Fuhrman C, Moutengou E, Roche N, Delmas M-C
Santé publique France, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
Santé publique France, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
Rev Mal Respir. 2017 Jan;34(1):1-18. doi: 10.1016/j.rmr.2016.03.012. Epub 2016 Jun 29.
Hospitalizations for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) are increasing in France. AECOPD are associated with impaired health status and increased health care costs.
Using data from the French national health insurance information system, we studied mortality, readmissions and lung function testing after discharge among adults hospitalized for AECOPD in 2013.
The cumulative probabilities of death and readmission for EACOPD were 21% and 31% respectively. The survival was better among women, even after taking into account the other risk factors (age, previous hospitalization for AECOPD, comorbidities, exacerbation severity). In multivariate analysis, the risk of readmission was increased among men and people living in socially disadvantaged areas. A lung function testing was performed in 34% within 3 months after discharge. Female gender, advanced age, comorbidities and living in a disadvantaged area were associated with a lower frequency of lung function testing.
Women had a better prognosis than men after AECOPD hospitalization. The frequency of lung function testing after discharge remained low, particularly among women and people living in disadvantaged areas.
在法国，慢性阻塞性肺疾病急性加重（AECOPD）导致的住院人数正在增加。AECOPD与健康状况受损及医疗费用增加相关。
利用法国国家医疗保险信息系统的数据，我们研究了2013年因AECOPD住院的成年人出院后的死亡率、再入院情况及肺功能测试。
EACOPD的累积死亡概率和再入院概率分别为21%和31%。即使考虑了其他风险因素（年龄、既往因AECOPD住院、合并症、加重严重程度），女性的生存率仍更高。在多变量分析中，男性及生活在社会弱势群体地区的人群再入院风险增加。出院后3个月内，34%的患者进行了肺功能测试。女性、高龄、合并症及生活在弱势群体地区与较低的肺功能测试频率相关。
AECOPD住院后，女性的预后比男性更好。出院后肺功能测试的频率仍然较低，尤其是在女性和生活在弱势群体地区的人群中。
