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Audit, research and guideline update
A care-bundles approach to improving standard of care in AECOPD admissions: results of a national project
  1. AM Turner1,2,
  2. WS Lim3,
  3. C Rodrigo3,
  4. SA Welham4,
  5. JM Calvert5
  1. 1Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
  2. 2Department of Respiratory Medicine, Heart of England NHS Foundation Trust, Birmingham, UK
  3. 3Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK
  4. 4British Thoracic Society, London, UK
  5. 5Department of Respiratory Medicine, North Bristol NHS Trust, Bristol, UK
  1. Correspondence to Dr JM Calvert, Department of Respiratory Medicine, North Bristol NHS Trust, Bristol, UK; james.calvert{at}


This report describes a care bundles implementation project for COPD undertaken during 2013 in England and Wales. High-level data were collected on outcomes of care for 11 748 patients admitted with an acute exacerbation of COPD (AECOPD). Patient-level data on processes and outcomes of care were collected on 3272 COPD admissions, among which 1174 bundles were delivered. Analysis demonstrated a statistically significant reduction in mortality and length of hospital stay from some bundle elements. Outcomes, including bundle completion rates, were better when specialist respiratory review occurred. The results support wider use of care bundles for AECOPD.

  • COPD Exacerbations

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