FitzGerald, J. M., Haddon, J. M., Bradley-Kennedy, C., Kuramoto, L., Ford, G. T., Arndt, S., Axler, J., Barclay, S., Bartlett, J., Bayly, K., Bennett, R., Bernstein, I., Brankston, E., Chapman, K., Coyle, S., Crichton, T., Dyck, G., Faiers, A., Fay, D., ... Zidel, B. (2007). Resource use study in COPD (RUSIC): A prospective study to quantify the effects of COPD exacerbations on health care resource use among COPD patients. Canadian Respiratory Journal, 14(3), 145-152. https://doi.org/10.1155/2007/921914
FitzGerald, JM, Haddon, JM, Bradley-Kennedy, C, Kuramoto, L, Ford, GT, Arndt, S, Axler, J, Barclay, S, Bartlett, J, Bayly, K, Bennett, R, Bernstein, I, Brankston, E, Chapman, K, Coyle, S, Crichton, T, Dyck, G, Faiers, A, Fay, D, Field, S, Fox, G, Gauthier, LM, Gracey, W, Hauptman, R, Hernandez, P, Ho, K, Hoffstein, V, Kanani, S, Kaplan, A, Leblanc, P, Leung, A, Lummack, K, Man, SFP, Martel, JM, O'Donnell, D, O'Mahony, M, Ouellet, JP, Owsianik, W, Papp, E, Papp, K, Piechota, P, Quinn, G, Soowamber, M, Spirou, C, Wilcox, P, Swales, W, Teplinsky, A, Tung, F, Turchen, B, Tweel, D, Tytus, R & Zidel, B 2007, 'Resource use study in COPD (RUSIC): A prospective study to quantify the effects of COPD exacerbations on health care resource use among COPD patients', Canadian Respiratory Journal, vol. 14, no. 3, pp. 145-152. https://doi.org/10.1155/2007/921914
@article{aa0ae38c836a4a7e80e90216563d1d1a,
title = "Resource use study in COPD (RUSIC): A prospective study to quantify the effects of COPD exacerbations on health care resource use among COPD patients",
abstract = "Background: There is increasing interest in health care resource use (HRU) in Canada, particularly in resources associated with acute exacerbations of chronic obstructive pulmonary disease (COPD). Objective: To identify HRU due to exacerbations of COPD. Methods: A 52-week, multicentre, prospective, observational study of HRU due to exacerbations in patients with moderate to severe COPD was performed. Patients were recruited from primary care physicians and respirologists in urban and rural centres in Canada. Results: In total, 524 subjects (59% men) completed the study. Their mean age was 68.2±9.4 years, with a forced expiratory volume in 1 s of 1.01±0.4 L. Patients had significant comorbidities. There were 691 acute exacerbations of COPD, which occurred in 53% of patients: 119 patients (23%) experienced one acute exacerbation, 70 patients (13%) had two acute exacerbations and 89 patients (17%) had three or more acute exacerbations. Seventy-five patients were admitted to hospital, with an average length of stay of 13.2 days. Fourteen of the patients spent time in an intensive care unit (average length of stay 5.6 days). Factors associated with acute exacerbations of COPD included lower forced expiratory volume in 1 s (P<0.001), high number of respiratory medications prescribed (P=0.037), regular use of oral corticosteroids (OCSs) (P=0.008) and presence of depression (P<0.001). Of the 75 patients hospitalized, only 53 received OCSs, four received referral for rehabilitation and 15 were referred for home care. Conclusions: The present study showed a high prevalence of COPD exacerbations, which likely impacted on HRU. There was evidence of a lack of appropriate management of exacerbations, especially with respect to use of OCSs, and referral for pulmonary rehabilitation and home care.",
author = "FitzGerald, {J. Mark} and Haddon, {Jennifer M.} and Carole Bradley-Kennedy and Lisa Kuramoto and Ford, {Gordon T.} and Susanne Arndt and John Axler and Spencer Barclay and John Bartlett and Kenneth Bayly and Ronald Bennett and Ira Bernstein and Edwin Brankston and Kenneth Chapman and Stephen Coyle and Tom Crichton and Gordon Dyck and Alan Faiers and Didier Fay and Stephen Field and George Fox and Gauthier, {Louis Marie} and William Gracey and Robert Hauptman and Paul Hernandez and Kay Ho and Victor Hoffstein and Subodh Kanani and Alan Kaplan and Pierre Leblanc and Alex Leung and Keith Lummack and Man, {S. F.Paul} and Martel, {Jean Marie} and Denis O'Donnell and Michael O'Mahony and Ouellet, {Jean Pascal} and Walter Owsianik and Edward Papp and Kim Papp and Paul Piechota and Gerard Quinn and Mohunlall Soowamber and Chris Spirou and Pearce Wilcox and William Swales and Avery Teplinsky and Frances Tung and Barry Turchen and Douglas Tweel and Richard Tytus and Brian Zidel",
year = "2007",
month = apr,
doi = "10.1155/2007/921914",
language = "English",
volume = "14",
pages = "145--152",
journal = "Canadian Respiratory Journal",
issn = "1198-2241",
publisher = "Pulsus Group Inc.",
number = "3",
}
TY - JOUR
T1 - Resource use study in COPD (RUSIC)
T2 - A prospective study to quantify the effects of COPD exacerbations on health care resource use among COPD patients
AU - FitzGerald, J. Mark
AU - Haddon, Jennifer M.
