OBSTRUCTIVE, OCCUPATIONAL AND ENVIRONMENTAL DISEASES: Edited by Basil Varkey and Craig S. GlazerHow to reduce hospital readmissions in chronic obstructive pulmonary disease?Raghavan, Deepa; Bartter, Thaddeus; Joshi, ManishAuthor Information aPulmonary and Critical Care Division, University of Arkansas for Medical Sciences bCentral Arkansas Veterans Healthcare System, Little Rock, Arkansas, USA Correspondence to Manish Joshi, MD, FCCP, Pulmonary and Critical Care Division, University of Arkansas for Medical Sciences, 4301 W Markham, Mail Slot#555, Little Rock, AR 72205, USA. Tel: +1 501 686 5526; fax: +1 501 686 7893; e-mail: email@example.com Current Opinion in Pulmonary Medicine: March 2016 - Volume 22 - Issue 2 - p 106–112 doi: 10.1097/MCP.0000000000000245 Buy Metrics Abstract Purpose of review This article examines factors associated with readmission for chronic obstructive pulmonary disease and interventions that may decrease readmissions. Recent findings The literature on this topic is relatively sparse. Drug therapy revolves around appropriate use of bronchodilators, antibiotics, and steroids. Patient education and participation and a multidisciplinary approach to the transition out of hospital can lead to decreased rehospitalizations. Patients who cannot participate in self-care may do better in skilled nursing facilities. Summary We must optimize in-hospital care and see that patients receive a continuum of care upon discharge. We must also recognize that some patients have received optimal care and yet continue to suffer with end-stage disease on an ongoing basis; palliative medications such as long-acting narcotics and end-of-life discussions need to be considered in patients unable to survive for long outside of hospital. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.