge was found to reduce COPD events, a specific time period when a physician visit was most beneficial was not found. This suggests that follow-up visits should not occur at a predetermined time but be based on factors such as anticipated medical need.<\/p>\n","protected":false},"excerpt":{"rendered":"

Rationale \u2014 A common strategy to reduce COPD readmissions is to encourage patient follow-up with a physician within 1 to 2 weeks of discharge, yet evidence confirming its benefit is lacking. We used a new study design called target randomized trial emulation to determine the impact of follow-up visit timing on patient outcomes. Methods \u2014 […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,42,62],"migration-helper-qa-sample-set":[],"class_list":["post-19910","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-chronic-diseases-and-multimorbidity","topic-health-services-research"],"acf":{"citation":"Jiang L, Austin PC, Wodchis WP, Kiran T, Guan J, Gershon AS. 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