In this large community based trial of patients post-COPD exacerbation, they were randomized to usual care, or intensive self management for a year. At the end of a year, overall the self management program was not associated with lower rates of readmissions or deaths, but in the subgroup of patients that were “successful” in the home management program (42% of the intervention group), they had half the risk of readmissions/death compared to those “unsuccessful”. The results are encouraging that those compliant with self management can significantly reduce the risk of readmissions / death, but determining in advance who will be motivated to adhere is difficult (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.