Hospitalizations and return visits after chronic obstructive pulmonary disease ED visits
- PMID: 23910071
- DOI: 10.1016/j.ajem.2013.06.010
Hospitalizations and return visits after chronic obstructive pulmonary disease ED visits
Abstract
Purpose: The aim of this study was to describe population-based patterns of chronic obstructive pulmonary disease (COPD)-related emergency department (ED) visits.
Methods: We analyzed all COPD-related ED visits made by North Carolina residents 45 years or older in 2008 to 2009 using statewide surveillance system data. Return visits were identified when patients returned to the same ED within 3 or 14 days of a prior COPD-related visit. We quantify the prevalence of hospitalization and return visits by age, sex, and payment method and describe ED disposition patterns.
Results: Nearly half (46.3%) of the 97 511 COPD-related ED visits resulted in hospital admission. The percent of visits preceded by another COPD-related visit within 3 and 14 days was 1.6% and 6.2%, respectively. Emergency department-related hospitalizations increased with age; there were no differences by sex. Hospitalizations were less likely for uninsured, Medicare, and Medicaid visits than for privately insured visits. In contrast, 3- and 14-day return visits were more likely to be uninsured, Medicare, and Medicaid visits than privately insured visits. Fourteen-day returns were more likely to be made by men. Return visits initially increased with age compared with the 45- to 49-year age group, then decreased steadily after age 65 years. When return visits were made, discharge at both visits was the most common disposition pattern. However, 33.7% of 3-day returns and 22.7% of 14-day returns were discharged at the first visit and hospitalized upon returning to the ED.
Conclusions: Chronic obstructive pulmonary disease-related hospital admissions and short-term return ED visits were common and varied by age and insurance status. Chronic obstructive pulmonary disease management remains a critical area for intervention and quality improvement.
© 2013.
Similar articles
-
Burden of chronic obstructive pulmonary disease in Medicare beneficiaries residing in long-term care facilities.Am J Geriatr Pharmacother. 2009 Oct;7(5):262-70. doi: 10.1016/j.amjopharm.2009.11.003. Am J Geriatr Pharmacother. 2009. PMID: 19948302
-
Population-based burden of COPD-related visits in the ED: return ED visits, hospital admissions, and comorbidity risks.Chest. 2013 Sep;144(3):784-793. doi: 10.1378/chest.12-1899. Chest. 2013. PMID: 23579283 Free PMC article.
-
Risk of hospitalizations/emergency department visits and treatment costs associated with initial maintenance therapy using fluticasone propionate 500 microg/salmeterol 50 microg compared with ipratropium for chronic obstructive pulmonary disease in older adults.Am J Geriatr Pharmacother. 2008 Aug;6(3):138-46. doi: 10.1016/j.amjopharm.2008.08.005. Am J Geriatr Pharmacother. 2008. PMID: 18775388
-
Age and sex differences in emergency department visits of nursing home residents: a systematic review.BMC Geriatr. 2018 Jul 3;18(1):151. doi: 10.1186/s12877-018-0848-6. BMC Geriatr. 2018. PMID: 29970027 Free PMC article.
-
Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes.West J Emerg Med. 2021 Aug 21;22(5):1117-1123. doi: 10.5811/westjem.2021.5.51118. West J Emerg Med. 2021. PMID: 34546888 Free PMC article. Review.
Cited by
-
Emergency department management of acute exacerbations of chronic obstructive pulmonary disease: factors predicting readmission.Int J Chron Obstruct Pulmon Dis. 2018 May 23;13:1647-1654. doi: 10.2147/COPD.S163250. eCollection 2018. Int J Chron Obstruct Pulmon Dis. 2018. PMID: 29872284 Free PMC article.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical