Skip header and navigation

1 records – page 1 of 1.

Acute exacerbation of chronic obstructive pulmonary disease: influence of social factors in determining length of hospital stay and readmission rates.

https://arctichealth.org/en/permalink/ahliterature154563
Source
Can Respir J. 2008 Oct;15(7):361-4
Publication Type
Article
Date
Oct-2008
Author
Alyson W M Wong
Wen Q Gan
Jane Burns
Don D Sin
Sephan F van Eeden
Author Affiliation
The James iCAPTURE Centre for Cardiovascular and pulmonary Research, Heart and Lung Institute, St Paul's Hospital, Providence Healthcare, University of British Columbia, Vancouver, British Columbia, Canada.
Source
Can Respir J. 2008 Oct;15(7):361-4
Date
Oct-2008
Language
English
Publication Type
Article
Keywords
British Columbia - epidemiology
Female
Follow-Up Studies
Humans
Length of Stay - statistics & numerical data
Male
Marital Status - statistics & numerical data
Middle Aged
Outcome Assessment (Health Care)
Patient Readmission - statistics & numerical data
Prognosis
Pulmonary Disease, Chronic Obstructive - diagnosis - epidemiology
Recurrence
Respiratory Function Tests
Retrospective Studies
Risk factors
Social Environment
Socioeconomic Factors
Abstract
Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is the leading reason for hospitalization in Canada and a significant financial burden on hospital resources. Identifying factors that influence the time a patient spends in the hospital and readmission rates will allow for better use of scarce hospital resources.
To determine the factors that influence length of stay (LOS) in the hospital and readmission for patients with AECOPD in an inner-city hospital.
Using the Providence Health Records, a retrospective review of patients admitted to St Paul's Hospital (Vancouver, British Columbia) during the winter of 2006 to 2007 (six months) with a diagnosis of AECOPD, was conducted. Exacerbations were classified according to Anthonisen criteria to determine the severity of exacerbation on admission. Severity of COPD was scored using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. For comparative analysis, severity of disease (GOLD criteria), age, sex and smoking history were matched.
Of 109 admissions reviewed, 66 were single admissions (61%) and 43 were readmissions (39%). The number of readmissions ranged from two to nine (mean of 3.3 readmissions). More than 85% of admissions had the severity of COPD equal to or greater than GOLD stage 3. The significant indicators for readmission were GOLD status (P
Notes
Cites: Am J Respir Crit Care Med. 1998 May;157(5 Pt 1):1418-229603117
Cites: Eur Respir J. 2005 Sep;26(3):414-916135721
Cites: Soc Work Health Care. 2006;43(4):1-1316966306
Cites: Clin Chest Med. 2007 Sep;28(3):617-28, vii17720048
Cites: Proc Am Thorac Soc. 2007 Oct 1;4(7):554-6417878469
Cites: Chest. 2002 Aug;122(2):429-3612171813
Cites: Thorax. 2003 Feb;58(2):100-512554887
Cites: Eur Respir J. 2003 May;21(5):821-612765428
Cites: Can Respir J. 2003 Jul-Aug;10(5):248-5812945001
Cites: Soc Sci Med. 2003 Dec;57(11):2137-4714512244
Cites: J Epidemiol Community Health. 2004 Oct;58(10):862-915365114
Cites: Ann Intern Med. 1987 Feb;106(2):196-2043492164
Cites: Am J Respir Crit Care Med. 1995 Sep;152(3):861-47663796
Cites: Thorax. 1995 Aug;50(8):824-87570431
Cites: Thorax. 1997 Jan;52(1):67-719039248
Cites: Can Respir J. 2007 Sep;14 Suppl B:5B-32B17885691
Cites: Respirology. 2007 Nov;12(6):874-8017986117
Cites: Chest. 2000 Feb;117(2 Suppl):1S-4S10673465
Comment In: Can Respir J. 2008 Oct;15(7):343-419069593
PubMed ID
18949105 View in PubMed
Less detail