Assessment of length of hospital stays of patients with acute exacerbations of chronic obstructive pulmonary disease
Keywords:
Chronic Obstructive Pulmonary Disease (COPD), Exacerbation, Length of Stay (LOS), Re-hospitalisation
Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is prone to acute exacerbations which may lead to enhanced morbidity and mortality. Information on the time course and recovery from COPD exacerbation is important in standardizing the length of treatment, in planning appropriate follow up and decreasing loss of working days of the patient.
Material and Methods: It was a prospective study (observational) which included all patients with Acute Exacerbation of COPD (AECOPD) admitted to the Department of Pulmonary Medicine, People’s College of Medical Sciences & RC, Bhopal, over a period of 1 year 6 months.
Results: In this study we observed the mean length of stay (LOS) of patients with AECOPD was 9.53±3.4 days. There was no significant difference in length of stay between patients in different age groups. The LOS varied significantly between different GOLD stages. The patient who had a history of admission for twice or more in the past 1 year had a greater mean LOS as compared to patient with just one or no hospitalisation in the past.
Conclusion: The patient who had a history of admission for twice or more in the past 1 year had a greater mean LOS as compared to patient with just one or no hospitalisation in the past.
Downloads
Download data is not yet available.
References
1. Seemungal TA, Donaldson GC, Paul EA, Bestall JC, Jeffries DJ, Wedzicha JA. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 1998 May 1;157(5):1418-22.
2. SEEMUNGAL TA, Donaldson GC, BHOWMIK A, JEFFRIES DJ, WEDZICHA JA. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2000 May 1;161(5):1608-13. [PubMed]
3. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1995;152:S78-121. [PubMed]
4. National Asthma Education, Prevention Program (National Heart, Blood Institute). Second Expert Panel on the Management of Asthma. Expert panel report 2: Guidelines for the diagnosis and management of asthma. DIANE Publishing; 1997.
5. Cydulka RK, McFadden Jr ER, Emerman CL, Sivinski LD, Pisanelli W, Rimm AA. Patterns of hospitalization in elderly patients with asthma and chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 1997 Dec 1;156(6):1807-12.
6. Osman IM, Godden DJ, Friend JA, Legge JS, Douglas JG. Quality of life and hospital re-admission in patients with chronic obstructive pulmonary disease. Thorax. 1997 Jan 1;52(1):67-71.
7. Sin DD, Bell NR, Svenson LW, Man SP. The impact of follow-up physician visits on emergency readmissions for patients with asthma and chronic obstructive pulmonary disease: a population-based study. The American journal of medicine. 2002 Feb 1;112(2):120-5. [PubMed]
8. Garcia-Aymerich J, Farrero E, Felez MA, Izquierdo J, Marrades RM, Anto JM. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax. 2003 Feb 1;58(2):100-5. [PubMed]
9. Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, Turner-Lawlor PJ, Payne N, Newcombe RG, Lonescu AA, Thomas J. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. The Lancet. 2000 Jan 29;355(9201):362-8.
10. Global Initiative for Chronic Obstructive Lung Disease (GOLD): Global Strategy for the Diagnosis, Management, and Prevention of COPD 2016. www.goldcopd.org (Accessed on January 21, 2016).
11. “International Classification of Diseases (ICD)”. World Health Organization. Archived from the original on 12 February 2014. Retrieved 14 January 2015.
12. Mushlin AI, Black ER, Connolly CA, Buonaccorso KM, Eberly SW. The necessary length of hospital stay for chronic pulmonary disease. Jama. 1991 Jul 3;266(1):80-3. [PubMed]
13. Kong GK, Belman MJ, Weingarten S. Reducing length of stay for patients hospitalized with exacerbation of COPD by using a practice guideline. CHEST Journal. 1997 Jan 1;111(1):89-94. [PubMed]
14. Wang Y, Stavem K, Dahl FA, Humerfelt S, Haugen T. Factors associated with a prolonged length of stay after acute exacerbation of chronic obstructive pulmonary disease (AECOPD). International journal of chronic obstructive pulmonary disease. 2014;9:99. [PubMed]
15. Sullivan SD, Ramsey SD, Lee TA. The economic burden of COPD. CHEST Journal. 2000 Feb 1;117(2_suppl):5S-9S. [PubMed]
16. Säynäjäkangas O, Kinnunen T, Tuuponen T, Keistinen T. Length of stay and interval to readmission in emergency hospital treatment of COPD. Age and ageing. 2004 Nov 1;33(6):567-70. [PubMed]
17. Baker DW, Einstadter D, Husak SS, Cebul RD. Trends in postdischarge mortality and readmissions: has length of stay declined too far?. Archives of internal medicine. 2004 Mar 8;164(5):538-44. [PubMed]
18. Agboado G, Peters J, Donkin L. Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study. BMJ open. 2012 Jan 1;2(5):e000869.
