RT Journal Article
SR Electronic
T1 Real-life burden of hospitalisations due to COPD exacerbations in Spain
JF ERJ Open Research
JO erjor
FD European Respiratory Society
SP 00141-2022
DO 10.1183/23120541.00141-2022
VO 8
IS 3
A1 José Luis Izquierdo
A1 José Miguel Rodríguez
A1 Carlos Almonacid
A1 María Benavent
A1 Ramón Arroyo-Espliguero
A1 Alvar Agustí
YR 2022
UL http://openres.ersjournals.com/content/8/3/00141-2022.abstract
AB Background Patients with chronic obstructive pulmonary disease (COPD) often suffer episodes of exacerbation of symptoms (ECOPD) that may eventually require hospitalisation due to several, often overlapping, causes. We aimed to analyse the characteristics of patients hospitalised because of ECOPD in a real-life setting using a “big data” approach.Methods The study population included all patients over 40 years old with a diagnosis of COPD (n=69 359; prevalence 3.72%) registered from 1 January 2011 to 1 March 2020 in the database of the public healthcare service (SESCAM) of Castilla-La Mancha (Spain) (n=1 863 759 subjects). We used natural language processing (Savana Manager version 3.0) to identify those who were hospitalised during this period for any cause, including ECOPD.Results During the study 26 453 COPD patients (38.1%) were hospitalised (at least once). Main diagnoses at discharge were respiratory infection (51%), heart failure (38%) or pneumonia (19%). ECOPD was the main diagnosis at discharge (or hospital death) in 8331 patients (12.0% of the entire COPD population and 31.5% of those hospitalised). In-hospital ECOPD-related mortality rate was 3.11%. These patients were hospitalised 2.36 times per patient, with a mean hospital stay of 6.1 days. Heart failure was the most frequent comorbidity in patients hospitalised because of ECOPD (52.6%).Conclusions This analysis shows that, in a real-life setting, ECOPD hospitalisations are prevalent, complex (particularly in relation to heart failure), repetitive and associated with significant in-hospital mortality.In a real-life setting, COPD hospitalisations are prevalent, complex (particularly in relation to heart failure), repetitive and associated with significant in-hospital mortality https://bit.ly/3zCP2ZC