Time-varying Readmission Diagnoses During 30 Days After Hospitalization for COPD Exacerbation
Datos Bibliográficos
| ID | 9103686 |
|---|---|
| Autores | Tadahiro Goto (0000-0002-5880-2968, Department of Emergency Medicine, Massachusetts General Hospital, autor de correspondencia), Mohammad Kamal Faridi (0000-0001-7276-1536, Massachusetts General Hospital, autor de correspondencia), Carlos A Camargo (0000-0002-1188-5014, Department of Emergency Medicine, Massachusetts General Hospital, autor de correspondencia), Kohei Hasegawa (0000-0002-5739-7999, Department of Emergency Medicine, Massachusetts General Hospital, autor de correspondencia) |
| Año | 2018 |
| Volumen | 56 |
| Número | 8 |
| Páginas | 673-678 |
| Fecha de publicación | 2018-08-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000940 |
| PMID | 29912841 |
| OpenAlex | W2808371679 |
| Idioma | EN |
| Referencias citadas | 19 |
OBJECTIVE: To investigate the longitudinal changes in principal readmission diagnoses within 30 days after hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). STUDY SETTING: Medicare claims data, 2010-2012. STUDY DESIGN: Retrospective cohort study. DATA COLLECTION METHODS: We identified AECOPD hospitalizations aged 65 years and above, and examined the principal 30-day readmission diagnoses (respiratory related, cardiac related, and other conditions). We also constructed Joinpoint regression models to test whether patients with each of the 3 major readmission conditions had a unique temporal pattern of readmission during the 30-day period. PRINCIPAL FINDINGS: Among 76,697 index hospitalizations with AECOPD, 14,090 (18.4%) were readmitted within 30 days. Respiratory-related conditions accounted for 55% of readmissions. The proportion of respiratory-related conditions as the readmission diagnosis decreased from postdischarge day 1 to day 8 (4.0% decrease), and then increased thereafter (13.2% increase; P=0.06). Cardiac-related conditions had a similar nonlinear trend with an inflection point at day 6 (P=0.02), with a subsequent downward trend from day 22 (P=0.01). By contrast, the other conditions increased from day 1 to day 6 (15.0% increase), and then significantly decreased (28.8% decrease; P=0.04). CONCLUSIONS: The proportions of principal discharge diagnosis of readmission changed significantly at around postdischarge day 7. Our findings advance research into identification of the underlying mechanisms and development of targeted interventions to prevent readmissions
Cohort · Cohort study · COPD · Exacerbation · Hospital readmission · Intensive care medicine · Medical diagnosis · Psychological intervention · Pulmonary disease · Respiratory system · Retrospective cohort study · Chronic Disease Management Strategies · Chronic Obstructive Pulmonary Disease (COPD) Research · Emergency Medicine · Heart Failure Treatment and Management · Internal Medicine · Medicine
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |