Evidence map›Paper›PMID 22054636›Full record

ArticleBMC pulmonary medicine2011

Psychosocial risk factors for hospital readmission in COPD patients on early discharge services: a cohort study.

Peter A Coventry, Isla Gemmell, Christopher J Todd

Registry-linked trialAbstract read
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In one paragraph

Article in BMC pulmonary medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06599177 (Patients with COPD), which is not on this map. Cited by 56 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06599177 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Patients with COPD: Assessment of Psychosocial Status and the Impact of Psychosocial Interventions

TypeinterventionalSponsorUniversity of CreteRan2024 to 2026Enrolled160ConditionsChronic Obstructive Pulmonary Disease (COPD)ArmsInformational leaflet
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Peter A CoventryHealth Sciences Research Group and Manchester Academic Health Sciences Centre, School of Community Based Medicine, University of Manchester, UK. peter.a.coventry@manchester.ac.uk
Isla Gemmell
Christopher J Todd

Funding

Medical Research Council G106/1242
6 · The paper itself

Abstract

backgroundHospital readmission for acute exacerbation of COPD (AECOPD) occurs in up to 30% of patients, leading to excess morbidity and poor survival. Physiological risk factors predict readmission, but the impact of modifiable psychosocial risk factors remains uncertain. We aimed to evaluate whether psychosocial risk factors independently predict readmission for AECOPD in patients referred to early discharge services (EDS).

methodsThis prospective cohort study included 79 patients with AECOPD cared for by nurse led EDS in the UK, and followed up for 12 months. Data on lung function, medical comorbidities, previous hospital admissions, medications, and sociodemographics were collected at baseline; St George's Respiratory Questionnaire (SGRQ), Hospital Anxiety and Depression Scale (HADS), and social support were measured at baseline, 3 and 12-months. Exploratory multivariate models were fitted to identify psychosocial factors associated with readmission adjusted for known confounders.

results26 patients were readmitted within 90 days and 60 patients were readmitted at least once during follow-up. Depression at baseline predicted readmission adjusted for sociodemographics and forced expiratory volume in 1 second (odds ratio 1.30, 95% CI 1.06 to 1.60, p = 0.013). Perceived social support was not significantly associated with risk of readmission. Home ownership was associated with the total number of readmissions (B = 0.46, 95% CI -0.86 to -0.06, p = 0.024). Compared with those not readmitted, readmitted patients had worse SGRQ and HADS scores at 12 months.

conclusionDepressive symptoms and socioeconomic status, but not perceived social support, predict risk of readmission and readmission frequency for AECOPD in patients cared for by nurse-led EDS. Future work on reducing demand for unscheduled hospital admissions could include the design and evaluation of interventions aimed at optimising the psychosocial care of AECOPD patients managed at home.

Indexed as

Patient ReadmissionAcute DiseaseAnxietyDepressionHealth StatusHumansPatient DischargePulmonary Disease, Chronic ObstructiveQuality of LifeRespirationRisk FactorsSocial Support

Identifiers

PMID22054636
PMCPMC3217878

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.