Home Intervention and Predictor Variables for Rehospitalization in Chronic Obstructive Pulmonary Disease Exacerbations

Gámez, Bernabé Jurado; Collado, Nuria Feu; García, José Carlos Jurado; Gil, F. García; Gomariz, E. Muñoz; Murillo, Luis Jiménez; Cabrera, Luís Muñoz

doi:10.1016/j.arbr.2012.11.002

Cited by 11 publications

(2 citation statements)

References 26 publications

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“…Previous data showed that an increase in age of 10 years could produce about 3.5% increase in exacerbation rate in the following year (17). Older patients (11,18) and the patients above 65 years of age also had greater risk for repeated hospitalizations (19,20). Reexacerbation in 90 days was shown to be associated with age (21).…”

Section: Discussionmentioning

confidence: 97%

Factors associated with the rate of COPD exacerbations that require hospitalization

Pavlović¹,

Stefanović²,

Lazić³

et al. 2017

Turk J Med Sci

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Results: Results revealed five independent predictors of frequent exacerbations: age, length of hospital stay, FEV1/FVC ratio, CRP level above 10 mg/L, and respiratory comorbidities. Conclusion:COPD patients should be more carefully assessed in terms of age, length of hospital stay, FEV1/FVC ratio, CRP level, and respiratory comorbidities. Patients under 65 years of age with respiratory comorbidities, longer hospital stay, lower FEV1/FVC ratio and CRP of <10 mg/L are more prone to experiencing a minimum of one additional hospitalization in the following year. Patients could spend less time in the hospital environment and increase their quality of life by adjusting these risk factors for hospitalization due to COPD.

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Section: Discussionmentioning

confidence: 97%

Factors associated with the rate of COPD exacerbations that require hospitalization

Pavlović¹,

Stefanović²,

Lazić³

et al. 2017

Turk J Med Sci

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show abstract

“…The effect of such unmeasured confounding, if it occurred, on the direction, magnitude or clinical significance of the results is not known. Second, we did not adjust for other post-discharge disease management interventions for example homecare, non-physician visits, or phone calls that were not captured in the health administrative data at the time of the study [ 24 – 26 ]. However, many of these were likely on the causal pathway to readmission, so accounting for them could have—at least in part—led to overadjustment.…”

Section: Discussionmentioning

confidence: 99%

Timing of follow-up visits after hospital discharge for COPD: Application of a new method

Jiang,

Austin,

Wodchis

et al. 2024

PLoS ONE

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Rationale A common strategy to reduce COPD readmissions is to encourage patient follow-up with a physician within 1 to 2 weeks of discharge, yet evidence confirming its benefit is lacking. We used a new study design called target randomized trial emulation to determine the impact of follow-up visit timing on patient outcomes. Methods All Ontario residents aged 35 or older discharged from a COPD hospitalization were identified using health administrative data and randomly assigned to those who received and did not receive physician visit follow-up by within seven days. They were followed to all-cause emergency department visits, readmissions or death. Targeted randomized trial emulation was used to adjust for differences between the groups. COPD emergency department visits, readmissions or death was also considered. Results There were 94,034 patients hospitalized with COPD, of whom 73.5% had a physician visit within 30 days of discharge. Adjusted hazard ratio for all-cause readmission, emergency department visits or death for people with a visit within seven days post discharge was 1.03 (95% Confidence Interval [CI]: 1.01–1.05) and remained around 1 for subsequent days; adjusted hazard ratio for the composite COPD events was 0.97 (95% CI 0.95–1.00) and remained significantly lower than 1 for subsequent days. Conclusion While a physician visit after discharge was found to reduce COPD events, a specific time period when a physician visit was most beneficial was not found. This suggests that follow-up visits should not occur at a predetermined time but be based on factors such as anticipated medical need.

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Readmission Due to Exacerbation of COPD: Associated Factors

Lajas

Gutiérrez‐González

Parrado

et al. 2018

Lung

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Chronic obstructive pulmonary disease patients with HFR are more frequently male, older, have worse dyspnea, lower lung function, belong more frequent to exacerbator emphysema phenotype, and more frequently diabetics. The variables that continued to be independent predictors of HFR in the multivariate analysis were sex, phenotype, occurrence of complications during admission, destabilized heart failure, and length of hospital stay.

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Home Intervention and Predictor Variables for Rehospitalization in Chronic Obstructive Pulmonary Disease Exacerbations

Cited by 11 publications

References 26 publications

Factors associated with the rate of COPD exacerbations that require hospitalization

Factors associated with the rate of COPD exacerbations that require hospitalization

Timing of follow-up visits after hospital discharge for COPD: Application of a new method

Readmission Due to Exacerbation of COPD: Associated Factors

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