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• W3205371643 abstract "TOPIC: Obstructive Lung Diseases TYPE: Original Investigations PURPOSE: Chronic obstructive pulmonary disease (COPD) affects over 250 million individuals per year and its global incidence continues to increase. In the Unites States, COPD remains as one of the main reasons for hospitalization, and it is one of the leading causes of death. There is limited data addressing the most common reasons for hospital readmissions in COPD patients. In the era of high-value care, hospital readmissions are essential for healthcare quality measure in the US hospitals. The aim of this study was to describe rates and characteristics of 30-day readmissions among adult patients hospitalized with a principal diagnosis of COPD. METHODS: We searched the 2018 Nationwide Readmission Database for adult COPD hospitalizations using ICD-10-CM codes. We utilized Chi-square tests to compare baseline characteristics between readmissions and index hospitalizations. RESULTS: Out of 342,314 patients with COPD as main reason for hospitalization (index admission), 64,151 (19%) were readmitted to the hospital within 30 days. The most common reason for readmission was COPD with exacerbation (29%), followed by sepsis, unspecified organism (7%), acute and chronic respiratory failure with hypoxia (6%), pneumonia, unspecified organism (3.8%) and hypertensive heart disease with heart failure (3.5%). There was no significant age difference among patients at index admission versus readmission, and females were less likely to be readmitted (57% vs 54%, P value <0.001). Readmitted patients had increased adjusted odds of inpatient mortality (aOR: 3.88, 95% CI: 3.59 – 4.18, p<0.001) and increased length of hospital stay (1.6, 95% CI: 1.51 – 1.67, P<0.001). There was no significant difference in rate of readmissions among Medicare or Medicaid insurance holders (aHR 1.03 CI: 0.99-1.08, p=0.11), however there was less readmissions among patients without insurance (aHR=0.67, CI: 0.63-0.71 p<0.001). COPD readmissions amounted to a total hospital charge exceeding 3.3 billion Dollars within our study period (CI:7.85e-8.54e). CONCLUSIONS: In our study, COPD was found to have a 30-day all-cause readmission rate of 19%. The main reasons for readmissions were COPD exacerbation, sepsis, acute respiratory failure, pneumonia, and heart failure. Readmissions were associated with increased inpatient mortality, longer hospital stay and cost compared to the index admission. CLINICAL IMPLICATIONS: Prevention of early readmission of COPD patients can improve clinical outcomes of patients and decrease economic burden on the healthcare system. DISCLOSURES: No relevant relationships by Parnia Khamooshi, source=Web Response No relevant relationships by IMAN Mohamoud, source=Web Response No relevant relationships by Happiness Obiaigwe, source=Web Response No relevant relationships by Okorare Ovie, source=Admin input No relevant relationships by Hafeez Shaka, source=Web Response No relevant relationships by Genaro Velazquez, source=Web Response" @default.
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• W3205371643 date "2021-10-01" @default.
• W3205371643 modified "2023-09-25" @default.
• W3205371643 title "RATE AND REASONS FOR 30-DAY READMISSION FOLLOWING COPD: A UNITED STATES ANALYSIS" @default.
• W3205371643 doi "https://doi.org/10.1016/j.chest.2021.07.1682" @default.
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