The European COPD Audit: brothers in arms

Roberts, Christopher; Lόpez-Campos, José Luís; Hartl, Sylvia

doi:10.1183/20734735.012812

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…An unknown number of admitted patients were not included, due to comorbidities or immediate need of assisted ventilation, which limits generalizability. Of included patients, 57% were GOLD (Global Initiative for Chronic Obstructive Lung Disease) stage IV and 46% received long-term oxygen therapy, suggestive of a case mix with more advanced disease than usually seen among admitted COPD patients 35. It might be that anemia attributable to comorbidities is less strongly associated with severity of COPD and mortality.…”

Section: Discussionmentioning

confidence: 99%

Association between hemoglobin and prognosis in patients admitted to hospital for COPD

Toft-Petersen¹,

Torp‐Pedersen²,

Weinreich³

et al. 2016

COPD

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Low concentrations of hemoglobin have previously been demonstrated in many patients with COPD. There is evidence of anemia as a prognostic factor in acute exacerbations, but the detailed relationship between concentrations of hemoglobin and mortality is not known. A register-based cohort of patients admitted for the first time to Danish hospitals for acute exacerbations of COPD from 2007 through 2012 was established. Age, sex, comorbidities, medication, renal function, and concentrations of hemoglobin were retrieved. Sex-specific survival analyses were fitted for different rounded concentrations of hemoglobin. The cohort encompassed 6,969 patients. Hemoglobin below 130 g/L was present in 39% of males and below 120 g/L in 24% of females. The in-hospital mortality rates for patients with hemoglobin below or above these limits were 11.6% and 5.4%, respectively. After discharge, compared to hemoglobin 130 g/L, the hazard ratio (HR) for males with hemoglobin 120 g/L was 1.45 (95% confidence interval [CI] 1.22–1.73), adjusted HR 1.37 (95% CI 1.15–1.64). Compared to hemoglobin 120 g/L, the HR for females with hemoglobin 110 g/L was 1.4 (95% CI 1.17–1.68), adjusted HR 1.28 (95% CI 1.06–1.53). In conclusion, low concentrations of hemoglobin are frequent in COPD patients with acute exacerbations, and predict long-term mortality.

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Section: Discussionmentioning

confidence: 99%

Association between hemoglobin and prognosis in patients admitted to hospital for COPD

Toft-Petersen¹,

Torp‐Pedersen²,

Weinreich³

et al. 2016

COPD

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“…UK national audit [29] and European international audit [30] have shown significant deficiencies in hospital care for COPD when measured against guidelines, and wide variation between hospitals when using benchmarking. In response to these alarming statistics, the UK Department of Health has produced a national service strategy document supported by the National Institute of Health and Care Excellence (NICE) quality standards and suggested outcome metrics [31].…”

Section: Premsmentioning

confidence: 99%

Towards an understanding of PREMS and PROMS in COPD

Hodson

Andrew

Roberts

2013

Breathe

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“…Admission is often related to exacerbations of breathlessness, frequently recurrent, as 27% of exacerbations are followed by a second event within 8 weeks 2 . Readmission to hospital is therefore a regular pattern for people with advanced COPD, with 90 day readmission rates ranging from 16-48% 3 .…”

Section: Introductionmentioning

confidence: 99%

“…2 Readmission to hospital is therefore a regular pattern for people with advanced COPD, with 90 day readmission rates ranging from 16-48%. 3 Hospital episodes are not only frequent, but also extended, as the mean length of hospital stay can be around 9 days. [4][5][6] People experience being hospitalized in different ways, but generally, while people appreciate treatment, they can also associate hospitalization with uncertainty, distress and loss of control.…”

Section: Introductionmentioning

confidence: 99%

The experience of hospitalization in people with advanced chronic obstructive pulmonary disease: A qualitative, phenomenological study

2022

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Objectives People with advanced chronic obstructive pulmonary disease (COPD) are frequently hospitalized, reporting high physical, psychological and spiritual suffering. Existing research focused on discrete aspects of hospitalization, such as care or treatment, yet lacks a complete picture of the phenomenon. The aim of this study is to understand the lived experience of hospitalization in people with advanced COPD. Methods A qualitative, descriptive phenomenological approach was employed to study the phenomenon of hospitalization for people with advanced COPD. Unstructured interviews were conducted during hospitalization at a tertiary care hospital in India, in 2017, audio-recorded, and then transcribed. Giorgi's descriptive phenomenological analysis method guided the analysis. Results Fifteen people with advanced COPD participated. Emergency admissions were common because of acute breathlessness, leading to repeated hospitalizations. Hospitalization gave a sense of safety but, despite this, people preferred to avoid hospitalization. Care influenced trust in hospitalization and both shaped the experience of hospitalization. Multi-dimensional suffering was central to the experience and was described across physical, psychological and spiritual domains. Discussion Hospitalization was identified largely as a negative experience due to the perception of continued suffering. Integrating palliative care into the routine care of people with advanced COPD may enable improvements in care.

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The European COPD Audit: brothers in arms

Cited by 6 publications

References 4 publications

Association between hemoglobin and prognosis in patients admitted to hospital for COPD

Association between hemoglobin and prognosis in patients admitted to hospital for COPD

Towards an understanding of PREMS and PROMS in COPD

The experience of hospitalization in people with advanced chronic obstructive pulmonary disease: A qualitative, phenomenological study

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