Educational level, marital status and sex as social gender discharge determinants in chronic obstructive pulmonary disease exacerbations: a time-to-event analysis

The aim of this study is to evaluate, in patients hospitalized for COPD exacerbation, how educational level, marital status and sex (social gender indicators) affect the prognosis (main effects) and how interact with each other in affecting prognosis (effect modification). Data for all patients disc...

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Bibliographic Details
Published in:Monaldi archives for chest disease 2019-05, Vol.89 (2)
Main Authors: Giannico, Orazio Valerio, Ambrosino, Immacolata, Patano, Francesco, Germinario, Cinzia, Quarto, Michele, Moretti, Anna Maria
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Chronic obstructive pulmonary disease
Disease Progression
educational level
Educational Status
Female
female caregiver
gender differences
Hospital Mortality
Humans
Length of Stay - statistics & numerical data
Male
Marital Status
Middle Aged
Patient Discharge - statistics & numerical data
Pulmonary Disease, Chronic Obstructive - therapy
Retrospective Studies
Sex Factors
Symptom Flare Up
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Summary:The aim of this study is to evaluate, in patients hospitalized for COPD exacerbation, how educational level, marital status and sex (social gender indicators) affect the prognosis (main effects) and how interact with each other in affecting prognosis (effect modification). Data for all patients discharged with a principal diagnosis of COPD with exacerbation (ICD-9 491.21) by Apulian facilities between 2013 and 2017 were retrieved from the National Hospital Discharge Register Database. A multivariable multi-stratified frailty cox proportional-hazard regression with interaction terms was fitted in order to assess the effect of sex, educational level and marital status on the time-to-event for home discharge through the estimation of hazard ratios. Adjusting for several hospitalization characteristics and for healthcare facilities, low educational level (
ISSN:1122-0643
2532-5264
DOI:10.4081/monaldi.2019.1017