eCite Digital Repository
Risk factors and associated outcomes of hospital readmission in COPD: a systematic review
Citation
Njoku, CM and Alqahtani, JS and Wimmer, BC and Peterson, GM and Kinsman, L and Hurst, JR and Bereznicki, BJ, Risk factors and associated outcomes of hospital readmission in COPD: a systematic review, Respiratory Medicine, 173 Article 105988. ISSN 0954-6111 (2020) [Refereed Article]
Copyright Statement
© 2020 Elsevier Ltd.
DOI: doi:10.1016/j.rmed.2020.105988
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of unplanned readmission. There is need to identify risk factors for, and strategies to prevent readmission in patients with COPD.
Aim: To systematically review and summarise the prevalence, risk factors and outcomes associated with rehospitalisation due to COPD exacerbation.
Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Five databases were searched for relevant studies.
Results: Fifty-seven studies from 30 countries met the inclusion criteria. The prevalence of COPD-related readmission varied from 2.6 to 82.2% at 30 days, 11.8–44.8% at 31–90 days, 17.9–63.0% at 6 months, and 25.0–87.0% at 12 months post-discharge. There were differences in the reported factors associated with readmissions, which may reflect variations in the local context, such as the availability of community-based services to care for exacerbations of COPD. Hospitalisation in the previous year prior to index admission was the key predictor of COPD-related readmission. Comorbidities (in particular asthma), living in a deprived area and living in or discharge to a nursing home were also associated with readmission. Relative to those without readmissions, readmitted patients had higher in-hospital mortality rates, shorter long-term survival, poorer quality of life, longer hospital stay, increased recurrence of subsequent readmissions, and accounted for greater healthcare costs.
Conclusions: in the previous year was the principal risk factor for COPD-related readmissions. Variation in the prevalence and the reported factors associated with COPD-related readmission indicate that risk factors cannot be generalised, and interventions should be tailored to the local healthcare environment.
Item Details
Item Type: | Refereed Article |
---|---|
Keywords: | COPD, readmission, risk factors, consequences |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Respiratory diseases |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Njoku, CM (Ms Maria Chidiamara Noku) |
UTAS Author: | Wimmer, BC (Dr Barbara Wimmer) |
UTAS Author: | Peterson, GM (Professor Gregory Peterson) |
UTAS Author: | Bereznicki, BJ (Dr Bonnie Bereznicki) |
ID Code: | 140383 |
Year Published: | 2020 |
Web of Science® Times Cited: | 21 |
Deposited By: | Pharmacy |
Deposited On: | 2020-08-12 |
Last Modified: | 2021-09-15 |
Downloads: | 0 |
Repository Staff Only: item control page