Prognostic factors after hospitalization for COPD exacerbation

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• 作者：C. Fuhrman^a ; ^{claire.fuhrman@santepubliquefrance.fr} ; E. Moutengou^a ; N. Roche^b ; M.-C. Delmas^a
• 关键词：Chronic obstructive pulmonary disease ; Hospitalization ; Hospital readmissions ; Mortality ; Socioeconomic factors
• 刊名：Revue des Maladies Respiratoires
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：34
• 期：1
• 页码：1-18
• 全文大小：978 K
• 卷排序：34

文摘

Hospitalizations for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) are increasing in France. AECOPD are associated with impaired health status and increased health care costs.MethodsUsing data from the French national health insurance information system, we studied mortality, readmissions and lung function testing after discharge among adults hospitalized for AECOPD in 2013.ResultsThe cumulative probabilities of death and readmission for EACOPD were 21% and 31% respectively. The survival was better among women, even after taking into account the other risk factors (age, previous hospitalization for AECOPD, comorbidities, exacerbation severity). In multivariate analysis, the risk of readmission was increased among men and people living in socially disadvantaged areas. A lung function testing was performed in 34% within 3 months after discharge. Female gender, advanced age, comorbidities and living in a disadvantaged area were associated with a lower frequency of lung function testing.ConclusionsWomen had a better prognosis than men after AECOPD hospitalization. The frequency of lung function testing after discharge remained low, particularly among women and people living in disadvantaged areas.