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However, compared with inpatient care, hospital at home schemes were associated with substantial cost savings as well as freeing up hospital inpatient beds. Hospital at home schemes can be safely used to care for patients with acute exacerbations of COPD who would otherwise be admitted to hospital. It is estimated that the mean duration of hospital stay for typical acute exacerbations of chronic obstructive pulmonary disease (AECOPD) is 11 days, which means that about a million hospital bed days a year are taken up in the United Kingdom alone as a result of admissions for COPD.1 In addition, age adjusted admission rates for COPD have risen over 50% in the past nine years.2 Acute exacerbations of COPD are the most common cause of admission to hospital for respiratory illness3 and they account for about 10% of all acute medical admissions in the United Kingdom.4 This causes an increased demand on hospital beds especially during winter months.

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