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September 10, 2015Hospital Practice

Factors associated with inpatient readmission among managed care enrollees with COPD

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Population

140,981 US managed care enrollees ≥40 years old with an inpatient admission with a primary diagnosis of COPD

Design

Cohort

Follow-up

up to 90 days

Key result

Among US managed care enrollees hospitalized for COPD, 30-day all-cause readmission occurred in nearly 20% of patients, with longer length of stay, older age, and comorbidities increasing risk.

Authors

SCSean D. CandrilliADAmol D. DhamaneJMJuliana Meyers

Discussion

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Overview

Identifies COPD readmission risks in managed care; hypothesis-generating for targeted prevention trials.

Study Design

Type

Cohort (n=140,981)

Structured PICO

P
Population
140,981 US managed care enrollees aged ≥40 years with a primary inpatient diagnosis of COPD, evaluated for 30-day and 90-day readmission risk.
O
Outcome
30- and 90-day COPD-related and all-cause readmissionhard clinical

In a large US managed care population with COPD, longer length of stay, older age, and greater comorbidity burden are significant predictors of 30- and 90-day readmission.

Cite This Study

Candrilli et al. (2015) conducted a cohort in Chronic obstructive pulmonary disease (COPD) (n=140,981). Patient characteristics (length of stay, age, comorbidity burden, COPD complexity) was evaluated on 30-day and 90-day COPD-related and all-cause readmission. Among US managed care enrollees hospitalized for COPD, 30-day all-cause readmission occurred in nearly 20% of patients, with longer length of stay, older age, and comorbidities increasing risk.

synapsesocial.com/papers/6a734ea1c68117fab3f12ce1https://doi.org/10.1080/21548331.2015.1085797
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