Cargando…

The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)

There are currently no good indicators that can be used to predict the medical expenses of chronic obstructive pulmonary disease (COPD). This was a retrospective study that focused on the correlation between the age, dyspnoea, and airflow obstruction (ADO) index and the Charlson comorbidity index (C...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Chin-Ling, Lin, Mei-Hsin, Tsai, Yuh-Chyn, Tseng, Ching-Wan, Chang, Chia-Ling, Shen, Lien-Shi, Kuo, Ho-Chang, Liu, Shih-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999166/
https://www.ncbi.nlm.nih.gov/pubmed/35407503
http://dx.doi.org/10.3390/jcm11071893
_version_ 1784685126344507392
author Li, Chin-Ling
Lin, Mei-Hsin
Tsai, Yuh-Chyn
Tseng, Ching-Wan
Chang, Chia-Ling
Shen, Lien-Shi
Kuo, Ho-Chang
Liu, Shih-Feng
author_facet Li, Chin-Ling
Lin, Mei-Hsin
Tsai, Yuh-Chyn
Tseng, Ching-Wan
Chang, Chia-Ling
Shen, Lien-Shi
Kuo, Ho-Chang
Liu, Shih-Feng
author_sort Li, Chin-Ling
collection PubMed
description There are currently no good indicators that can be used to predict the medical expenses of chronic obstructive pulmonary disease (COPD). This was a retrospective study that focused on the correlation between the age, dyspnoea, and airflow obstruction (ADO) index and the Charlson comorbidity index (CCI) on the medical burden in COPD patients, specifically, those of patients with complete ADO index and CCI data in our hospital from January 2015 to December 2016. Of the 396 patients with COPD who met the inclusion criteria, 382 (96.5%) were male, with an average age of 71.3 ± 8.4 years. Healthcare resource utilisation was positively correlated with the ADO index. A significant association was found between the ADO index and CCI of COPD patients (p < 0.001). In-hospitalization expenses were positively correlated with the CCI (p < 0.001). Under the same CCI, the higher the ADO score, the higher the hospitalisation expenses. The ADO quartiles were positively correlated with the number of hospitalisations (p < 0.001), hospitalisation days (p < 0.001), hospitalisation expenses (p = 0.03), and total medical expenses (p = 0.037). Findings from this study show that the ADO index can predict the medical burden of COPD.
format Online
Article
Text
id pubmed-8999166
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89991662022-04-12 The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD) Li, Chin-Ling Lin, Mei-Hsin Tsai, Yuh-Chyn Tseng, Ching-Wan Chang, Chia-Ling Shen, Lien-Shi Kuo, Ho-Chang Liu, Shih-Feng J Clin Med Article There are currently no good indicators that can be used to predict the medical expenses of chronic obstructive pulmonary disease (COPD). This was a retrospective study that focused on the correlation between the age, dyspnoea, and airflow obstruction (ADO) index and the Charlson comorbidity index (CCI) on the medical burden in COPD patients, specifically, those of patients with complete ADO index and CCI data in our hospital from January 2015 to December 2016. Of the 396 patients with COPD who met the inclusion criteria, 382 (96.5%) were male, with an average age of 71.3 ± 8.4 years. Healthcare resource utilisation was positively correlated with the ADO index. A significant association was found between the ADO index and CCI of COPD patients (p < 0.001). In-hospitalization expenses were positively correlated with the CCI (p < 0.001). Under the same CCI, the higher the ADO score, the higher the hospitalisation expenses. The ADO quartiles were positively correlated with the number of hospitalisations (p < 0.001), hospitalisation days (p < 0.001), hospitalisation expenses (p = 0.03), and total medical expenses (p = 0.037). Findings from this study show that the ADO index can predict the medical burden of COPD. MDPI 2022-03-29 /pmc/articles/PMC8999166/ /pubmed/35407503 http://dx.doi.org/10.3390/jcm11071893 Text en © 2022 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
Li, Chin-Ling
Lin, Mei-Hsin
Tsai, Yuh-Chyn
Tseng, Ching-Wan
Chang, Chia-Ling
Shen, Lien-Shi
Kuo, Ho-Chang
Liu, Shih-Feng
The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title_full The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title_fullStr The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title_full_unstemmed The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title_short The Impact of the Age, Dyspnoea, and Airflow Obstruction (ADO) Index on the Medical Burden of Chronic Obstructive Pulmonary Disease (COPD)
title_sort impact of the age, dyspnoea, and airflow obstruction (ado) index on the medical burden of chronic obstructive pulmonary disease (copd)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999166/
https://www.ncbi.nlm.nih.gov/pubmed/35407503
http://dx.doi.org/10.3390/jcm11071893
work_keys_str_mv AT lichinling theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT linmeihsin theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT tsaiyuhchyn theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT tsengchingwan theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT changchialing theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT shenlienshi theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT kuohochang theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT liushihfeng theimpactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT lichinling impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT linmeihsin impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT tsaiyuhchyn impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT tsengchingwan impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT changchialing impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT shenlienshi impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT kuohochang impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd
AT liushihfeng impactoftheagedyspnoeaandairflowobstructionadoindexonthemedicalburdenofchronicobstructivepulmonarydiseasecopd