19. Price LC, Lowe D, Hosker HS, Anstey K, Pearson MG, Roberts CM. UK National COPD Audit 2003: impact of hospital resources and organisation of care on patient outcome following admission for acute COPD exacerbation. Thorax. 2006 Oct 1;61(10):837-42. [PubMed]
20. Barba R, Zapatero A, Losa JE, Marco J, Plaza S, Rosado C, Canora J. The impact of weekends on outcome for acute exacerbations of COPD. European Respiratory Journal. 2012 Jan 1;39(1):46-50. [PubMed]
21. Capewell S. The continuing rise in emergency admissions. BMJ: British Medical Journal. 1996 Apr 20;312(7037):991. [PubMed]
22. GARCIA-AYMERICH JU, MONSÓ ED, MARRADES RM, ESCARRABILL J, FÉLEZ MA, SUNYER J, ANTÓ JM. Risk factors for hospitalization for a chronic obstructive pulmonary disease exacerbation: EFRAM study. American journal of respiratory and critical care medicine. 2001 Sep 15;164(6):1002-7.
23. Connolly MJ, Lowe D, Anstey K, Hosker HS, Pearson MG, Roberts CM. Admissions to hospital with exacerbations of chronic obstructive pulmonary disease: effect of age related factors and service organisation. Thorax. 2006 Oct 1;61(10):843-8.
24. Verdaguer Munujos A, Peiro S, Librero J. Variations in the use of hospital resources in treating patients with chronic obstructive pulmonary disease. Archivos de Bronconeumología (English Version). 2003 Oct 1;39(10):442-8. [PubMed]
25. George PM, Stone RA, Buckingham RJ, Pursey NA, Lowe D, Roberts CM. Changes in NHS organization of care and management of hospital admissions with COPD exacerbations between the national COPD audits of 2003 and 2008. QJM. 2011 May 26:hcr083. [PubMed]
26. Pierzchała W, Barczyk A, Górecka D, Śliwiński P, Zieliński J. Zalecenia Polskiego Towarzystwa Chorób Płuc rozpoznawania i leczenia przewlekłej obturacyjnej choroby płuc (POChP). Polish Pneumonology and Allergology. 2010;78(5):318-47.
27. Suissa S, Dell'Aniello S, Ernst P. Long-term natural history of chronic obstructive pulmonary disease: severe exacerbations and mortality. Thorax. 2012 Nov 1;67(11):957-63.
28. Harries TH, Thornton HV, Crichton S, Schofield P, Gilkes A, White PT. Length of stay of COPD hospital admissions between 2006 and 2010: a retrospective longitudinal study. International journal of chronic obstructive pulmonary disease. 2015;10:603.
2. SEEMUNGAL TA, Donaldson GC, BHOWMIK A, JEFFRIES DJ, WEDZICHA JA. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 2000 May 1;161(5):1608-13. [PubMed]
3. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1995;152:S78-121. [PubMed]
4. National Asthma Education, Prevention Program (National Heart, Blood Institute). Second Expert Panel on the Management of Asthma. Expert panel report 2: Guidelines for the diagnosis and management of asthma. DIANE Publishing; 1997.
5. Cydulka RK, McFadden Jr ER, Emerman CL, Sivinski LD, Pisanelli W, Rimm AA. Patterns of hospitalization in elderly patients with asthma and chronic obstructive pulmonary disease. American journal of respiratory and critical care medicine. 1997 Dec 1;156(6):1807-12.
6. Osman IM, Godden DJ, Friend JA, Legge JS, Douglas JG. Quality of life and hospital re-admission in patients with chronic obstructive pulmonary disease. Thorax. 1997 Jan 1;52(1):67-71.
7. Sin DD, Bell NR, Svenson LW, Man SP. The impact of follow-up physician visits on emergency readmissions for patients with asthma and chronic obstructive pulmonary disease: a population-based study. The American journal of medicine. 2002 Feb 1;112(2):120-5. [PubMed]
8. Garcia-Aymerich J, Farrero E, Felez MA, Izquierdo J, Marrades RM, Anto JM. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax. 2003 Feb 1;58(2):100-5. [PubMed]
9. Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, Turner-Lawlor PJ, Payne N, Newcombe RG, Lonescu AA, Thomas J. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. The Lancet. 2000 Jan 29;355(9201):362-8.
10. Global Initiative for Chronic Obstructive Lung Disease (GOLD): Global Strategy for the Diagnosis, Management, and Prevention of COPD 2016. www.goldcopd.org (Accessed on January 21, 2016).
11. “International Classification of Diseases (ICD)”. World Health Organization. Archived from the original on 12 February 2014. Retrieved 14 January 2015.
