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Impact of individualized care on readmissions after a hospitalization for acute exacerbation of COPD

Overview of attention for article published in International Journal of Chronic Obstructive Pulmonary Disease, January 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (83rd percentile)
  • High Attention Score compared to outputs of the same age and source (81st percentile)

Mentioned by

twitter
10 tweeters
facebook
1 Facebook page
googleplus
1 Google+ user

Citations

dimensions_citation
9 Dimensions

Readers on

mendeley
39 Mendeley
Title
Impact of individualized care on readmissions after a hospitalization for acute exacerbation of COPD
Published in
International Journal of Chronic Obstructive Pulmonary Disease, January 2016
DOI 10.2147/copd.s93322
Pubmed ID
Authors

Stephan van Eeden, Don D. Sin, Pat Camp, Jane Burns, Simon Adamson

Abstract

Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) increase COPD morbidity and mortality and impose a great burden on health care systems. Early readmission following a hospitalization for AECOPD remains an important clinical problem. We examined how individualized comprehensive care influences readmissions following an index hospital admission for AECOPD. We retrospectively reviewed data of patients admitted for AECOPD to two inner-city teaching hospitals to determine the impact of a comprehensive and individualized care management strategy on readmissions for AECOPD. The control group consisted of 271 patients whose index AECOPD occurred the year before the comprehensive program, and the experimental group consisted of 191 patients who received the comprehensive care. The primary outcome measure was the total number of readmissions in 30- and 90-day postindex hospitalizations. Secondary outcome measures included the length of time between the index admission and first readmission and all-cause mortality. The two groups were similar in terms of age, sex, forced expiratory volume in 1 second, body mass index (BMI), pack-years, and the number and types of comorbidities. Comprehensive care significantly reduced 90-day readmission rates in females (P=0.0205, corrected for age, BMI, number of comorbidities, substance abuse, and mental illness) but not in males or in the whole group (P>0.05). The average times between index admission and first readmission were not different between the two groups. Post hoc multivariate analysis showed that substance abuse (P<0.01) increased 30- and 90-day readmissions (corrected for age, sex, BMI, number of comorbidities, and mental illness). The 90-day all-cause in-hospital mortality rates were significantly less in the care package group (2.67% versus 7.97%, P=0.0268). Comprehensive individualized care for subjects admitted to hospital for AECOPD did not reduce 30- and 90-day readmission rates but did reduce 90-day total mortality. Interestingly, it reduced 90-day readmission rate in females. We speculate that an individualized care package could impact COPD morbidity and mortality after an acute exacerbation.

Twitter Demographics

The data shown below were collected from the profiles of 10 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 21%
Student > Bachelor 4 10%
Researcher 4 10%
Student > Doctoral Student 3 8%
Other 3 8%
Other 8 21%
Unknown 9 23%
Readers by discipline Count As %
Medicine and Dentistry 16 41%
Nursing and Health Professions 6 15%
Sports and Recreations 1 3%
Psychology 1 3%
Economics, Econometrics and Finance 1 3%
Other 4 10%
Unknown 10 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 April 2017.
All research outputs
#1,267,126
of 9,339,536 outputs
Outputs from International Journal of Chronic Obstructive Pulmonary Disease
#177
of 1,219 outputs
Outputs of similar age
#53,492
of 327,313 outputs
Outputs of similar age from International Journal of Chronic Obstructive Pulmonary Disease
#10
of 54 outputs
Altmetric has tracked 9,339,536 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,219 research outputs from this source. They receive a mean Attention Score of 4.6. This one has done well, scoring higher than 85% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,313 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 83% of its contemporaries.
We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.