Volume 21 Issue 1
Jan.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(1): 70-72
LIU Ying, XU Lei, BI Wei, MENG Nan-nan. Readmission and influencing factors of patients with chronic obstructive pulmonary disease within 1 year after discharge in a Class Ⅲ Grade A hospital[J]. Chinese Journal of General Practice, 2023, 21(1): 70-72. doi: 10.16766/j.cnki.issn.1674-4152.002814
Citation: LIU Ying, XU Lei, BI Wei, MENG Nan-nan. Readmission and influencing factors of patients with chronic obstructive pulmonary disease within 1 year after discharge in a Class Ⅲ Grade A hospital[J]. Chinese Journal of General Practice, 2023, 21(1): 70-72. doi: 10.16766/j.cnki.issn.1674-4152.002814
shu

Readmission and influencing factors of patients with chronic obstructive pulmonary disease within 1 year after discharge in a Class Ⅲ Grade A hospital

doi: 10.16766/j.cnki.issn.1674-4152.002814
  • 1.

    Department of Respiratory and Critical Care Medicine, Shanghai Tenth People ' s Hospital, Shanghai 200072, China

Funds:

 2018LP043

  • Received Date: 2022-04-29
    Available Online: 2023-04-07
    Abstract
  •   Objective  To investigate the readmission status of patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) within 1 year after discharge and analyse its influencing factors.  Methods  A total of 208 patients with acute exacerbation of COPD who were admitted to our hospital from February 2019 to August 2020 were selected as the research objects. The patients were followed up within 1 year after discharge to investigate whether they were readmitted. Based on whether the patients were readmitted, they were divided into readmitted group (82 cases) and non-readmitted group (126 cases).  Results  A total of 82 patients (39.42%) were readmitted within 1 year after discharge, of which 58 (27.88%) were readmitted once and 24 patients (11.54%) were readmitted two times or more. The two groups had statistically significant differences in age, smoking index, hypertension, coronary heart disease, average daily activity time of medium and low intensity, the number of acute exacerbations in the previous year, home oxygen therapy, regular medication, percentage of the volume of forced breathing in the first second predicted (FEV1%Pred) and family care ability (all P < 0.05). Multivariate logistic regression analysis showed that moderate-to-low intensity daily activity time (< 2 h), FEV1%Pred (< 50%), number of acute exacerbations in the previous year (≥2 times) and decreased family care ability were independent risk factors for readmission of COPD patients with acute exacerbations. There were statistically significant differences in age, average daily activity time of medium and low intensity, number of acute exacerbations in the previous year, FEV1%Pred, and family care ability between the patients who were readmitted once in a year and those who were readmitted more than twice in a year (all P < 0.05).  Conclusion  The readmission rate of patients with acute exacerbation of COPD within 1 year after discharge is high. Moderate-to-low-intensity daily activity time, FEV1%Pred, the number of acute exacerbations in the previous year and family care ability are independent risk factors for readmission.

     

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