2.50
Hdl Handle:
http://hdl.handle.net/10755/161599
Type:
Presentation
Title:
Gastric Symptoms and Readmission of COPD Patients
Abstract:
Gastric Symptoms and Readmission of COPD Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Narsavage, Georgia, PhD
P.I. Institution Name:Case Western Reserve University
Title:Associate Professor
Contact Address:Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216.368.6304
Rationale: Identifying factors related to risk for hospital readmission in patients with COPD are important for home care nursing assessment. Increased incidence of Gastrointestinal (GI) complications have been reported in patients with COPD due to hypoxia, smoking, and bronchodilators (Singhal et al, Indian J Gastroenterol 1987; 6:77-79). Purpose: This study examined symptoms reported as reasons for readmissions after index hospital discharge following exacerbation of COPD. Method: This was a one-year retrospective review of records using the Hospital Readmission Inventory (Anderson et al., Nursing Research, 1999; 48: 299-307. Study patients were discharged from 5 community hospitals. Sample: 56% female, mean age 73.3 yrs (SD 9 yrs); FEV1 0.94 (SD 0.5 L). Results: New problems constituted 44% of readmissions; major readmission symptoms were respiratory (74.5%), cardiac (31.8%), and GI (17.8%). Pack years smoked related to the second rehospitalization (p=.034). GI symptoms were significantly related to second, third, fourth and fifth readmissions (p=.052, <.0001, .034, and .0001 respectively). Patient use of intermediate-acting glucocorticoids and phosphodiesterase inhaled bronchodilators also correlated (p=.017 and .013) with the first readmission. Anticholinergic and beta2agonist bronchodilators were not significantly correlated with readmissions. Conclusion: In addition to respiratory and cardiac symptoms, nursing assessment of patients with COPD after hospitalization should monitor potential rehospitalization risk factors of GI symptoms, steroid medication use and smoking history. Further research such as a randomized trial is needed to confirm these findings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleGastric Symptoms and Readmission of COPD Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161599-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Gastric Symptoms and Readmission of COPD Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Narsavage, Georgia, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216.368.6304</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gln2@po.cwru.edu</td></tr><tr><td colspan="2" class="item-abstract">Rationale: Identifying factors related to risk for hospital readmission in patients with COPD are important for home care nursing assessment. Increased incidence of Gastrointestinal (GI) complications have been reported in patients with COPD due to hypoxia, smoking, and bronchodilators (Singhal et al, Indian J Gastroenterol 1987; 6:77-79). Purpose: This study examined symptoms reported as reasons for readmissions after index hospital discharge following exacerbation of COPD. Method: This was a one-year retrospective review of records using the Hospital Readmission Inventory (Anderson et al., Nursing Research, 1999; 48: 299-307. Study patients were discharged from 5 community hospitals. Sample: 56% female, mean age 73.3 yrs (SD 9 yrs); FEV1 0.94 (SD 0.5 L). Results: New problems constituted 44% of readmissions; major readmission symptoms were respiratory (74.5%), cardiac (31.8%), and GI (17.8%). Pack years smoked related to the second rehospitalization (p=.034). GI symptoms were significantly related to second, third, fourth and fifth readmissions (p=.052, &lt;.0001, .034, and .0001 respectively). Patient use of intermediate-acting glucocorticoids and phosphodiesterase inhaled bronchodilators also correlated (p=.017 and .013) with the first readmission. Anticholinergic and beta2agonist bronchodilators were not significantly correlated with readmissions. Conclusion: In addition to respiratory and cardiac symptoms, nursing assessment of patients with COPD after hospitalization should monitor potential rehospitalization risk factors of GI symptoms, steroid medication use and smoking history. Further research such as a randomized trial is needed to confirm these findings.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:02Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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