The profile of copd patients with prolonged hospitalizations: A retrospective analysis of 200 hospital admissions

Emil Abd El-Qader, Lilach Israeli-Shani, Gali Epstein Shochet, Zamir Dovrish, Daniel A. King, David Dahan, Ori Wand, David Shitrit

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Patients with severe chronic obstructive pulmonary disease (COPD) experience frequent exacerbations and need to be hospitalized, resulting in an economic and social burden. Although data exist regarding reasons of frequent hospitalizations, there is no data available about the impact on the length of stay (LOS). Objectives: To characterize the causes of prolonged hospitalizations in COPD patients. Methods: A retrospective study was conducted of patients who were diagnosed and treated in the pulmonary department for severe COPD exacerbations. All patient demographic data and medical history were collected. Data regarding the disease severity were also collected (including Global Initiative for Obstructive Lung Disease [GOLD] criteria, pulmonologist follow-up, prior hospitalizations, and LOS). Results: The study comprised 200 patients, average age 69.5 ± 10.8 years, 61 % males. Of these patients, 89 (45%) were hospitalized for up to 4 days, 111 (55%) for 5 days or more, and 34 (17%) for more than 7 days. Single patients had longer LOS compared with married patients (48% vs. 34%, P = 0.044). Multivariate analysis showed that the number of prior hospital admissions in the last year was a predictor of LOS (P = 0.038, odds ratio [OR] = 0.807, 95% confidence interval [95%CI] = 0.659-0.988), as well as the use of non-invasive respiratory support by bilev-el positive airway pressure (BiPAP) during the hospitalization (P = 0.024, OR = 4.662,95%CI = 1.229-17.681). Conclusions: Fewer previous hospitalizations due to COPD exacerbations and the need for non-invasive respiratory support by BiPAP were found as predictors of longer LOS.

Original languageEnglish
Pages (from-to)552-556
Number of pages5
JournalIsrael Medical Association Journal
Volume22
Issue number10
StatePublished - Oct 2020

Keywords

  • Bilevel positive airway pressure (BiPAP)
  • Chronic obstructive pulmonary disease (COPD)
  • Hospitalization
  • Risk factors

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