Incidence and Factors Associated in Readmission COPD Patients at Ang Thong Hospital

Abstract

A Retrospective cohort study about Readmission in COPD patients was conducted at Ang Thong Hospital during 2014- 2016. The objective of study were incidence to readmission in COPD patients at Ang Thong Hospital and factors related to readmission in COPD Patients Sample are 516 COPD admitted at Ang Thong Hospital - Tools used in this research were questionare exploring age, gender, status, number - of cigarettes per day - number of year to quit smoking ,type of COPD ,comorbidity medical expense ,and length of stay .Data were collected by using Medical records .T- test chi-square was used .The resulted indicate that the incidence of readmission in COPD patients at Ang Thong Hospital 23.8%. Factors significantly related to readmission in COPD were gender (RR = 5.78) age (RR = 1.47) status (RR = 2.13) occupation (RR = 1.61) number of year to quit smoking (RR = 1.76) p < 0.001, Type of COPD (RR = 0.69), number of cigarettes per day (RR = 1.46) were also significantly related to readmission in COPD (p < 0.05). The average medical expense at each hospital stay increase up to 15,190 Baht. The average length of stay was 6.41 days. Research results can be used to improve COPD care for COPD Clinic ward ER patients and to promote health promoting smoking and cessation.