Investigation of nutrition status and analysis of 180-day readmission factors in elderly hospitalized patients with COPD

Aging Clin Exp Res. 2024 Aug 1;36(1):155. doi: 10.1007/s40520-024-02820-9.

Abstract

Background and objective: Malnutrition is prevalent among elderly patients with COPD, who also experience a high rate of readmission. Therefore, it is imperative to investigate the nutrition status of these patients, identify risk factors for readmission, and offer insights for clinical management. To achieve this, a cross-sectional study was conducted to investigate factors influencing nutrition status using GLIM criteria and explore the 180-day readmission factors among hospitalized elderly COPD patients.

Methords and results: The data were collected from a hospital in Southwest China, encompassing a cohort of 319 eligible patients. Among elderly hospitalized COPD patients, the prevalence of malnutrition was 49.53% (158/319). Multivariate logistic regression revealed malnutrition (OR = 3.184), very severe airway obstruction (OR = 3.735), and Number of comorbidities ≥ 3 (OR = 5.754) as significant risk factors for 180-day readmission.

Conclusions: These findings suggest that malnutrition is a prevalent issue among elderly hospitalized patients with COPD and constitutes one of the risk factors contributing to the 180-day readmission rate. Therefore, timely identification and treatment for malnourished patients are crucial.

Keywords: 180-day readmission rate; COPD; Elderly; GLIM; Malnutrition.

MeSH terms

  • Aged
  • Aged, 80 and over
  • China / epidemiology
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Malnutrition* / epidemiology
  • Nutritional Status*
  • Patient Readmission* / statistics & numerical data
  • Prevalence
  • Pulmonary Disease, Chronic Obstructive* / epidemiology
  • Risk Factors