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Inpatient COPD Care Pathway Tied to Shorter Stays and More Pulmonary Rehab Referrals

Researchers urge broader implementation after low use at a large academic medical center.

Overview

  • Published in July 2025 in Chronic Obstructive Pulmonary Diseases (DOI: 10.15326/jcopdf.2024.0585), the peer-reviewed study assessed a hospital pathway for suspected acute COPD exacerbations.
  • Patients managed with the pathway had shorter hospital stays, were more often discharged home rather than to a facility, and received more referrals to pulmonary rehabilitation.
  • The pathway delivered real-time, evidence-based guidance that standardized care processes and supported verification of COPD diagnoses.
  • Despite measurable benefits, pathway use was infrequent at the study site, and the authors called for efforts to expand adoption and address implementation barriers.
  • The single-center, observational design indicates associations rather than proven causation, according to lead author Nancy Kim of Yale School of Medicine.