Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization
Background The prevalence of combinations of comorbidities and their associations with inpatient service utilization and readmission among patients with chronic obstructive pulmonary disease (COPD) have not been extensively examined. To address this gap in knowledge, an observational prospective stu...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | COPD |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/15412555.2024.2414793 |
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| author | Yanran Duan Hang Fu Changying Chen Yaojun Zhao Shuai Jiang Chengzeng Wang |
| author_facet | Yanran Duan Hang Fu Changying Chen Yaojun Zhao Shuai Jiang Chengzeng Wang |
| author_sort | Yanran Duan |
| collection | DOAJ |
| description | Background The prevalence of combinations of comorbidities and their associations with inpatient service utilization and readmission among patients with chronic obstructive pulmonary disease (COPD) have not been extensively examined. To address this gap in knowledge, an observational prospective study was conducted using retrospective data.Aims To identify patterns of comorbidities linked to length of hospital stay, daily expenses, and one-year readmission.Methods The 30 most common comorbidities were identified in patients with secondary diagnoses using the association rule mining (ARM) method. Regression models were used to examine the relationships between combinations of comorbidities and service utilization, with adjustments for covariates.Results The five most prevalent comorbidities were pulmonary heart disease (40.99%), ischemic heart disease (38.97%), heart failure (36.77%), hypertension (34.11%), and respiratory disorders (19.12%). Most combinations of comorbidities identified by ARM showed significant associations with an extended length of stay (>13 days), increased daily expenses (>930 CNY), and reduced readmission rates. Among these combinations, glycoprotein metabolism disorder had the strongest association with prolonged length of stay (adjusted odds ratio [aOR]): 1.89, 95% confidence interval [CI]: 1.82–1.95). Conversely, the combination of other brain diseases and respiratory failure was linked to higher daily expenses (aOR: 11.34, 95% CI: 10.58–12.15), and the presence of pulmonary heart disease was associated with elevated one-year readmission rates (aOR: 1.41, 95% CI: 1.37–1.46).Conclusion Common combinations of comorbidities among inpatients with COPD were identified from an extensive collection of discharge medical records. Furthermore, the associations between comorbidities, inpatient service usage, and readmission rates were determined. |
| format | Article |
| id | doaj-art-0e0d71ef46f344b8a19aa99a1145029f |
| institution | Kabale University |
| issn | 1541-2555 1541-2563 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | COPD |
| spelling | doaj-art-0e0d71ef46f344b8a19aa99a1145029f2024-12-26T08:50:45ZengTaylor & Francis GroupCOPD1541-25551541-25632024-12-0121110.1080/15412555.2024.2414793Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service UtilizationYanran Duan0Hang Fu1Changying Chen2Yaojun Zhao3Shuai Jiang4Chengzeng Wang5Office Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaOffice Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaOffice Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaOperation Management Department, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, ChinaOffice Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaOffice Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBackground The prevalence of combinations of comorbidities and their associations with inpatient service utilization and readmission among patients with chronic obstructive pulmonary disease (COPD) have not been extensively examined. To address this gap in knowledge, an observational prospective study was conducted using retrospective data.Aims To identify patterns of comorbidities linked to length of hospital stay, daily expenses, and one-year readmission.Methods The 30 most common comorbidities were identified in patients with secondary diagnoses using the association rule mining (ARM) method. Regression models were used to examine the relationships between combinations of comorbidities and service utilization, with adjustments for covariates.Results The five most prevalent comorbidities were pulmonary heart disease (40.99%), ischemic heart disease (38.97%), heart failure (36.77%), hypertension (34.11%), and respiratory disorders (19.12%). Most combinations of comorbidities identified by ARM showed significant associations with an extended length of stay (>13 days), increased daily expenses (>930 CNY), and reduced readmission rates. Among these combinations, glycoprotein metabolism disorder had the strongest association with prolonged length of stay (adjusted odds ratio [aOR]): 1.89, 95% confidence interval [CI]: 1.82–1.95). Conversely, the combination of other brain diseases and respiratory failure was linked to higher daily expenses (aOR: 11.34, 95% CI: 10.58–12.15), and the presence of pulmonary heart disease was associated with elevated one-year readmission rates (aOR: 1.41, 95% CI: 1.37–1.46).Conclusion Common combinations of comorbidities among inpatients with COPD were identified from an extensive collection of discharge medical records. Furthermore, the associations between comorbidities, inpatient service usage, and readmission rates were determined.https://www.tandfonline.com/doi/10.1080/15412555.2024.2414793Chronic obstructive pulmonary diseasecomorbiditieslength of staydaily expensesone-year readmissionassociation rule mining |
| spellingShingle | Yanran Duan Hang Fu Changying Chen Yaojun Zhao Shuai Jiang Chengzeng Wang Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization COPD Chronic obstructive pulmonary disease comorbidities length of stay daily expenses one-year readmission association rule mining |
| title | Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization |
| title_full | Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization |
| title_fullStr | Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization |
| title_full_unstemmed | Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization |
| title_short | Comorbidity Patterns in Chronic Obstructive Pulmonary Disease and Their Associations with Service Utilization |
| title_sort | comorbidity patterns in chronic obstructive pulmonary disease and their associations with service utilization |
| topic | Chronic obstructive pulmonary disease comorbidities length of stay daily expenses one-year readmission association rule mining |
| url | https://www.tandfonline.com/doi/10.1080/15412555.2024.2414793 |
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