Assessment of risk factors for readmission in COPD patients at tertiary care centre RMCH Bareilly

Abstract

COPD is currently one of the top 3 causes of death in the world with high morbidity and mortality. Various studies showed if symptoms of COPD patients are not well controlled then chances of admission & readmission has been increased. To find reasons for readmission in such patients this study was conducted. Between January 2020 and December 2021, we prospectively evaluated all the patients who were readmitted for acute exacerbation of COPD at tertiary care hospital RMCH Bareilly. Total 119 patients were enrolled in our study. Among 119 patients 25(21.0%) patients were readmitted for acute exacerbation of COPD. Patients discharged on LTOT among them 16(64.0%) were readmitted. Sputum culture among readmitted patients showed pseudomonal growth in 10(40.0%) as important risk factor. Common Comorbidities observed as diabetes mellitus 8(32.0%), hypertension 6(24%) of readmitted patients. Duration of hospital stay on previous visit of more than 6 days was observed in 12(48.0%) of readmitted patients. Average duration of hospital stays was 7+/-3 days. We found that there are multiple factors contribute to the risk of readmission in COPD patients. Risks can be minimised by ensuring regular follow up and proper adherence to the treatment, proper nutrition and pulmonary rehabilitation.