Readmission After COPD Exacerbation Scale: determining 30-day readmission risk for COPD patients

Lau, Christine; Siracuse, Brianna L.; Chamberlain, Ronald S.

doi:10.2147/copd.s136768

Cited by 34 publications

(36 citation statements)

References 33 publications

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“…The proportion of males in the included studies ranged from 41% [41] to 89% [28,29] male. Lau et al reported male-to-female ratios of 1.25:1 in their derivation cohort and of 1.24:1 in their validation cohort [39].…”

Section: Description Of the Study Populationsmentioning

confidence: 89%

“…Twenty-one studies reported average age (standard deviation, SD) at start of follow-up, ranging from 56.6 ± 5.73 years [41] [39]. Age distribution was not reported by Löh et al [50] or by Silver et al [45].…”

Section: Description Of the Study Populationsmentioning

confidence: 99%

“…Eight studies explicitly stated requiring an forced expiratory volume in 1 s to forced vital capacity (FEV 1 /FVC) ratio of < 0.70 for a diagnosis of COPD [13,[26][27][28][29][30][31][32]. All studies were of adults; however, some studies set more specific age limitations for inclusion, the majority setting a minimum age [13,26,28,30,[32][33][34][35][36][37][38][39][40][41][42]. Only three studies specified smoking history requirements for participants [26,29,30].…”

Section: Identification Of Copdmentioning

confidence: 99%

“…Two studies relied on questionnaires only for identification of HF [28,30], while Divo et al used a combination of questionnaires, clinical diagnosis, and medication [29]. The majority of studies used electronic diagnostic coding [26,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][47][48][49][50][51] and/or clinical diagnosis [13,29,32,43,46,51,52] to identify HF.…”

Section: Identification Of Hfmentioning

confidence: 99%

“…Rehospitalisation, defined as repeat A&E visits and/or repeat admission to inpatient care, was more common in COPD patients with HF than in COPD patients without HF. Three estimates of 30-day COPD-related rehospitalisation did not reach statistical significance [36,39,41], while three more estimates showed statistically higher 30-day COPD-related rehospitalisation in COPD Fig. 6 Hazard ratio estimates of the effect of HF comorbidity on all-cause mortality of COPD patients.…”

Section: Hospitalisation and Rehospitalisationmentioning

confidence: 99%

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Hospitalisation and mortality in patients with comorbid COPD and heart failure: a systematic review and meta-analysis

et al. 2020

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Background: Discrepancy exists amongst studies investigating the effect of comorbid heart failure (HF) on the morbidity and mortality of chronic obstructive pulmonary disease (COPD) patients. Methods: MEDLINE and Embase were searched using a pre-specified search strategy for studies comparing hospitalisation, rehospitalisation, and mortality of COPD patients with and without HF. Studies must have reported crude and/or adjusted rate ratios, risk ratios, odds ratios (OR), or hazard ratios (HR). Results: Twenty-eight publications, reporting 55 effect estimates, were identified that compared COPD patients with HF with those without HF. One study reported on all-cause hospitalisation (1 rate ratio). Two studies reported on COPD-related hospitalisation (1 rate ratio, 2 OR). One study reported on COPD-or cardiovascular-related hospitalisation (4 HR). One study reported on 90-day all-cause rehospitalisation (1 risk ratio). One study reported on 3-year all-cause rehospitalisation (2 HR). Four studies reported on 30-day COPD-related rehospitalisation (1 risk ratio; 5 OR). Two studies reported on 1-year COPD-related rehospitalisation (1 risk ratio; 1 HR). One study reported on 3year COPD-related rehospitalisation (2 HR). Eighteen studies reported on all-cause mortality (1 risk ratio; 4 OR; 24 HR). Five studies reported on all-cause inpatient mortality (1 risk ratio; 4 OR). Meta-analyses of hospitalisation and rehospitalisation were not possible due to insufficient data for all individual effect measures. Meta-analysis of studies requiring spirometry for the diagnosis of COPD found that risk of all-cause mortality was 1.61 (pooled HR; 95%CI: 1.38, 1.83) higher in patients with HF than in those without HF. Conclusions: In this systematic review, we investigated the effect of HF comorbidity on hospitalisation and mortality of COPD patients. There is substantial evidence that HF comorbidity increases COPD-related rehospitalisation and all-cause mortality of COPD patients. The effect of HF comorbidity may differ depending on COPD phenotype, HF type, or HF severity and should be the topic of future research.

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Section: Description Of the Study Populationsmentioning

confidence: 89%

Section: Description Of the Study Populationsmentioning

confidence: 99%

Section: Identification Of Copdmentioning

confidence: 99%

Section: Identification Of Hfmentioning

confidence: 99%

Section: Hospitalisation and Rehospitalisationmentioning

confidence: 99%

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Hospitalisation and mortality in patients with comorbid COPD and heart failure: a systematic review and meta-analysis

et al. 2020

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Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Suárez‐González,

Suárez‐Elosegui,

Arias‐Fernández

et al. 2024

Nursing Open

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AimThe rate of readmission after hospitalisation for respiratory diseases has become a common and challenging clinical problem. Social and functional patient variables could help identify cases at high risk of readmission. The aim was to identify the nursing diagnoses that were associated with readmission after hospitalisation for respiratory disease in Spain.DesignCase‐control study within the cohort of patients admitted for respiratory disease during 2016–19 in a tertiary public hospital in Spain (n = 3781).MethodsCases were patients who were readmitted within the first 30 days of discharge, and their controls were the remaining patients. All nursing diagnoses (n = 130) were collected from the electronic health record. They were then grouped into 29 informative diagnostic categories. Clinical confounder‐adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated using logistic regression models.ResultsThe readmission rate was 13.1%. The nursing diagnoses categories ‘knowledge deficit’ (OR: 1.61; 95%CI: 1.13–2.31), ‘impaired skin integrity and risk of ulcer infection’ (OR: 1.45; 95%CI: 1.06–1.97) and ‘activity intolerance associated with fatigue’ (OR: 1.56; 95%CI: 1.21–2.01) were associated with an increased risk of suffering an episode of hospital readmission rate at 30% after hospital discharge, and this was independent of sociodemographic background, care variables and comorbidity.Patient or public contributionThe nursing diagnoses assigned as part of the care plan of patients during hospital admission may be useful for predicting readmissions.

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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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Readmission After COPD Exacerbation Scale: determining 30-day readmission risk for COPD patients

Cited by 34 publications

References 33 publications

Hospitalisation and mortality in patients with comorbid COPD and heart failure: a systematic review and meta-analysis

Hospitalisation and mortality in patients with comorbid COPD and heart failure: a systematic review and meta-analysis

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Readmission Due to Exacerbation of COPD: Associated Factors

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