Journal
THORAX
Volume 68, Issue 10, Pages 968-970Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/thoraxjnl-2012-202365
Keywords
COPD Exacerbations
Categories
Funding
- Department of Health, London, UK
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Mortality rate has been proposed as a metric of hospital chronic obstructive pulmonary disease (COPD) care in light of variation seen in national COPD audits. Using Hospital Episode Statistics (hospital 'coding') we examined 30-day mortality after COPD hospitalisation in 150 UK hospitals during 2006-2007 and 2007-2008. Mean and median 30-day mortalities were similar each year but the coefficient of variation was > 20% and hospitals could change from a low or high quartile to the median by chance. We could not detect any reasons for hospitals being at the extremes. 30-day mortality after COPD hospitalisation is a complex variable and unlikely to be useful as a primary annual COPD metric.
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