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. 2013 Oct;68(10):968-70.
doi: 10.1136/thoraxjnl-2012-202365. Epub 2013 Jun 20.

Use of mortality within 30 days of a COPD hospitalisation as a measure of COPD care in UK hospitals

P P Walker  1 , E Thompson, H Crone, G Flatt, K Holton, S L Hill, M G Pearson
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Use of mortality within 30 days of a COPD hospitalisation as a measure of COPD care in UK hospitals

P P Walker et al. Thorax. 2013 Oct.

Abstract

Mortality rate has been proposed as a metric of hospital chronic obstructive pulmonary disease (COPD) care in light of variation seen in national COPD audits. Using Hospital Episode Statistics (hospital 'coding') we examined 30-day mortality after COPD hospitalisation in 150 UK hospitals during 2006-2007 and 2007-2008. Mean and median 30-day mortalities were similar each year but the coefficient of variation was >20% and hospitals could change from a low or high quartile to the median by chance. We could not detect any reasons for hospitals being at the extremes. 30-day mortality after COPD hospitalisation is a complex variable and unlikely to be useful as a primary annual COPD metric.

Keywords: COPD epidemiology.

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