AU - Bradley-Kennedy, Carole
AU - Kuramoto, Lisa
AU - Ford, Gordon T.
AU - Arndt, Susanne
AU - Axler, John
AU - Barclay, Spencer
AU - Bartlett, John
AU - Bayly, Kenneth
AU - Bennett, Ronald
AU - Bernstein, Ira
AU - Brankston, Edwin
AU - Chapman, Kenneth
AU - Coyle, Stephen
AU - Crichton, Tom
AU - Dyck, Gordon
AU - Faiers, Alan
AU - Fay, Didier
AU - Field, Stephen
AU - Fox, George
AU - Gauthier, Louis Marie
AU - Gracey, William
AU - Hauptman, Robert
AU - Hernandez, Paul
AU - Ho, Kay
AU - Hoffstein, Victor
AU - Kanani, Subodh
AU - Kaplan, Alan
AU - Leblanc, Pierre
AU - Leung, Alex
AU - Lummack, Keith
AU - Man, S. F.Paul
AU - Martel, Jean Marie
AU - O'Donnell, Denis
AU - O'Mahony, Michael
AU - Ouellet, Jean Pascal
AU - Owsianik, Walter
AU - Papp, Edward
AU - Papp, Kim
AU - Piechota, Paul
AU - Quinn, Gerard
AU - Soowamber, Mohunlall
AU - Spirou, Chris
AU - Wilcox, Pearce
AU - Swales, William
AU - Teplinsky, Avery
AU - Tung, Frances
AU - Turchen, Barry
AU - Tweel, Douglas
AU - Tytus, Richard
AU - Zidel, Brian
PY - 2007/4
Y1 - 2007/4
N2 - Background: There is increasing interest in health care resource use (HRU) in Canada, particularly in resources associated with acute exacerbations of chronic obstructive pulmonary disease (COPD). Objective: To identify HRU due to exacerbations of COPD. Methods: A 52-week, multicentre, prospective, observational study of HRU due to exacerbations in patients with moderate to severe COPD was performed. Patients were recruited from primary care physicians and respirologists in urban and rural centres in Canada. Results: In total, 524 subjects (59% men) completed the study. Their mean age was 68.2±9.4 years, with a forced expiratory volume in 1 s of 1.01±0.4 L. Patients had significant comorbidities. There were 691 acute exacerbations of COPD, which occurred in 53% of patients: 119 patients (23%) experienced one acute exacerbation, 70 patients (13%) had two acute exacerbations and 89 patients (17%) had three or more acute exacerbations. Seventy-five patients were admitted to hospital, with an average length of stay of 13.2 days. Fourteen of the patients spent time in an intensive care unit (average length of stay 5.6 days). Factors associated with acute exacerbations of COPD included lower forced expiratory volume in 1 s (P<0.001), high number of respiratory medications prescribed (P=0.037), regular use of oral corticosteroids (OCSs) (P=0.008) and presence of depression (P<0.001). Of the 75 patients hospitalized, only 53 received OCSs, four received referral for rehabilitation and 15 were referred for home care. Conclusions: The present study showed a high prevalence of COPD exacerbations, which likely impacted on HRU. There was evidence of a lack of appropriate management of exacerbations, especially with respect to use of OCSs, and referral for pulmonary rehabilitation and home care.
AB - Background: There is increasing interest in health care resource use (HRU) in Canada, particularly in resources associated with acute exacerbations of chronic obstructive pulmonary disease (COPD). Objective: To identify HRU due to exacerbations of COPD. Methods: A 52-week, multicentre, prospective, observational study of HRU due to exacerbations in patients with moderate to severe COPD was performed. Patients were recruited from primary care physicians and respirologists in urban and rural centres in Canada. Results: In total, 524 subjects (59% men) completed the study. Their mean age was 68.2±9.4 years, with a forced expiratory volume in 1 s of 1.01±0.4 L. Patients had significant comorbidities. There were 691 acute exacerbations of COPD, which occurred in 53% of patients: 119 patients (23%) experienced one acute exacerbation, 70 patients (13%) had two acute exacerbations and 89 patients (17%) had three or more acute exacerbations. Seventy-five patients were admitted to hospital, with an average length of stay of 13.2 days. Fourteen of the patients spent time in an intensive care unit (average length of stay 5.6 days). Factors associated with acute exacerbations of COPD included lower forced expiratory volume in 1 s (P<0.001), high number of respiratory medications prescribed (P=0.037), regular use of oral corticosteroids (OCSs) (P=0.008) and presence of depression (P<0.001). Of the 75 patients hospitalized, only 53 received OCSs, four received referral for rehabilitation and 15 were referred for home care. Conclusions: The present study showed a high prevalence of COPD exacerbations, which likely impacted on HRU. There was evidence of a lack of appropriate management of exacerbations, especially with respect to use of OCSs, and referral for pulmonary rehabilitation and home care.
UR - http://www.scopus.com/inward/record.url?scp=34249931238&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34249931238&partnerID=8YFLogxK
U2 - 10.1155/2007/921914
DO - 10.1155/2007/921914
M3 - Article
C2 - 17464378
AN - SCOPUS:34249931238
SN - 1198-2241
VL - 14
SP - 145
EP - 152
JO - Canadian Respiratory Journal
JF - Canadian Respiratory Journal
IS - 3
ER -