Trends in hospital admissions for chronic obstructive pulmonary disease over 16 years in Canada

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is an ambulatory care–sensitive condition, and the rate of hospital admissions for COPD is an indicator of the quality of outpatient care. We sought to determine long-term trends in hospital admissions for COPD in Canada. Methods: Using a comprehensive national database of hospital admissions in Canada, we identified those with a main discharge diagnosis of COPD for patients aged 40 years and older between 2002 and 2017. We calculated sex-specific, age-standardized trends in annual rates of hospital admissions for COPD separately for younger (40–64 yr) and older adults (≥ 65 yr). We used spline regression to examine changes in the admissions trends for each sex and age group. Results: Over 16 years, 1 134 359 hospital admissions were for COPD. Between 2002 and 2017, the total number of admissions increased by 68.8%, from 52 937 to 89 384. The overall crude admission rate increased by 30.0%, from 368 to 479 per 100 000 population, and the sex-and age-standardized admission rate increased by 9.6%, from 437 to 479 per 100 000 population. Age-standardized rates increased by 12.2% among younger females, by 24.4% among younger males and by 29.8% among older females, but decreased by 9.0% among older males. Over the same period, the all-cause sex-and age-standardized admission rate declined by 23.0%. Interpretation: Hospital admissions for COPD have increased since 2010, even after adjusting for population growth and aging, and despite declining rates of all-cause hospital admissions. The secular increase in COPD admissions indicates that the burden of COPD on Canadian health care systems is increasing.

Examining the Impact of Social Support on Psychological Well-Being Among Canadian Individuals With COPD: Implications for Government Policies

“…The Canadian government plays a key role in determining each province’s healthcare funding level. Between 2002 and 2017, it is estimated that the rate of COPD hospitalization admissions in Canada increased by 30% [ 62 ]. Higher levels of COPD exacerbations are found in individuals with increased symptoms of depression and anxiety.…”

De quelle manière les systèmes de santé au Canada peuvent-ils améliorer les soins aux personnes atteintes de maladie pulmonaire obstructive chronique?

“…En analysant leurs données selon l'âge et le sexe, Amegadzie et ses collègues 1 ont recueilli des indices importants sur les personnes pouvant contribuer aux hospitalisations pour cause de MPOC. Les taux d'hospitalisation étaient plus élevés chez les femmes que chez les hommes en général, mais un accroissement des hospitalisations a aussi été observé chez des patients plus jeunes (âge < 65 ans) atteints de MPOC, peu importe le sexe, alors que le nombre d'hospitalisations n'a augmenté que chez les femmes parmi les patients plus âgés.…”

“…Une nouvelle étude exposée dans le JAMC attire l'attention sur les taux d'hospitalisation associés à la maladie pulmonaire obstructive chronique (MPOC) au Canada, une observation qui devrait tirer la sonnette d'alarme parmi les systèmes de santé 1 . Les exacerbations de la MPOC constituent la deuxième cause en importance d'hospi talisation au Canada, juste derrière les hospitalisations pour les accouchements 2 .…”

Feasibility, functionality, and user experience with wearable technologies for acute exacerbation monitoring in patients with severe COPD

“…Notably, the worldwide prevalence of COPD is only expected to increase, and is projected to approach 600 million cases (a relative growth of 23%) by 2050 (Boers et al, 2023). Despite advances in chronic disease management, including therapies to decrease the future risk of ECOPDs, these exacerbation events continue to account for one of the single highest rates of hospital admissions and re-hospitalization in adults among all major chronic illnesses (Ford, 2015;Amegadzie et al, 2023), and the severity and frequency of ECOPDs are a clear prognostic factor for mortality (Soler-Cataluña et al, 2005). There is an urgent need for health system models around the world to adapt and restructure in order to accommodate the substantial ongoing challenges in the delivery of chronic and acute COPD care.…”