Quality of Care and Outcomes of Inpatients with COPD: A Multi-Center Study in China

作者：Fengyan Wang, Mingdie Wang, Xiaoyan Chen, Aiqi Song, Hui Zeng, Jiawei Chen, Lingwei Wang, Wanyi Jiang, Mei Jiang, Weijuan Shi, Yuqi Li, Heng Zhong, Rongchang Chen, Zhenyu Liang · 发表于：International Journal of COPD · 年份：2025 · DOI：10.2147/copd.s510613 · 被引用次数：3 · 研究领域：Chronic Obstructive Pulmonary Disease (COPD) Research、Primary Care and Health Outcomes、Delphi Technique in Research

Objective: Hospitalization due to chronic obstructive pulmonary disease (COPD) exacerbation is linked to worse prognosis and increased healthcare burden, especially in low- and middle-income countries. This study aimed to evaluate the quality of care and outcomes among inpatients with COPD and to identify prognostic factors relate to healthcare quality indicators. Methods: A multi-center, retrospective longitudinal study was conducted. Patients hospitalized for COPD exacerbations between January and December 2017 were randomly sampled from 16 secondary or tertiary public general hospitals in China. Healthcare quality process indicators and clinical outcomes were collected from medical records and patient questionnaires. The median follow-up period was 666 days. Multivariate logistic regression analysis was used to identify risk factors for readmission or death within 30 days after discharge and for one-year mortality. Results: A total of 891 inpatients with COPD were included. Among them, 14.3% underwent post-bronchodilator spirometry. Documentation of exacerbation history and symptom scores was found in 16.8% and 1.2% of medical records, respectively. Long-acting bronchodilators (LABDs) were prescribed at discharge in 30.3% of cases. Verbal counseling was the primary approach to smoking cessation education, rather than the 5A method. The 30-day readmission rate was 7.1%. The average exacerbation rate was 0.94 per patient during the following year, and the one-year mortality ...