ArticleJournal of general internal medicine2015
Predictors of Hospital Length of Stay in Patients with Exacerbations of COPD: A Cohort Study.
Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02434536 (Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.), which is not on this map. Cited by 23 papers.
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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.
Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.
Who cites it
23 citing papers in PubMed.
- Hypercapnia, Prognostic Nutritional Index and Length of Stay in Acute Exacerbation of COPD: A Two-Variable Admission Framework.Diagnostics (Basel, Switzerland) · 2026Article
- Demographics, cardiopulmonary comorbidities, laboratory data and length of hospital stay in patients with acute exacerbation of chronic obstructive pulmonary disease at high altitude: A comparative study.Experimental and therapeutic medicine · 2025Article
- Continuous vital sign monitoring for predicting hospital length of stay: a feasibility study in chronic obstructive pulmonary disease and chronic heart failure patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Risk factors for prolonged hospitalization as a marker for difficult-to-manage exacerbations of chronic obstructive lung disease (COPD): the DiMECO Study.BMC pulmonary medicine · 2024Observational
- Predictors of Length of Stay, Mortality and Rehospitalization in COPD Patients: A Retrospective Cohort Study.Journal of clinical medicine · 2023Article
- A risk nomogram for predicting prolonged intensive care unit stays in patients with chronic obstructive pulmonary disease.Frontiers in medicine · 2023Article
- A Risk Prediction Model for Prolonged Length of Stay in Patients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Retrospective Study of 225 Patients in a Single Center in Kunming, China.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Risk Factors for Length of Hospital Stay in Acute Exacerbation Chronic Obstructive Pulmonary Disease: A Multicenter Cross-Sectional Study.International journal of general medicine · 2022Article
- Impact of Potentially Unwarranted Intravenous Antibiotics Targeting Pulmonary Infections in Acute Decompensated Heart Failure.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021Article
- Article
- The Frequency of, and Factors Associated with Prolonged Hospitalization: A Multicentre Study in Victoria, Australia.Journal of clinical medicine · 2020Article
- End-of-Life Spending and Healthcare Utilization Among Older Adults with Chronic Obstructive Pulmonary Disease.The American journal of medicine · 2020Article
- Clinical variables predicting the risk of a hospital stay for longer than 7 days in patients with severe acute exacerbations of chronic obstructive pulmonary disease: a prospective study.Respiratory research · 2018Observational
- Characterization of Chronic Obstructive Pulmonary Disease Patients with a Long Length of Stay: A Retrospective Observational Cohort Study.Turkish thoracic journal · 2017Article
- Predicting hospital stay, mortality and readmission in people admitted for hypoglycaemia: prognostic models derivation and validation.Diabetologia · 2017Article
- Factors associated with the incidence of serious adverse events in patients admitted with COPD acute exacerbation.Irish journal of medical science · 2017Article
- One-year and long-term mortality in patients hospitalized for chronic obstructive pulmonary disease.Journal of thoracic disease · 2017Article
- Physical activity assessed in routine care predicts mortality after a COPD hospitalisation.ERJ open research · 2016Article
- Length of stay of COPD hospital admissions between 2006 and 2010: a retrospective longitudinal study.International journal of chronic obstructive pulmonary disease · 2015Article
- Validation of ACCESS: an automated tool to support self-management of COPD exacerbations.International journal of chronic obstructive pulmonary diseaseArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious studies have tried to delimit the predictors of hospital length of stay (LOS) for patients with exacerbated chronic obstructive pulmonary disease (eCOPD), but have been disadvantaged by certain limiting factors.
objectiveOur goal was to prospectively identify predictors of LOS in these patients and to validate our results.
designThis was a prospective cohort study.
participantsSubjects were patients with eCOPD who visited 16 hospital emergency departments (EDs) and who were admitted to the hospital. MAIN MEASURES: Data were recorded on possible predictor variables at the ED visit, on admission and 24 hours later, during hospitalization, and on discharge. LOS and prolonged LOS (≥ 9 days, considering the 75th percentile of LOS in our sample) were the outcomes of interest. Multivariate multilevel linear and logistic regression models were employed.
resultsA total of 1,453 patients were equally divided between derivation and validation samples. The hospital variable was the best predictor of LOS. Multivariate predictors of LOS, as log-transformed variables, were the hospital, baseline dyspnea and physical activity levels and fatigue at 24 hours, intensive care or intensive respiratory care unit admission, the need for antibiotics, and complications during hospitalization. Predictors of prolonged LOS were also the hospital, baseline dyspnea and fatigue at 24 hours, ICU or IRCU admission, and complications during hospitalization (AUC: 0.77). Models were validated in the validation sample (AUC: 0.75).
conclusionsWe identified a number of modifiable factors, including baseline dyspnea, physical activity level, and hospital variability, that influenced the LOS of patients with eCOPD who were admitted to the hospital.
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