ArticleChest2013
Population-based burden of COPD-related visits in the ED: return ED visits, hospital admissions, and comorbidity risks.
Article in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hospitalisation and mortality in patients with comorbid COPD and heart failure: a systematic review and meta-analysis.Respiratory research · 2020Pooled it
- Reliever salbutamol use as a measure of exacerbation risk in chronic obstructive pulmonary disease.BMC pulmonary medicine · 2015Trial
- Contextual Assessments for Chronic Obstructive Pulmonary Disease Transition of Care Bundle Implementation Planning for the Reduce REVISITS Study: Rapid Sequential Explanatory Mixed Methods Approach.JMIR human factors · 2026Article
- Response to Bronchodilators Administered via Different Nebulizers in Patients With COPD Exacerbation.Respiratory care · 2023Article
- Acute exacerbation of chronic obstructive pulmonary disease in United States emergency departments, 2010-2018.BMC pulmonary medicine · 2023Article
- How Accurate Is the Diagnosis of "Chronic Obstructive Pulmonary Disease" in Patients Hospitalized with an Acute Exacerbation?Medicina (Kaunas, Lithuania) · 2023Article
- Trends in Prevalence and Outcomes of Cannabis Use Among Chronic Obstructive Pulmonary Disease Hospitalizations: A Nationwide Population-Based Study 2005-2014.Cannabis and cannabinoid research · 2021Article
- Prevalence of different comorbidities in chronic obstructive pulmonary disease among Shahrekord PERSIAN cohort study in southwest Iran.Scientific reports · 2021Article
- The Long-Term Burden of COPD Exacerbations During Maintenance Therapy and Lung Function Decline.International journal of chronic obstructive pulmonary disease · 2020Article
- Observational
- The acute wheezy adult with airways disease in the emergency department: a retrospective case-note review of exacerbations of COPD.International journal of chronic obstructive pulmonary disease · 2019Article
- Contributions of COPD, asthma, and ten comorbid conditions to health care utilization and patient-centered outcomes among US adults with obstructive airway disease.International journal of chronic obstructive pulmonary disease · 2017Observational
- Characteristics of COPD Patients Using United States Emergency Care or Hospitalization.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2016Article
- Frequent utilization of the emergency department for acute exacerbation of chronic obstructive pulmonary disease.Respiratory research · 2014Article
- Obstructive sleep apnea is associated with higher healthcare utilization in elderly patients.Annals of thoracic medicine · 2014Article
- Burden of chronic obstructive pulmonary disease: healthcare costs and beyond.Allergy and asthma proceedingsReview
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Authors and funding
7 authors.
Funding
Abstract
backgroundLittle is known about the population-based burden of ED care for COPD.
methodsWe analyzed statewide ED surveillance system data to quantify the frequency of COPD-related ED visits, hospital admissions, and comorbidities.
resultsIn 2008 to 2009 in North Carolina, 97,511 COPD-related ED visits were made by adults ≥ 45 years of age, at an annual rate of 13.8 ED visits/1,000 person-years. Among patients with COPD (n = 33,799), 7% and 28% had a COPD-related return ED visit within a 30- and 365-day period of their index visit, respectively. Compared with patients on private insurance, Medicare, Medicaid, and noninsured patients were more likely to have a COPD-related return visit within 30 and 365 days and have three or more COPD-related visits within 365 days. There were no differences in return visits by sex. Fifty-one percent of patients with COPD were admitted to the hospital from the index ED visit. Subsequent hospital admission risk in the cohort increased with age, peaking at 65 to 69 years (risk ratio [RR], 1.41; 95% CI, 1.26-1.57); there was no difference by sex. Patients with congestive heart failure (RR, 1.29; 95% CI, 1.22-1.37), substance-related disorders (RR, 1.35; 95% CI, 1.13-1.60), or respiratory failure/supplemental oxygen (RR, 1.25; 95% CI, 1.19-1.31) were more likely to have a subsequent hospital admission compared with patients without these comorbidities.
conclusionsThe population-based burden of COPD-related care in the ED is significant. Further research is needed to understand variations in COPD-related ED visits and hospital admissions.
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