Evidence map›Paper›PMID 37636902›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2023

Healthcare Utilization in Patients with Chronic Obstructive Pulmonary Disease Discharged from Coronavirus 2019 Hospitalization.

Daniel Puebla Neira, Mohammed Zaidan, Shawn Nishi, Alexander Duarte, Christopher Lau, Sairam Parthasarathy, Jiefei Wang, Yong-Fang Kuo, Gulshan Sharma

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 2 institutions in 1 country.

Daniel Puebla NeiraDivision of Pulmonary, Critical Care and Sleep Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.ORCID 0000-0002-2254-6499
Mohammed ZaidanDivision of Pulmonary Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Shawn NishiDivision of Pulmonary Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Alexander DuarteDivision of Pulmonary Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Christopher LauDivision of Pulmonary, Critical Care and Sleep Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Sairam ParthasarathyDivision of Pulmonary, Critical Care and Sleep Medicine, University of Arizona College of Medicine-Tucson, Tucson, AZ, USA.
Jiefei WangDepartment of Biostatistics & Data Science, University of Texas Medical Branch, Galveston, TX, USA.
Yong-Fang KuoDepartment of Biostatistics & Data Science, University of Texas Medical Branch, Galveston, TX, USA.
Gulshan SharmaDivision of Pulmonary Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX, USA.
The University of Texas Medical Branch at Galveston · USUniversity of Arizona · US

Funding

UAHS Sleep Research Center Construction GrantC06OD028307 · OD · UNIVERSITY OF ARIZONA · PI DAKE, MICHAEL D · 2019 to 2019
$5.0M
Translational Approaches to Health Disparities in Lung, Sleep, and PandemicsR25HL126140 · NHLBI · UNIVERSITY OF ARIZONA · PI FRANCISCO A MORENO, JANKO Z. NIKOLICH · 2014 to 2026
$4.6M
Predictive Analytics and Peer-Driven Intervention for Guideline-based Care for Sleep ApneaR56HL138377 · NHLBI · UNIVERSITY OF ARIZONA · PI PARTHASARATHY, SAIRAM · 2017 to 2017
$763k
NHLBI NIH HHS R25 HL126140NHLBI NIH HHS R56 HL138377NIH HHS C06 OD028307
6 · The paper itself

Abstract

Rationale: There is concern that patients with chronic obstructive pulmonary disease (COPD) are at greater risk of increased healthcare utilization (HCU) following Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-COV-2) infection. Objective: To assess whether COPD is an independent risk factor for increased post-discharge HCU. Methods: We conducted a retrospective cohort study of patients with COPD discharged home from a hospitalization due to Coronavirus Disease 2019 (COVID-19) between April 1, 2020, and March 31, 2021, using Optum's de-identified Clinformatics Results: We identified a cohort of 160,913 patients hospitalized with COVID-19, with 57,756 discharged home and 14,622 (25.3%) diagnosed with COPD. Patients with COPD had a mean age of 75.48 years (±9.49); 55.5% were female and 70.9% were White. Patients with COPD had an increased risk of HCU in the nine months post-discharge after adjusting for the other covariates. Risk of ED visits, readmissions, length of stay during readmission, rehabilitation/SNF visits, outpatient office visits, and telemedicine visits were increased by 57% (RR 1.57; 95% CI 1.53-1.60), 50% (RR 1.50; 95% CI 1.46-1.54), 55% (RR 1.55; 95% CI 1.53-1.56), 18% (RR 1.18; 95% CI 1.14-1.22), 16% (RR 1.16; 95% CI 1.16-1.17), and 28% (RR 1.28; 95% CI 1.24-1.31), respectively. Younger patients (ages 18 to 65 years), women, and Hispanic patients with COPD showed an increased risk for post-discharge HCU. Conclusion: Patients with COPD hospitalized with COVID-19 experienced increased HCU post-discharge compared to patients without COPD.

Indexed as

COVID-19Pulmonary Disease, Chronic ObstructiveAgedFemaleHospitalizationHumansMaleOutpatientsPatient Acceptance of Health CarePatient DischargeRetrospective StudiesSARS-CoV-2COPDCOVID-19Healthcare Utilization disease

Identifiers

PMID37636902
PMCPMC10460173
OpenAlexW4386052211

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.