DEMOGRAPHIC DETAILS | |
AGE Mean (SD, range) years | 75 (1.2; 52–96) |
Gender M:F | 40:43 |
DEPRIVATION (Multiple index of Deprivation 2010) | 69/83 (83%) lived in most deprived 20% of population (Q1) |
DISEASE SEVERITY | |
Mean FEV1 (SD) n = 83 | 0.98 (0.38) |
Mean FEV1% predicted (SD) n = 75 | 43.9 (17.2) n = 75 |
Mean MRC Dyspnoea Score (SD) n = 83 | 3.8 (0.8) |
Mean (SD; range) SaO2 on room air on referral | 93.7% (3.5; 84–99) |
Number with SaO2 <92% on room air on referral (%) Number on LTOT (%) 17 (20%) 11 (13%) | |
Current Smokers | 29 (35%) |
Number of Medical Co-morbidities Mean (SD; range) n = 81 | 3.5 (2.1, 0–11) |
Healthcare Utilisation in 1 year prior to referral | |
- Mean No of Hospital Admissions (SD; range) | 0.9 (1.1; 0–5) |
- Mean No of GP Visits/telephone calls (SD; range) n = 47 | 4.8 (3.8; 1–17) |
Psychosocial Factors | |
Lives alone | 32 (39%) |
EtoH | 10 (12%) |
Serious Mental Illness | 12 (14%) |
Anxiety | 27 (33%) |
Depression | 25 (30%) |
INTERVENTIONS AND OUTCOMES over 6 months | |
Mean Duration (months) under CORE team (SD; range) | 5.2 (4.9; 1–22) |
Mean number of visits/month (SD; range) | 1.19 (0.9; 0.2–5) |
Referral to other agencies (TOTAL 81) | |
QUIT smoking | 12 |
Pulmonary Rehabilitation (PR) | 34 |
Clinical Psychologist | 11 |
Nutritionist | 5 |
Social Services | 7 |
ICTT, Age concern, SHINE(Fuel Poverty Service) | 12 |
Attempting or Quit smoking | 7/12 |
Assessed/Attending/Attended PR | 26/34 |
Completed PR | 17/34 |
Total Episodes of Domiciliary Acute Exacerbation of COPD Management | 105 |
Management Outcomes | |
Remains under active case management | 27 |
Inactive on list | 12 |
Discharged | 43 (52%) |
Did not engage | 6 |
Died | 5/83 (6%) |
Health Care Resource Utilisation | |
Mean hospital beddays per month (SD; range) n = 69 | |
- 1 year prior to CORE team referral | 0.86 (1.44; 0–8.83) |
- during CORE team management | 0.63 (2.5; 0–18) p = 001 |
Mean Number of GP visits per month (SD; range) | |
- 1 year prior to CORE team referral (n = 47) | 0.4 (0.3; 0–1.4)) |
- during CORE team management (n = 51) | 0.0.33 (0.5; 0–3) p = 0.02 |