ArticleInternational journal of chronic obstructive pulmonary disease
Association Between Rural Residence and In-Hospital and 30-Day Mortality Among Veterans Hospitalized with COPD Exacerbations.
Article in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026Pooled it
- Rural Patients' Transitional Care Experiences: A Qualitative Analysis of Provider Notes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Census Tract Variability in COPD Emergency Department, Hospitalization, and Readmission Rates in Travis County, Texas.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2026Article
- Home noninvasive ventilation use in patients hospitalized with COPD.The clinical respiratory journal · 2023Article
- Association of rural living with COPD-related hospitalizations and deaths in US veterans.Scientific reports · 2023Article
- Sleep disturbance exacerbates atherosclerosis in type 2 diabetes mellitus.Frontiers in cardiovascular medicine · 2023Article
- The Effect of Rurality and Poverty on COPD Outcomes in New Hampshire: An Analysis of Statewide Hospital Discharge Data.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- Hospital Variation in Non-Invasive Ventilation Use for Acute Respiratory Failure Due to COPD Exacerbation.International journal of chronic obstructive pulmonary diseaseArticle
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Authors and funding
6 authors.
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Abstract
backgroundWe explored the relationship between rural residency and in-hospital mortality in patients hospitalized with COPD exacerbations.
methodsWe retrospectively analyzed COPD hospitalizations from 2011 to 2017 at 124 acute care Veterans Health Administration (VHA) hospitals in the US. Patient residence was classified using Rural Urban Commuting Area codes as urban, rural, or isolated rural. We stratified patient hospitalizations into quartiles by travel time from patient residence to the nearest VHA primary care provider clinic and hospital. Multivariate analyses utilized generalized estimating equations with a logit link accounting for repeated hospitalizations among patients and adjusting for patient- and hospital-level characteristics.
resultsOf 64,914 COPD hospitalizations analyzed, 43,549 (67.1%) were for urban, 18,673 (28.8%) for rural, and 2,692 (4.1%) for isolated rural veterans. In-hospital mortality was 4.9% in urban, 5.5% in rural, and 5.2% in isolated rural veterans (
conclusionPotential gaps in post-discharge care of rural veterans may be responsible for the rural-urban disparities. Further research should investigate the exact mechanism that inter-hospital transfers affect mortality.
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