How to Cite:
Saini, R. K., Malik, J. A., Kumar, A., & Basra, P. (2022). Assessment of risk factors for
readmission in COPD patients at tertiary care centre RMCH Bareilly. International Journal
of Health Sciences, 6(S3), 6014–6020. https://doi.org/10.53730/ijhs.v6nS3.7317
International Journal of Health Sciences ISSN 2550-6978 E-ISSN 2550-696X © 2022.
Manuscript submitted: 9 March 2022, Manuscript revised: 18 April 2022, Accepted for publication: 1 May 2022
6014
Assessment of risk factors for readmission in
COPD patients at tertiary care centre RMCH
Bareilly
Dr. Rishi Kumar Saini*
Assistant Professor, Rohilkhand Medical College, Bareilly, UP, India
Dr. Javied Ahmad Malik
Junior resident, Rohilkhand Medical College, Bareilly, UP, India
Dr. Amit Kumar
Professor, Rajshree Medical College, Bareilly, UP, India
Dr. Pulkit Basra
Senior resident, Rohilkhand Medical College, Bareilly, UP, India
Abstract---COPD is currently one of the top 3 causes of death in the
world with high morbidity and mortality. Various studies showed if
symptoms of COPD patients are not well controlled then chances of
admission & readmission has been increased. To find reasons for
readmission in such patients this study was conducted. Between
January 2020 and December 2021, we prospectively evaluated all the
patients who were readmitted for acute exacerbation of COPD at
tertiary care hospital RMCH Bareilly. Total 119 patients were enrolled
in our study. Among 119 patients 25(21.0%) patients were readmitted
for acute exacerbation of COPD. Patients discharged on LTOT among
them 16(64.0%) were readmitted. Sputum culture among readmitted
patients showed pseudomonal growth in 10(40.0%) as important risk
factor. Common Comorbidities observed as diabetes mellitus 8(32.0%),
hypertension 6(24%) of readmitted patients. Duration of hospital stay
on previous visit of more than 6 days was observed in 12(48.0%) of
readmitted patients. Average duration of hospital stays was 7+/-3
days. We found that there are multiple factors contribute to the risk of
readmission in COPD patients. Risks can be minimised by ensuring
regular follow up and proper adherence to the treatment, proper
nutrition and pulmonary rehabilitation.
Keywords---chronic obstructive pulmonary disease, long term oxygen
therapy, readmission, pulmonary rehabilitation.