Employment status, readmission and mortality after acute exacerbation of copd

Peter Ascanius Jacobsen*, Kristian Hay Kragholm, Christian Torp-Pedersen, Daisy J.A. Janssen, Martijn A. Spruit, Ulla Møller Weinreich

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

7 Citations (Scopus)
57 Downloads (Pure)

Abstract

Introduction: The understanding of whether and to what extent employment status affects readmission and mortality is limited in patients with COPD. Aim: To explore how employment status affects readmission and mortality after first admission to the hospital with acute exacerbation of COPD (AECOPD). Methods: This study used Danish national registry-based data. All patients admitted for the first time to the hospital between 1999 and 2014 with a diagnosis of AECOPD, age 35–59, without a previous asthma diagnosis were included in the study. Employment status effect on 30-, 90-, and 365-day readmission and mortality was examined using logistic regression, adjusting for relevant confounders. Results: A total of 11,850 COPD patients were included in the study of which 3563 (30%) were working, 1368 (12%) unemployed, 840 (7%) on sick leave, and 6079 (51%) receiving early retirement. Patients receiving early retirement had, compared to patients working, an adjusted increased likelihood of readmission at 30, 90, and 365 days (odds ratio (OR) 1.26 (CI95% (1.06–1.49)), 1.33 (CI95% (1.16–1.53)), and 1.48 (CI95% (1.33–1.66)), respectively). An increased likelihood was also seen in unemployed at 365 days follow-up (OR 1.44 (CI95% (1.22–1.68))). Early retirement was associated with an increased mortality at 30, 90, and 365 days (OR 1.39 (CI95% (1.07–1.80)) 1.37 (CI95% (1.09–1.79)) and 1.48 (CI95% (1.25–1.75)), respectively). An increased likelihood was also seen in patients receiving sick leave (OR 1.57 (CI95% (1.21–2.04))). Conclusion: Patients with COPD who are not working at the time of first admission have a higher likelihood of readmission and mortality.

Original languageEnglish
JournalInternational Journal of Chronic Obstructive Pulmonary Disease
Volume16
Pages (from-to)2257-2265
Number of pages9
ISSN1176-9106
DOIs
Publication statusPublished - 5 Aug 2021

Bibliographical note

© 2021 Jacobsen et al.

Keywords

  • Chronic obstructive pulmonary disease
  • Employment
  • Mortality
  • Readmission

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