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Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality

HIGHLIGHTS: What are the main findings? The presence of comorbidities was reported in 89.3% of patients hospitalized with COPD, the average duration of hospitalization was 9.4 days (54.5% of patients hospitalized with COPD were hospitalized for up to 7 days), and the in-hospital mortality rate was 6...

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Autores principales: Jankowski, Mateusz, Bochenek, Bogdan, Wieczorek, Joanna, Figurski, Mariusz, Gruszczyńska, Marta, Goryński, Paweł, Pinkas, Jarosław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514800/
https://www.ncbi.nlm.nih.gov/pubmed/37736975
http://dx.doi.org/10.3390/arm91050029
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author Jankowski, Mateusz
Bochenek, Bogdan
Wieczorek, Joanna
Figurski, Mariusz
Gruszczyńska, Marta
Goryński, Paweł
Pinkas, Jarosław
author_facet Jankowski, Mateusz
Bochenek, Bogdan
Wieczorek, Joanna
Figurski, Mariusz
Gruszczyńska, Marta
Goryński, Paweł
Pinkas, Jarosław
author_sort Jankowski, Mateusz
collection PubMed
description HIGHLIGHTS: What are the main findings? The presence of comorbidities was reported in 89.3% of patients hospitalized with COPD, the average duration of hospitalization was 9.4 days (54.5% of patients hospitalized with COPD were hospitalized for up to 7 days), and the in-hospital mortality rate was 6.8%. Older age, presence of cardiovascular diseases, genitourinary disorders, or digestive disorders were significantly associated with a higher risk of in-hospital death. What is the implication of the main finding? Findings from this nationwide registry-based survey may be used by clinicians during the development of guidelines on COPD management. Efforts should be made to develop models for assessing and predicting the impact of air pollution and meteorological factors on hospital admissions of patients diagnosed with COPD. ABSTRACT: Chronic obstructive pulmonary disease (COPD) is a common lung disease. There is a limited amount of nationwide data on COPD patients in Poland. This study aimed to characterize patients hospitalized with COPD in Poland in 2019 as well as to identify factors associated with the risk of in-hospital death and prolonged hospitalization among patients with COPD. This study is a retrospective database analysis. Data on patients hospitalized with COPD in Poland were obtained from the Nationwide General Hospital Morbidity Dataset. Data on all adults aged ≥40 years with a diagnosis of COPD from a physician (J44 code) were included in the analysis. Data were analyzed separately for patients hospitalized due to COPD (primary diagnosis) and patients with COPD as a comorbidity (secondary diagnosis). Completed medical records were available for 101,471 patients hospitalized with COPD (36.9% were females). Of those, 32% were hospitalized due to COPD. The mean age was 71.4 ± 9.7 years. The mean duration of hospitalization was 9.4 ± 11.4 days (median 7 days). Most of the COPD patients (89.3%) had at least one comorbidity. The in-hospital mortality rate was 6.8%. Older age, presence of cardiovascular diseases, and diseases of the genitourinary system (p < 0.05) were the most important factors associated with the risk of in-hospital death among patients hospitalized due to COPD.
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spelling pubmed-105148002023-09-23 Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality Jankowski, Mateusz Bochenek, Bogdan Wieczorek, Joanna Figurski, Mariusz Gruszczyńska, Marta Goryński, Paweł Pinkas, Jarosław Adv Respir Med Article HIGHLIGHTS: What are the main findings? The presence of comorbidities was reported in 89.3% of patients hospitalized with COPD, the average duration of hospitalization was 9.4 days (54.5% of patients hospitalized with COPD were hospitalized for up to 7 days), and the in-hospital mortality rate was 6.8%. Older age, presence of cardiovascular diseases, genitourinary disorders, or digestive disorders were significantly associated with a higher risk of in-hospital death. What is the implication of the main finding? Findings from this nationwide registry-based survey may be used by clinicians during the development of guidelines on COPD management. Efforts should be made to develop models for assessing and predicting the impact of air pollution and meteorological factors on hospital admissions of patients diagnosed with COPD. ABSTRACT: Chronic obstructive pulmonary disease (COPD) is a common lung disease. There is a limited amount of nationwide data on COPD patients in Poland. This study aimed to characterize patients hospitalized with COPD in Poland in 2019 as well as to identify factors associated with the risk of in-hospital death and prolonged hospitalization among patients with COPD. This study is a retrospective database analysis. Data on patients hospitalized with COPD in Poland were obtained from the Nationwide General Hospital Morbidity Dataset. Data on all adults aged ≥40 years with a diagnosis of COPD from a physician (J44 code) were included in the analysis. Data were analyzed separately for patients hospitalized due to COPD (primary diagnosis) and patients with COPD as a comorbidity (secondary diagnosis). Completed medical records were available for 101,471 patients hospitalized with COPD (36.9% were females). Of those, 32% were hospitalized due to COPD. The mean age was 71.4 ± 9.7 years. The mean duration of hospitalization was 9.4 ± 11.4 days (median 7 days). Most of the COPD patients (89.3%) had at least one comorbidity. The in-hospital mortality rate was 6.8%. Older age, presence of cardiovascular diseases, and diseases of the genitourinary system (p < 0.05) were the most important factors associated with the risk of in-hospital death among patients hospitalized due to COPD. MDPI 2023-09-20 /pmc/articles/PMC10514800/ /pubmed/37736975 http://dx.doi.org/10.3390/arm91050029 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jankowski, Mateusz
Bochenek, Bogdan
Wieczorek, Joanna
Figurski, Mariusz
Gruszczyńska, Marta
Goryński, Paweł
Pinkas, Jarosław
Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title_full Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title_fullStr Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title_full_unstemmed Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title_short Epidemiological Characteristics of 101,471 Patients Hospitalized with Chronic Obstructive Pulmonary Disease (COPD) in Poland in 2019: Multimorbidity, Duration of Hospitalization, In-Hospital Mortality
title_sort epidemiological characteristics of 101,471 patients hospitalized with chronic obstructive pulmonary disease (copd) in poland in 2019: multimorbidity, duration of hospitalization, in-hospital mortality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514800/
https://www.ncbi.nlm.nih.gov/pubmed/37736975
http://dx.doi.org/10.3390/arm91050029
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