Burden of chronic obstructive pulmonary disease in medicare beneficiaries residing in long-term care facilities

The economic burden of chronic obstructive pulmonary disease in the elderly

“…productivity loss) were estimated in only two studies. Table 1 [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] summarizes the details of the selected articles.…”

“…These results are consistent with two other studies enrolling younger populations. In a retrospective cohort study involving COPD patients, aged 60 years or older and living in long-term facilities [22], COPD-related annual costs were $7 391 [$8 180]. Finally, another prospective study collected overall direct costs in the acute care setting only [21].…”

Continuity of Care and Avoidable Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD)

“…However, we used ED visit data as a proxy for disease severity. 46,47 Second, claims data do not include information about informal carers. Therefore neither the role of informal carers in COC and hospital avoidance nor whether hospital avoidance puts more stress on informal carers and their quality of life could be analyzed in this study.…”

“…15,17,35,41,43 Covariables The covariables concerning patient characteristics included in this study were sex, age, low-income status, COPD-related ED visits, and the Charlson comorbidity index (CCI). We used COPD-related ED visits in the COC period as a proxy for COPD severity 46,47 and used CCI as a proxy indicator of health status. We used the Romano-CCI to calculate subjects' comorbidity index scores.…”

Chronic Obstructive Pulmonary Disease: Prevalence, Characteristics, and Pharmacologic Treatment in Nursing Home Residents with Cognitive Impairment

“…18 Simoni-Wastila et al (2009), using a retrospective analysis of a large administrative claims database, reported that 43.3% of long-term care residents with COPD had at least 1 hospitalization, and 90% had at least 1 emergency room visit. 19 Age greater than 70 years was associated with an increase in all-cause hospitalization and increased burden of illness. COPD has recently been identified as 1 of 5 conditions associated with potentially avoidable hospital admissions of dually eligible Medicaid and Medicare beneficiaries, 20%-60% of which could be prevented.…”