12. Mushlin AI, Black ER, Connolly CA, Buonaccorso KM, Eberly SW. The necessary length of hospital stay for chronic pulmonary disease. Jama. 1991 Jul 3;266(1):80-3. [PubMed]
13. Kong GK, Belman MJ, Weingarten S. Reducing length of stay for patients hospitalized with exacerbation of COPD by using a practice guideline. CHEST Journal. 1997 Jan 1;111(1):89-94. [PubMed]
14. Wang Y, Stavem K, Dahl FA, Humerfelt S, Haugen T. Factors associated with a prolonged length of stay after acute exacerbation of chronic obstructive pulmonary disease (AECOPD). International journal of chronic obstructive pulmonary disease. 2014;9:99. [PubMed]
15. Sullivan SD, Ramsey SD, Lee TA. The economic burden of COPD. CHEST Journal. 2000 Feb 1;117(2_suppl):5S-9S. [PubMed]
16. Säynäjäkangas O, Kinnunen T, Tuuponen T, Keistinen T. Length of stay and interval to readmission in emergency hospital treatment of COPD. Age and ageing. 2004 Nov 1;33(6):567-70. [PubMed]
17. Baker DW, Einstadter D, Husak SS, Cebul RD. Trends in postdischarge mortality and readmissions: has length of stay declined too far?. Archives of internal medicine. 2004 Mar 8;164(5):538-44. [PubMed]
18. Agboado G, Peters J, Donkin L. Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study. BMJ open. 2012 Jan 1;2(5):e000869.
19. Price LC, Lowe D, Hosker HS, Anstey K, Pearson MG, Roberts CM. UK National COPD Audit 2003: impact of hospital resources and organisation of care on patient outcome following admission for acute COPD exacerbation. Thorax. 2006 Oct 1;61(10):837-42. [PubMed]
20. Barba R, Zapatero A, Losa JE, Marco J, Plaza S, Rosado C, Canora J. The impact of weekends on outcome for acute exacerbations of COPD. European Respiratory Journal. 2012 Jan 1;39(1):46-50. [PubMed]
21. Capewell S. The continuing rise in emergency admissions. BMJ: British Medical Journal. 1996 Apr 20;312(7037):991. [PubMed]
22. GARCIA-AYMERICH JU, MONSÓ ED, MARRADES RM, ESCARRABILL J, FÉLEZ MA, SUNYER J, ANTÓ JM. Risk factors for hospitalization for a chronic obstructive pulmonary disease exacerbation: EFRAM study. American journal of respiratory and critical care medicine. 2001 Sep 15;164(6):1002-7.
23. Connolly MJ, Lowe D, Anstey K, Hosker HS, Pearson MG, Roberts CM. Admissions to hospital with exacerbations of chronic obstructive pulmonary disease: effect of age related factors and service organisation. Thorax. 2006 Oct 1;61(10):843-8.
24. Verdaguer Munujos A, Peiro S, Librero J. Variations in the use of hospital resources in treating patients with chronic obstructive pulmonary disease. Archivos de Bronconeumología (English Version). 2003 Oct 1;39(10):442-8. [PubMed]
25. George PM, Stone RA, Buckingham RJ, Pursey NA, Lowe D, Roberts CM. Changes in NHS organization of care and management of hospital admissions with COPD exacerbations between the national COPD audits of 2003 and 2008. QJM. 2011 May 26:hcr083. [PubMed]
26. Pierzchała W, Barczyk A, Górecka D, Śliwiński P, Zieliński J. Zalecenia Polskiego Towarzystwa Chorób Płuc rozpoznawania i leczenia przewlekłej obturacyjnej choroby płuc (POChP). Polish Pneumonology and Allergology. 2010;78(5):318-47.
27. Suissa S, Dell'Aniello S, Ernst P. Long-term natural history of chronic obstructive pulmonary disease: severe exacerbations and mortality. Thorax. 2012 Nov 1;67(11):957-63.
28. Harries TH, Thornton HV, Crichton S, Schofield P, Gilkes A, White PT. Length of stay of COPD hospital admissions between 2006 and 2010: a retrospective longitudinal study. International journal of chronic obstructive pulmonary disease. 2015;10:603.
CITATION
DOI: 10.17511/ijmrr.2016.i01.015
Published: 2016-01-31
How to Cite
1.
Tandon S, Budhraja A, Nagdeote ST, Sharma K, Shanti Dausage C. Assessment of length of hospital stays of patients with acute exacerbations of chronic obstructive pulmonary disease. Int J Med Res Rev [Internet]. 2016Jan.31 [cited 2024Dec.23];4(1):97-103. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/439
Section
Original Article
OAI - Open Archives Initiative
