What is the clinical evidence from this study?

Study design: Cohort. Population: Chronic Obstructive Pulmonary Disease (COPD) (n=8263). Intervention: Patient, provider, and system risk factors vs. Absence of risk factors. Primary outcome: Early readmission within 30 days of discharge (predictive model performance) (C-statistic 0.717, 95% CI 0.702-0.732).

April 30, 2014Annals of the American Thoracic SocietyOpen Access

Among patients aged 40 to 64 hospitalized for COPD, 8.9% were readmitted within 30 days, and a model combining patient, provider, and system factors predicted readmission with a C-statistic of 0.717.

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Why the study?

What are the predictors of early readmission among patients aged 40-64 years hospitalized with COPD?

Population

8,263 patients aged 40-64 years hospitalized with chronic obstructive pulmonary disease, identified from a…

Design

Cohort

Follow-up

30 days after discharge

Key result

Among patients aged 40 to 64 hospitalized for COPD, 8.9% were readmitted within 30 days, and a model combining patient, provider, and system factors predicted readmission with a C-statistic of 0.717.

Authors

RSRoozbeh Sharif TPTrisha M. Parekh KPKaren Pierson

Discussion

Member takes

Overview

May inform risk stratification in midlife COPD; leaves open whether targeting provider and system factors reduces readmissions.

Study Design

Type

Cohort (n=8,263)

Multicenter

Yes

Structured PICO

What are the predictors of early readmission among patients aged 40-64 years hospitalized with COPD?

Population

8,263 commercially insured adults aged 40 to 64 years hospitalized for COPD, followed for 30 days post-discharge to identify predictors of early readmission.

Outcome

Early readmission, defined as hospitalization within 30 days of dischargehard clinical

Main Result

Effect estimate: C-statistic 0.717 (95% CI 0.702-0.732)

Provider and system factors, such as lack of follow-up visits and specific discharge medications, are important modifiable risk factors for 30-day readmission in COPD patients aged 40-64.

Limitations

Use of ICD-9 codes to identify COPD hospitalizations may have low sensitivity.
Lack of information on COPD severity or complexity of the index hospitalization.
Results cannot be generalized to fee-for-service Medicare beneficiaries older than 64.
Socioeconomic status was not captured in the database.
Analysis does not account for patient adherence to prescribed medications.
The risk prediction model requires validation in an independent sample.

Cite This Study

Sharif et al. (2014) conducted a cohort in Chronic Obstructive Pulmonary Disease (COPD) (n=8,263). Patient, provider, and system risk factors vs. Absence of risk factors was evaluated on Early readmission within 30 days of discharge (predictive model performance) (C-statistic 0.717, 95% CI 0.702-0.732). Among patients aged 40 to 64 hospitalized for COPD, 8.9% were readmitted within 30 days, and a model combining patient, provider, and system factors predicted readmission with a C-statistic of 0.717.

synapsesocial.com/papers/6a7ba921c06c4f060a75d6ba https://doi.org/10.1513/annalsats.201310-358oc

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April 30, 2014Annals of the American Thoracic SocietyOpen Access

Among patients aged 40 to 64 hospitalized for COPD, 8.9% were readmitted within 30 days, and a model combining patient, provider, and system factors predicted readmission with a C-statistic of 0.717.

View Full Paper

Ask AI

Bookmark

Why the study?

What are the predictors of early readmission among patients aged 40-64 years hospitalized with COPD?

Population

8,263 patients aged 40-64 years hospitalized with chronic obstructive pulmonary disease, identified from a…

Design

Cohort

Follow-up

30 days after discharge

Key result

Among patients aged 40 to 64 hospitalized for COPD, 8.9% were readmitted within 30 days, and a model combining patient, provider, and system factors predicted readmission with a C-statistic of 0.717.

Authors

RSRoozbeh Sharif TPTrisha M. Parekh KPKaren Pierson

Discussion

Member takes

Overview

May inform risk stratification in midlife COPD; leaves open whether targeting provider and system factors reduces readmissions.

Study Design

Type

Cohort (n=8,263)

Multicenter

Yes

Structured PICO

What are the predictors of early readmission among patients aged 40-64 years hospitalized with COPD?

Population

8,263 commercially insured adults aged 40 to 64 years hospitalized for COPD, followed for 30 days post-discharge to identify predictors of early readmission.

Outcome

Early readmission, defined as hospitalization within 30 days of dischargehard clinical

Main Result

Effect estimate: C-statistic 0.717 (95% CI 0.702-0.732)

Provider and system factors, such as lack of follow-up visits and specific discharge medications, are important modifiable risk factors for 30-day readmission in COPD patients aged 40-64.

Limitations

Use of ICD-9 codes to identify COPD hospitalizations may have low sensitivity.
Lack of information on COPD severity or complexity of the index hospitalization.
Results cannot be generalized to fee-for-service Medicare beneficiaries older than 64.
Socioeconomic status was not captured in the database.
Analysis does not account for patient adherence to prescribed medications.
The risk prediction model requires validation in an independent sample.

Cite This Study

synapsesocial.com/papers/6a7ba921c06c4f060a75d6ba https://doi.org/10.1513/annalsats.201310-358oc

View Full Paper

Ask AI

Bookmark