Abstract
Introduction: The Community Respiratory Response Team (CRRT) was established to manage patients within Greater Glasgow & Clyde NHS Trust with chronic lung disease at home during the COVID-19 pandemic.
Methods: Electronic health records of CRRT patients referred in May 2020 were retrospectively reviewed. The relationship between CRRT triage pathway and emergency department (ED) attendance, hospital admission and death within 28 days of referral was assessed.
Results: Figure 1 shows CRRT patient triage and outcomes. Mean patient age was 69 years (median 71; IQR 62-79). 86% of consultations were conducted remotely; mean 4.4 consultations/patient; 35% received a home visit. No nosocomial COVID-19 infections occurred. Excepting the blue “end of life care” triage pathway, higher triage category was associated with higher rates of ED attendance, hospital admission and death. One death in the green triage group was due to a non-respiratory cause. Patients triaged red or amber were more likely to receive more than one consultation. In particular, patients with COPD in red and amber triage groups were more likely to have multiple CRRT consultations or a home visit.
Conclusions: CRRT triage pathways effectively predicted risk of ED attendance, admission and death. Such pathways provide a safe and effective means to prioritise community multidisciplinary respiratory care.
Footnotes
Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3908.
This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2021
