TỶ LỆ TÁI NHẬP VIỆN LẦN ĐẦU TRONG 90 NGÀY VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ĐỢT CẤP BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2023-2025

Abstract

Background: The readmission following hospitalization for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) and other causes is a common issue in patients with COPD. This condition increases the burden of disease, mortality and remains a challenge in clinical practice. Objectives: To determine the readmission rate due to the first time and some related factors in patients with acute exacerbation of chronic obstructive pulmonary disease. Materials and methods: A cross-sectional descriptive study was conducted on 110 admissions for AECOPD patients at the Respiratory Department, Can Tho central general Hospital from 2023 to 2025. The research content includes clinical and subclinical features, follow-up, with a record of readmission within 90 days after discharge. Results: 110 patients participated in the study, in which male accounted for 95.5%, had a mean age of 69.86 ± 8.75 years. Median CRP was 1.34 mg/dL. Median blood eosinophil concentration was 19.01 cells/mm³. The readmission rate within 90 days for AECOPD, it was 12.7%. Among the clinical characteristics, a BMI ≤ 20 kg/m² (p = 0.03), an mMRC score ≥ 2 points (p = 0,005), a CAT score ≥ 10 points (p = 0,002), group E (p = 0,001) and a history of an exacerbation in the past 12 months (p = 0.018) were statistically associated with 90-day readmission. Conclusion: Nearly one-third of patients were readmitted within 90 days dur to AECOPD (12.7%). The average time to first readmission in group E was shorter than in group A, B. The factors associated with readmission include BMI ≤ 20 kg/m², an mMRC score ≥ 2 points, a CAT score ≥ 10 points, group E, and a history of an exacerbation in the past 12 months.