TÁI NHẬP VIỆN TRONG 90 NGÀY VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH ĐỢT CẤP BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TẠI BỆNH VIỆN ĐA KHOA KHU VỰC CÁI NƯỚC NĂM 2023-2024

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a global public health issue with increasing morbidity and mortality rates. In Vietnam, COPD remains a significant concern, particularly due to the high rate of hospital readmissions. Objective: This study aimed to determine the 90-day readmission rate and identify associated factors among patients with COPD at Cai Nuoc Regional General Hospital during the period of 2023–2024. Methods: A cross-sectional study was conducted on 217 patients diagnosed with COPD. Epidemiological characteristics, medical history, disease status, and other relevant factors were collected and analyzed using STATA version 18.0. Results: The 90-day readmission rate was 34.56%. Multivariable logistic regression analysis identified several factors significantly associated with increased risk of readmission, including older age (≥ 60 years), low body mass index (BMI < 18.5), high COPD Assessment Test (CAT) score (≥ 20), disease duration > 5 years, prolonged hospital stay, presence of comorbidities, and multiple hospitalizations in the previous 12 months. Conversely, the use of inhaled corticosteroids and regular follow-up visits were associated with a reduced risk of readmission. Conclusion: The findings underscore the importance of managing modifiable risk factors to reduce readmission rates in COPD patients. Early intervention strategies should be implemented, particularly for high-risk groups such as elderly patients, those with low BMI, comorbidities, and frequent prior hospitalizations.