ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2013
Socioeconomic deprivation increases the effect of winter on admissions to hospital with COPD: retrospective analysis of 10 years of national hospitalisation data.
Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Findings from a pilot randomised trial of a social network self-management intervention in COPD.BMC pulmonary medicine · 2020Trial
- Global trends and future projections of COPD burden under low-temperature risk: a 1990-2041 analysis based on GBD 2021.BMC pulmonary medicine · 2025Article
- Combinations of multiple long term conditions and risk of hospital admission or death during winter 2021-22 in England: population based cohort study.BMJ medicine · 2024Article
- Operational Modeling with Health Economics to Support Decision Making for COPD Patients.Health services research · 2021Article
- Association of Chronic Lower Respiratory Disease With County Health Disparities in New York State.JAMA network open · 2021Observational
- Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.BMJ global health · 2021Observational
- Article
- Influence Of Socioeconomic Deprivation On Short- And Long-Term Outcomes Of Home-Based Pulmonary Rehabilitation In Patients With Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2019Observational
- A non-randomised controlled pilot study of clinical pharmacist collaborative intervention for community dwelling patients with COPD.NPJ primary care respiratory medicine · 2018Article
- A time for everything and everything in its time - exploring the mechanisms underlying seasonality of COPD exacerbations.International journal of chronic obstructive pulmonary disease · 2018Review
- Socioeconomic deprivation and the outcome of pulmonary rehabilitation in England and Wales.Thorax · 2017Article
- Which patients with advanced respiratory disease die in hospital? A 14-year population-based study of trends and associated factors.BMC medicine · 2017Article
- Defining and targeting health disparities in chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2016Review
- Housing as a Social Determinant of Health in Singapore and Its Association with Readmission Risk and Increased Utilization of Hospital Services.Frontiers in public health · 2016Article
- Seasonality, ambient temperatures and hospitalizations for acute exacerbation of COPD: a population-based study in a metropolitan area.International journal of chronic obstructive pulmonary disease · 2015Article
- Mortality following Stroke, the Weekend Effect and Related Factors: Record Linkage Study.PloS one · 2015Article
- A retrospective study of the impact of a telephone alert service (Healthy Outlook) on hospital admissions for patients with chronic obstructive pulmonary disease.NPJ primary care respiratory medicine · 2014Article
- The causes and consequences of seasonal variation in COPD exacerbations.International journal of chronic obstructive pulmonary disease · 2014Review
- Deprivation, winter season, and COPD exacerbations.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdmission to hospital with chronic obstructive pulmonary disease (COPD) is associated with deprivation and season. However, it is not known whether deprivation and seasonality act synergistically to influence the risk of hospital admission with COPD.
aimsTo investigate whether the relationship between season/temperature and admission to hospital with COPD differs with deprivation.
methodsAll COPD admissions (ICD10 codes J40-J44 and J47) were obtained for the decade 2001-2010 for all Scottish residents by month of admission and 2009 Scottish Index of Multiple Deprivation (SIMD) quintile. Confidence intervals for rates and absolute differences in rates were calculated and the proportion of risk during winter attributable to main effects and interactions were estimated. Monthly rates of admission by average daily minimum temperatures were plotted for each quintile of SIMD.
resultsAbsolute differences in admission rates between winter and summer increased with greater deprivation. In the most deprived quintile, in winter 19.4% (95% CI 17.3% to 21.4%) of admissions were attributable to season/deprivation interaction, 61.2% (95% CI 59.5% to 63.0%) to deprivation alone, and 5.2% (95% CI 4.3% to 6.0%) to winter alone. Lower average daily minimum temperatures over a month were associated with higher admission rates, with stronger associations evident in the more deprived quintiles.
conclusionsWinter and socioeconomic deprivation-related factors appear to act synergistically, increasing the rate of COPD admissions to hospital more among deprived people than among affluent people in winter than in the summer months. Similar associations were observed for admission rates and temperatures. Interventions effective at reducing winter admissions for COPD may have potential for greater benefit if delivered to more deprived groups.
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