Risk factors for rehospitalisation in COPD: role of health status, anxiety and depression

2.50
Hdl Handle:
http://hdl.handle.net/2336/2766
Title:
Risk factors for rehospitalisation in COPD: role of health status, anxiety and depression
Authors:
Gudmundsson, G; Gislason, T; Janson, C; Lindberg, E; Hallin, R; Ulrik, C S; Brøndum, E; Nieminen, M M; Aine, T; Bakke, P
Citation:
Eur. Respir. J. 2005, 26(3):414-9
Issue Date:
1-Sep-2005
Abstract:
The aim of the present study was to analyse the risk of rehospitalisation in patients with chronic obstructive pulmonary disease and associated risk factors. This prospective study included 416 patients from a university hospital in each of the five Nordic countries. Data included demographic information, spirometry, comorbidity and 12 month follow-up for 406 patients. The hospital anxiety and depression scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. The number of patients that had a re-admission within 12 months was 246 (60.6%). Patients that had a re-admission had lower lung function and health status. A low forced expiratory volume in one second (FEV1) and health status were independent predictors for re-admission. Hazard ratio (HR; 95% CI) was 0.82 (0.74-0.90) per 10% increase of the predicted FEV1 and 1.06 (1.02-1.10) per 4 units increase in total SGRQ score. The risk of rehospitalisation was also increased in subjects with anxiety (HR 1.76 (1.16-2.68)) and in subjects with low health status (total SGRQ score >60 units). When comparing the different subscales in the SGRQ, the closest relation between the risk of rehospitalisation was seen with the activity scale (HR 1.07 (1.03-1.11) per 4 unit increase). In patients with low health status, anxiety is an important risk factor for rehospitalisation. This may be important for patient treatment and warrants further studies.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://erj.ersjournals.com/cgi/content/full/26/3/414

Full metadata record

DC FieldValue Language
dc.contributor.authorGudmundsson, G-
dc.contributor.authorGislason, T-
dc.contributor.authorJanson, C-
dc.contributor.authorLindberg, E-
dc.contributor.authorHallin, R-
dc.contributor.authorUlrik, C S-
dc.contributor.authorBrøndum, E-
dc.contributor.authorNieminen, M M-
dc.contributor.authorAine, T-
dc.contributor.authorBakke, P-
dc.date.accessioned2006-05-17T13:24:23Z-
dc.date.available2006-05-17T13:24:23Z-
dc.date.issued2005-09-01-
dc.identifier.citationEur. Respir. J. 2005, 26(3):414-9en
dc.identifier.issn0903-1936-
dc.identifier.pmid16135721-
dc.identifier.doi10.1183/09031936.05.00078504-
dc.identifier.otherPAD12en
dc.identifier.urihttp://hdl.handle.net/2336/2766-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractThe aim of the present study was to analyse the risk of rehospitalisation in patients with chronic obstructive pulmonary disease and associated risk factors. This prospective study included 416 patients from a university hospital in each of the five Nordic countries. Data included demographic information, spirometry, comorbidity and 12 month follow-up for 406 patients. The hospital anxiety and depression scale and St. George's Respiratory Questionnaire (SGRQ) were applied to all patients. The number of patients that had a re-admission within 12 months was 246 (60.6%). Patients that had a re-admission had lower lung function and health status. A low forced expiratory volume in one second (FEV1) and health status were independent predictors for re-admission. Hazard ratio (HR; 95% CI) was 0.82 (0.74-0.90) per 10% increase of the predicted FEV1 and 1.06 (1.02-1.10) per 4 units increase in total SGRQ score. The risk of rehospitalisation was also increased in subjects with anxiety (HR 1.76 (1.16-2.68)) and in subjects with low health status (total SGRQ score >60 units). When comparing the different subscales in the SGRQ, the closest relation between the risk of rehospitalisation was seen with the activity scale (HR 1.07 (1.03-1.11) per 4 unit increase). In patients with low health status, anxiety is an important risk factor for rehospitalisation. This may be important for patient treatment and warrants further studies.en
dc.language.isoenen
dc.publisherPublished for the European Respiratory Society by Maney Publishingen
dc.relation.urlhttp://erj.ersjournals.com/cgi/content/full/26/3/414en
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAnxietyen
dc.subjectDepressionen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHealth Statusen
dc.subjectHealth Surveysen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPatient Readmissionen
dc.subjectProspective Studiesen
dc.subjectPulmonary Disease, Chronic Obstructiveen
dc.subjectRisk Factorsen
dc.titleRisk factors for rehospitalisation in COPD: role of health status, anxiety and depressionen
dc.typeArticleen
dc.format.digYES-

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