Readmission rate for acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis

Ruan, Huanrong; Zhang, Hailong; Wang, Jiajia; Zhao, Hao; Han, Weihong; Li, Jiansheng

doi:10.1016/j.rmed.2022.107090

Cited by 21 publications

(9 citation statements)

References 65 publications

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“…In Spain, many patients with respiratory diseases are admitted to Internal Medicine, and they are usually older and have more comorbidities, both of which are risk factors for HR (Recio Iglesias et al, 2020). Length of hospital stay has been identified as an independent risk factor for HR in numerous studies (Alqahtani et al, 2021;Ruan et al, 2023). Nonetheless, Rinne et al (2017) suggest that the length of hospital stay should be interpreted with caution since its association with the probability of HR could be confounded by the patient's baseline clinical situation, understood as the presence of a greater number of prior diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, chronic respiratory diseases are one of the main causes of unscheduled hospitalisations and hospital readmissions (HR) (Press et al., 2018; Ruan et al., 2023), with a strong negative impact on both the patient and the healthcare system (Suissa et al., 2012). Recent studies show that between 5% and 24% of COPD patients are readmitted within 30 days of hospital discharge (pooled rate: 11%) (Alqahtani et al., 2020; Press et al., 2021; Ruan et al., 2023). A logical strategy to address the high rates of HR and the resulting healthcare costs is the identification of high‐risk respiratory patients.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, chronic respiratory diseases are one of the main causes of unscheduled hospitalisations and hospital readmissions (HR) (Press et al, 2018;Ruan et al, 2023), with a strong negative impact on both the patient and the healthcare system (Suissa et al, 2012). Recent studies show that between 5% and 24% of COPD patients are readmitted within 30 days of hospital discharge (pooled rate: 11%) (Alqahtani et al, 2020;Press et al, 2021;Ruan et al, 2023). A logical strategy to address the high rates of HR and the resulting healthcare costs is the identification of high-risk respiratory patients.…”

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confidence: 99%

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Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Suárez‐González,

Suárez‐Elosegui,

Arias‐Fernández

et al. 2024

Nursing Open

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AimThe rate of readmission after hospitalisation for respiratory diseases has become a common and challenging clinical problem. Social and functional patient variables could help identify cases at high risk of readmission. The aim was to identify the nursing diagnoses that were associated with readmission after hospitalisation for respiratory disease in Spain.DesignCase‐control study within the cohort of patients admitted for respiratory disease during 2016–19 in a tertiary public hospital in Spain (n = 3781).MethodsCases were patients who were readmitted within the first 30 days of discharge, and their controls were the remaining patients. All nursing diagnoses (n = 130) were collected from the electronic health record. They were then grouped into 29 informative diagnostic categories. Clinical confounder‐adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated using logistic regression models.ResultsThe readmission rate was 13.1%. The nursing diagnoses categories ‘knowledge deficit’ (OR: 1.61; 95%CI: 1.13–2.31), ‘impaired skin integrity and risk of ulcer infection’ (OR: 1.45; 95%CI: 1.06–1.97) and ‘activity intolerance associated with fatigue’ (OR: 1.56; 95%CI: 1.21–2.01) were associated with an increased risk of suffering an episode of hospital readmission rate at 30% after hospital discharge, and this was independent of sociodemographic background, care variables and comorbidity.Patient or public contributionThe nursing diagnoses assigned as part of the care plan of patients during hospital admission may be useful for predicting readmissions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Suárez‐González,

Suárez‐Elosegui,

Arias‐Fernández

et al. 2024

Nursing Open

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“…COPD is a progressive chronic disease marked by recurrent hospitalizations due to constant symptom onset and a high readmission rate for acutely exacerbated COPD. 13 Age is an important physiological factor affecting patients’ readiness for hospital discharge, 21 and with the increasing aging problem in China, the health issues of elderly COPD patients are of great concern. In this study, we found that the 6-month rehospitalization rate of elderly COPD patients in this study was up to 76.2%.…”

Section: Discussionmentioning

confidence: 99%

“… 12 Due to inadequate nursing knowledge and skills among healthcare providers, COPD patients may be discharged with insufficient preparation, resulting in unplanned readmissions. 13 A study of readmissions in adult patients also noted that one of the most common reasons for readmission was acute exacerbation of COPD, and that up to one-third of readmissions could have been avoided via enhancing the readiness of patients and their family caregivers for discharge prior to discharge. 14 Therefore, it is important to reasonably determine discharge preparation, ensure the safety of patients discharged from the hospital, and assess the ability of patients to self-management outside of the hospital so as to reduce the readmission and mortality rates of COPD in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease

Wu¹,

Luo²,

Du³

et al. 2023

PPA

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Objective Readiness for hospital discharge is an important indicator of patients’ transition from illness to health and can predict rehabilitation and prognosis. Identifying factors that influence readiness for discharge is crucial for developing effective nursing interventions. Therefore, this study aims to investigate the current status of discharge readiness and its influencing factors in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 311 elderly inpatients diagnosed with COPD were enrolled in this investigation at a tertiary hospital in Chengdu between December 2021 and June 2022. Questionnaires were designed to collect general information, disease-related information, and responses to the Readiness for Hospital Discharge Scale (RHDS) and the Quality of Discharge Teaching Scale (QDTS). Univariate and multivariate linear regression analyses were employed to further analyze factors related to discharge readiness and the correlation between discharge readiness and the quality of discharge guidance. Results The total score of discharge readiness of elderly COPD patients was 77.72 ± 11.86 with a mean score of 6.48 ± 0.19 for each item. The quality of discharge instructions was 110.54 ± 15.66, with a mean score of 6.12 ± 0.15 for each item. Discharge preparation was positively correlated with the quality of discharge guidance. Multivariate analysis showed that marital status, admission mode, length of stay in hospital, Classification of Severity of Airflow Limitation, mMRC classification, number of medications taken with discharge, presence of inhalers in medication orders, mode of home oxygen therapy, and quality of discharge guidance were independent factors of discharge readiness in elderly COPD patients ( P < 0.05). Conclusion Both discharge readiness and the quality of discharge guidance for elderly COPD patients in China are currently suboptimal and need further improvement. The survey findings provide valuable insights that can guide future management practices and interventions aimed at improving discharge readiness.

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Obesity and Chronic Obstructive Pulmonary Disease (COPD)

Franssen

2024

Respiratory Medicine

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Readmission rate for acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis

Cited by 21 publications

References 65 publications

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease

Obesity and Chronic Obstructive Pulmonary Disease (COPD)

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