Related Experiment Video
Updated: Jul 18, 2025
04:03
Author Spotlight: Evaluating the Therapeutic Efficacy of Moving Cupping Along Meridians for Acute Exacerbation of COPD
Published on: September 27, 2024
735
Healthcare Utilization in Patients with Chronic Obstructive Pulmonary Disease Discharged from Coronavirus 2019
Daniel Puebla Neira1, Mohammed Zaidan2, Shawn Nishi2
1Division of Pulmonary, Critical Care and Sleep Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
International Journal of Chronic Obstructive Pulmonary Disease
|August 28, 2023
Summary
Patients with chronic obstructive pulmonary disease (COPD) hospitalized for COVID-19 faced higher healthcare utilization post-discharge. This includes increased emergency visits, readmissions, and facility stays, highlighting a significant post-COVID burden for COPD patients.
Area of Science:
- Pulmonary Medicine
- Infectious Diseases
- Health Services Research
Background:
- Patients with chronic obstructive pulmonary disease (COPD) may face elevated healthcare utilization (HCU) after SARS-CoV-2 infection.
- Understanding post-discharge HCU is critical for managing patients with COPD following COVID-19 hospitalization.
Purpose of the Study:
- To determine if COPD independently predicts increased HCU after hospitalization for COVID-19.
- To quantify the association between COPD and various post-discharge HCU metrics.
Main Methods:
- Retrospective cohort study utilizing Optum's de-identified Clinformatics® Data Mart Database.
- Included patients hospitalized with COVID-19 (ICD-10-CM code U07.1) between April 2020 and March 2021.
- Assessed HCU (ED visits, readmissions, SNF, outpatient, telemedicine) for nine months post-discharge using Poisson regression.
Main Results:
- A cohort of 160,913 COVID-19 hospitalizations was analyzed; 14,622 (25.3%) had COPD.
- COPD patients exhibited significantly increased HCU post-discharge, including higher rates of ED visits (RR 1.57), readmissions (RR 1.50), and SNF stays (RR 1.18).
- Younger patients, women, and Hispanic individuals with COPD showed a disproportionately higher risk for post-discharge HCU.
Conclusions:
- Patients with COPD hospitalized for COVID-19 experience substantially greater healthcare utilization in the nine months following discharge.
- COPD is an independent risk factor for increased post-discharge HCU after COVID-19.
- Targeted interventions may be necessary for high-risk subgroups of COPD patients post-COVID-19 recovery.
Related Concept Videos
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K