Follow-up Soon After Discharge May Not Reduce COPD Readmissions

被引:6
作者
Budde, Julia [1 ]
Agarwal, Parul [2 ]
Mazumdar, Madhu [2 ]
Braman, Sidney S. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Div Pulm Crit Care & Sleep Med, 5th Floor,Room 5-20,Annenberg Bldg, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Inst Hlth Care Delivery Sci, Dept Populat Hlth Sci & Policy, New York, NY 10029 USA
来源
CHRONIC OBSTRUCTIVE PULMONARY DISEASES-JOURNAL OF THE COPD FOUNDATION | 2019年 / 6卷 / 02期
关键词
COPD; chronic obstructive pulmonary disease; acute exacerbation of COPD; AECOPD; hospital readmissions; physician follow-up; health care delivery;
D O I
10.15326/jcopdf.6.2.2018.0149
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
We evaluated whether visiting a primary care provider (PCP) or medical subspecialist within 10 days of discharge reduces 30-day readmissions following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Data were retrospectively collected from electronic health records for AECOPD-related hospitalizations at an urban, academic medical center for patients 40 years of age or older between June 2011 and June 2016. Primary outcome was probability of all-cause 30-day readmission. Follow-up was defined as visiting a PCP or any medical subspecialist within 10 days of discharge. Generalized linear mixed models were used to examine the association between hospital readmissions and a visit to a PCP or medical subspecialist. Of the 2653 hospital discharges, 17.6% (n=468) had a 30-day readmission. Follow-up did not affect 30-day readmission risk (adjusted odds ratio 1.14; 95% confidence interval 0.89, 1.47). Prompt follow-up is not associated with a reduced risk of 30-day readmission following AECOPD, highlighting the need for a comprehensive approach to chronic obstructive pulmonary disease (COPD).
引用
收藏
页码:129 / 131
页数:3
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