Abstract
Background: COPD readmission rates following hospitalisation for exacerbation are high, and predicting who is at greatest risk of re-admission would allow targeted intervention.
Aims and Objectives: We hypothesised that frailty would predict increased risk of COPD readmission within 30 days after an index COPD exacerbation.
Methods: COPD patients admitted due to exacerbations were recruited. At discharge, patients underwent assessments of frailty and were followed for three months. Frailty was measured using the Reported Edmonton Frail Scale; the total score is categorised into five levels.
Results: 51 hospitalised patients (24 male) were consecutively recruited with a mean age of 72.53±10.65 years and mean FEV1% of 35.86±13.03% predicted. The readmission rate was 41%, with 21 patients readmitted within 30 days. No significant differences were found between the two groups (readmitted vs not readmitted) in age (71.0 vs 73.6, p= 0.39) or FEV1% predicted (32.73% vs 38.07%, p= 0.17). Frailty was seen in both groups with a statistically significant difference in score between groups (p =0.003) (see figure 1). We found frailty to be an independent risk factor for predicting readmission with an odds ratio (95% confidence intervals of 1.94 (1.29–2.93), adjusted for age and severity of airflow obstruction.
Conclusion: Frailty was found to be an independent risk factor for predicting readmission within 30 days, independent of age and COPD severity.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 101.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020