PulseExploreJournal ClubResearchersJournals
Instagram
HomeJournal ClubExplore
Synapse
⌘+K
Synapse
October 11, 2010Archives of Internal MedicineOpen Access

Outpatient Follow-up Visit and 30-Day Emergency Department Visit and Readmission in Patients Hospitalized for Chronic Obstructive Pulmonary Disease

View Full Paper
Ask AI
Bookmark
Share

Authors

GSGulshan SharmaYKYong Fang KuoJFJean L. Freeman

Discussion

Loading...

Member takes

Overview

Retrospective cohort study assesses follow-up visits' impact on ER visits and readmission in COPD patients, suggesting improved continuity reduces risks.

Key Points

  • This study aims to evaluate how early follow-up visits with primary care providers affect 30-day emergency department visits and readmissions in COPD patients.
  • Retrospective cohort analysis of fee-for-service Medicare beneficiaries hospitalized for COPD between 1996 and 2006.
  • Established PCP for patients with three or more visits in the year preceding hospitalization.
  • Used Cox proportional hazard regression to assess 30-day ER visit and readmission risks based on follow-up visits.
  • 66.9% of patients had a follow-up visit within 30 days of discharge.
  • Follow-up visits reduced risk of ER visits (HR 0.86; 95% CI 0.83-0.90) and readmissions (HR 0.91; 95% CI 0.87-0.96).
  • Factors influencing follow-up visits included length of stay, prior hospitalizations, age, race, socioeconomic status, and hospital type.

Cite This Study

Sharma et al. (2010) studied this question.

synapsesocial.com/papers/6a0061d56018b8d0892db7a3https://doi.org/10.1001/archinternmed.2010.345
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1B94-06 Hospital Readmission Among Patients Enrolled in a COPD Transitions of Care Program2026
  2. 2Risk assessment of readmissions following an initial COPD-related hospitalization2013 · 96 citations
  3. 3Chronic obstructive pulmonary disease exacerbation: A single-center perspective on hospital readmissions2015 · 10 citations
  4. 4Factors associated with inpatient readmission among managed care enrollees with COPD2015 · 19 citations
  5. 5Risk assessment and rate of readmission within 30 days of discharge after hospitalization for acute exacerbation of chronic obstructive pulmonary disease2021 · 6 citations