Prevalence and Risk Factors Associated with Readmission within 28 Days of COPD Patients at Hua-Hin Hospital


  • Supawiwatch Rodjanasingha Division of Medicine, Hua Hin Hospital


Chronic Obstructive Pulmonary Disease ; Readmission; Factors associated



Background: Chronic Obstructive Pulmonary Disease (COPD) is the majority public health problem in Thailand for ages. COPD was also one of the most common disorders affecting inpatients at the Internal Medicine Department of HUA HIN Hospital. However COPD patients had still exacerbated although ones were recent admitted in Hospital.

Objectives: The study's purpose was to determine the prevalence of readmission and the factors associated with readmission in COPD patients admitted to HUA HIN Hospital within 28 days.

Method: The Retrospective study was conducted in HUA HIN Hospital. COPD patients diagnosed between October 1, 2020, and September 30, 2021 were included. Patients with incomplete data were excluded. The demographic data, clinical data were extracted and analyzed by      Chi-square test and multiple logistic regression.

Result: In this study, the Prevalence of readmission within 28 days among 1,225 COPD patients in HUA HIN Hospital is 13.18 %. From baseline variables, the factors associated with in-hospital Readmission included Using steroid (OR=1.39 p-value=0.044) Comorbidity (OR=6.71 p-value<0.001) Influenza Vaccination within 1 year (OR=8.05 p-value<0.001) Intensive Care Unit (ICU) setting/Intubation/Ventilators (OR=4.28 p-value=0.025)

Conclusion: Overall 1,225 COPD patients readmission rate is 13.18% that associated significantly with history of using steroids, History of influenza vaccination within 1 year, Severity of Patients who were admitted in ICU, received intubation, ventilator using.

Keywords: Chronic Obstructive Pulmonary Disease, Readmission, Factors associated

Author Biography

Supawiwatch Rodjanasingha, Division of Medicine, Hua Hin Hospital






บรรณานุกรม (bibliography)

World health organization. (2018). Chronic respiratory disease. Retrieved from HU /COPD/diagnosis/en/index.htmlU

Kerdsin, S., & Suphanchaimat, R. (2016). Outcome of service development program on within-28-days readmissions of chronic obstructive pulmonary diseases (COPD) patients: A Case Study of Somdej phrajao taksin maharaj hospital, Tak province. Journal of Health Science, 25(2),246-254.

จเร บุญเรือง, จอม สุวรรณโณ, เจนเนตร พลเพชร, เรวดี เพชรศิราสัณห์, และลัดดา เถียมวงศ์. ปัจจัยทำนายการกำเริบฉับพลันรุนแรงใน ผู้ป่วยปอดอุดกั้นเรื้อรัง.วารสารพยาบาล โรคหัวใจและทรวงอก. (2560); 28(1): 111-128.

รายงานการตรวจราชการระดับจังหวัด ปีงบประมาณ พ.ศ. 2562.คณะที่ 2 การ พัฒนาระบบบริการ (Service Plan) หัวข้อ โรคปอดอุดกั้นเรื้อรัง (NCD:COPD) จังหวัด ประจวบคีรีขันธ์ เขตสุขภาพที่ 5 .วันที่ 25 มิถุนายน 2562.

Harries, T.H., Thornton, H., Crichton, S. et al. Hospital readmissions for COPD: a retrospective longitudinal study. npj Prim Care Resp Med 27, 31 (2017)

Chia Wei Kong, Tom M.A. Wilkinson. Predicting and preventing hospital readmission for exacerbations of COPD.ERJ Open Research Apr 2020, 6 (2) 00325-2019

Kanokrat Palanupap, Kuntida Wacharamaneekan, Thidanai Khameiad,Pichit Treetrisit, Phenphan Kantasa, Kanokrot Chowjiriyapan, Yongyuth Chumkomlue, Pannathon Chachvarat, Verapol Chandeying, Risk factors associated 28-day readmission for a chronic obstructive pulmonary disease Exacerbation, Naresuan Phayao J. 2016;9(2):13-16

Pichet Puapankijcharoen, Emergency Room Visit of Patients with Chronic Obstructive Pulmonary Disease at Nakhonnayok Hospital,Thai Pharmaceutical and Health Science Journal, Vol. 3 No. 1, Jan. – Apr. 2008

Usa Iamlaor, Yaowares Saisawang, Piyaluck Chaisuwan and Aree Kopattanakit, Incidence and Risk Factors Associated with Readmission within 28 Days of COPD Patients at Ang Thong Hospital, EAU Heritage Journal Science and Technology; Vol. 12 No. 2 May-August 2018.

Garcia-Aymerich, J., Farrero, E., Félez, M. A., Izquierdo, J., Marrades, R. M., &Antó, J. M. (2003). Risk factors of readmission to hospital for a COPD exacerbation: A prospective study. Thorax,58(2), 100-105.

Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, Celli BR, Chen R, Decramer M, Fabbri LM, Frith P, Halpin DM, López Varela MV, Nishimura M, Roche N, Rodriguez-Roisin R, Sin DD, Singh D, Stockley R, Vestbo J, Wedzicha JA, Agustí A. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report. GOLD Executive Summary. Am J Respir Crit Care Med. 2017 Mar 1;195(5):557- 582. doi: 10.1164/rccm.201701- 0218PP. PMID: 281289




How to Cite

Rodjanasingha, S. . (2023). Prevalence and Risk Factors Associated with Readmission within 28 Days of COPD Patients at Hua-Hin Hospital. Hua Hin Medical Journal, 2(3), 1–14. Retrieved from



Original article