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Poster Walks: Poster Walk 5: Epidemiology/Rehabilitation |

P194 Chronic obstructive pulmonary disease hospitalizations and emergency department visits among queen Emma clinic patients: a quality improvement initiative

J.R. Go; J.P. Sy; A. Santos; B.A. Soll; J. Davis; R. Fang
Author and Funding Information

1Department of Medicine

2University of Hawaii John A. Burns School of Medicine, Honolulu, United States


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A93. doi:10.1016/j.chest.2017.04.098
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Introduction: There are several known predictors of Chronic Obstructive Pulmonary Disease (COPD) exacerbations. Our clinical observations suggest that among these certain predictors: increasing age, coronary artery disease (CAD), heart failure (HF), diabetes mellitus (DM), and psychiatric diagnoses, may be associated with Emergency Department (ED) visits, hospitalizations, and readmissions among Queen Emma Clinics (QEC) COPD patients.

Methods: All established patients of QEC during the month of July 2015 with a diagnosis of chronic bronchitis, emphysema, asthma, or COPD were identified. A Microsoft Excel spreadsheet was constructed and populated with patient demographics, including: age, sex, CAD, HF, DM [including hemoglobin A1c (HbA1c)], and psychiatric diagnosis. Outcome measures were respiratory related ED visits, hospitalizations, and readmissions. The observational study period was from July 1, 2015 to June 30, 2016. Univariate analysis of association between potential predictors and ED visits, hospitalizations, and readmissions was performed.

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