Respiratory interventions, hospital utilization, and clinical outcomes of persons with COPD and COVID-19
Recommended Citation
Elshafei AA, Flores SA, Kaur R, Becker EA. Respiratory Interventions, Hospital Utilization, and Clinical Outcomes of Persons with COPD and COVID-19. Int J Chron Obstruct Pulmon Dis. 2023;18:2925-2931. Published 2023 Dec 7. doi:10.2147/COPD.S436228
Abstract
Purpose:Coronavirus disease 2019 (COVID-19) impacted outcomes of persons with chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD). This study investigated the differences in respiratory interventions, hospital utilization, smoking status, and 30-day readmission in those with COPD and COVID-19 based on hospital survival status.
Methods:A retrospective cross-sectional study was conducted from February 2020 to October 2020 and included persons with COPD and COVID-19 infection. We examined respiratory interventions, hospital utilization and outcomes, and 30-day hospital readmission. Chi-square test analysis was used to assess categorical variables, and t-test or Mann-Whitney was used to analyze continuous data based on normality.
Results:Ninety persons were included in the study, 78 (87%) were survivors. The most common comorbidity was hypertension 71 (78.9%) ( p = 0.003). Twenty-two (24%) persons were intubated, from whom 12 (15%) survived ( p < 0.001). There were 25 (32.1%) and 12 (100%), ( p < 0.001) persons who required an ICU admission from the survivor and non-survivor groups, respectively. Among the survivor group, fifteen (19%) persons required 30-day hospital readmission.
Conclusion:Persons with COPD and COVID-19 had a lower mortality rate (13%) compared to other studies in the early pandemic phase. Non-survivors had increased ICU utilization, endotracheal intubation, and more frequent application of volume control mode. Discharging survivors to long-term acute care facilities may reduce 30-day hospital readmissions.
Document Type
Article
PubMed ID
38089539