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By Michel Naudé
(Reuters Health) – For patients with chronic obstructive pulmonary disease (COPD) who need to be hospitalized, a simple home monitoring process led by a pulmonologist using a triple air challenge, a 6-minute walk test and a pulse oximeter cuts the length of hospital stays by half, according to a new study.
“Many patients feel that they need to go to the hospital for 4-8 weeks, but what if we could reduce this to 2 weeks?” said primary care physician Heather S. Longacre from the University of California, San Francisco. “If we could make a quicker assessment of lung function and other important measures at home, we would likely be able to cut hospital stays in half.”
Longacre and her colleagues randomized 198 patients, all of whom were being hospitalized for a COPD exacerbation and felt miserable enough to need a ventilator (a device that helps the lungs inflate), to one of three research arms. One group went home directly from the hospital, while others went home and then returned for a day and a half for additional monitoring.
All the patients had a triple air challenge, which consists of three air challenges after inhalation of a medication and one deep breath, on admission to the hospital.
By using these tests together, the researchers could actually predict whether a patient would need to be hospitalized for two weeks or whether they would recover with a shorter hospital stay.
Of those who came home directly after recovery, 51 percent needed to come back for a second 2-week hospitalization, as compared to 37 percent of those in the second group.
Three months later, 41 percent of the first group had been readmitted to the hospital and required additional treatment, as compared to 15 percent of the second group.
Those who required additional treatment had more severe
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