Journal of Preventive Medicine and Public Health

Original Articles

Risks for Readmission Among Older Patients With Chronic Obstructive Pulmonary Disease: An Analysis Using Korean National Health Insurance Service – Senior Cohort Data: Yu Seong Hwang, Heui Sug Jo; J Prev Med Public Health. 2023;56(6):563-572. Published online November 10, 2023; DOI: https://doi.org/10.3961/jpmph.23.346

849 View
57 Download

Abstract Summary PDF: Objectives
The high readmission rate of patients with chronic obstructive pulmonary disease (COPD) has led to the worldwide establishment of proactive measures for identifying and mitigating readmissions. This study aimed to identify factors associated with readmission, as well as groups particularly vulnerable to readmission that require transitional care services.
Methods
To apply transitional care services that are compatible with Korea’s circumstances, targeted groups that are particularly vulnerable to readmission should be identified. Therefore, using the National Health Insurance Service’s Senior Cohort database, we analyzed data from 4874 patients who were first hospitalized with COPD from 2009 to 2019 to define and analyze readmissions within 30 days after discharge. Logistic regression analysis was performed to determine factors correlated with readmission within 30 days.
Results
The likelihood of readmission was associated with older age (for individuals in their 80s vs. those in their 50s: odds ratio [OR], 1.59; 95% confidence interval [CI], 1.19 to 2.12), medical insurance type (for workplace subscribers vs. local subscribers: OR, 0.84; 95% CI, 0.72 to 0.99), type of hospital (those with 300 beds or more vs. fewer beds: OR, 0.77; 95% CI, 0.66 to 0.90), and healthcare organization location (provincial areas vs. the capital area: OR, 1.66; 95% CI, 1.14 to 2.41).
Conclusions
Older patients, patients holding a local subscriber insurance qualification, individuals admitted to hospitals with fewer than 300 beds, and those admitted to provincial hospitals are suggested to be higher-priority for transitional care services.; Summary

Korean summary
국내 만성폐쇄성폐질환(COPD)의 위험도 표준화 재입원율은 12.7%로, 주요 진단군 가운데 재입원율이 가장 높다. 국민건강보험공단 노인코호트를 활용하여 COPD로 입원한 환자의 재입원 위험 요인을 파악한 결과 고령 환자, 국민건강보험 지역가입자, 300병상 미만 규모 병원 또는 도 지역 소재 병원 에 입원한 환자의 경우 재입원 위험이 높았다. 재입원 위험이 높은 환자에 대하여 우선적으로 퇴원환자관리 서비스가 제공될 필요가 있다.

Key Message
The risk-standardized readmission rate for COPD in Korea is 12.7%, the highest among major diagnostic groups. Using the National Health Insurance Service Senior Cohort to identify risk factors for the readmission of patients hospitalized with COPD, it was found that older patients, local health insurance subscribers, those hospitalized in facilities with fewer than 300 beds, or in hospitals located in provincial areas had a higher risk of readmission. It is necessary to prioritize transitional care services for patients at a high risk of readmission.

Associations of Ambient Air Pollutant Concentrations With Respiratory Symptoms and Perceived Health Status in Japanese Adults With and Without Chronic Respiratory Diseases: A Panel Study: Motoyuki Nakao, Keiko Yamauchi, Satoshi Mitsuma, Tetsuro Odaira, Hideto Obata, Yoichi Chijimatsu, Yoko Ishihara; J Prev Med Public Health. 2019;52(6):416-426. Published online November 13, 2019; DOI: https://doi.org/10.3961/jpmph.19.180

5,683 View
97 Download
3 Crossref

Objectives
In recent years, transboundary air pollution from mainland East Asia has led to growing concerns about air pollution in Japan. Air pollution is reportedly associated with the exacerbation of respiratory diseases. In this study, we assessed the effects of air pollution on respiratory symptoms and the health status of participants with and without chronic respiratory diseases.
Methods
Participants (n=2753) with and without chronic respiratory diseases who visited healthcare facilities in Japan during February from 2010 to 2015 filled out a self-report questionnaire regarding their symptoms and perceived health status. Participants were followed up during April-May and June-July.
Results
Oxidant concentrations were associated with respiratory symptoms, overall health, and quality of life (QoL). Suspended particulate matter (SPM) and particulate matter <2.5 μm levels were associated with physical fitness; SPM was also associated with QoL. Recent experience of an Asian sand dust event had a significant effect on allergic symptoms, change in health, and QoL.
Conclusions
Respiratory symptoms were more strongly affected by oxidants than by other pollutants. Significant associations of air pollutants were found with a comprehensive range of items related to perceived health status, including overall health and QoL. Although the effects of air pollutants on respiratory symptoms and health status were more apparent among patients with respiratory diseases, the adverse effects of air pollutants were significant even among participants without such conditions.

Summary

Citations

Citations to this article as recorded by

Loranthus tanakae Franch. and Sav. Attenuates Respiratory Inflammation Caused by Asian Sand Dust
Se-Jin Lee, So-Won Pak, A Yeong Lee, Woong-Il Kim, Sung-Wook Chae, Young-Kwon Cho, Je-Won Ko, Tae-Won Kim, Jong-Choon Kim, Byeong Cheol Moon, Yun-Soo Seo, In-Sik Shin
Antioxidants.2024; 13(4): 419. CrossRef
Evaluation of the impact of energy utilization and PM on respiratory health in China
Changfeng Shi, Xinhui Liu, Min Gu, Qinghua Pang, Zhen Shi
Energy & Environment.2021; 32(3): 380. CrossRef
Respiratory Effects of Exposure to Traffic-Related Air Pollutants During Exercise
Giuseppe Morici, Fabio Cibella, Annalisa Cogo, Paolo Palange, Maria R. Bonsignore
Frontiers in Public Health.2020;[Epub] CrossRef

Brief Report

National Trends in Smoking Cessation Medication Prescriptions for Smokers With Chronic Obstructive Pulmonary Disease in the United States, 2007-2012: Min Ji Kwak, Jongoh Kim, Viraj Bhise, Tong Han Chung, Gabriela Sanchez Petitto; J Prev Med Public Health. 2018;51(5):257-262. Published online August 23, 2018; DOI: https://doi.org/10.3961/jpmph.18.119

5,241 View
151 Download
7 Crossref

Abstract PDF

Objectives
Smoking cessation decreases morbidity and mortality due to chronic obstructive pulmonary disease (COPD). Pharmacotherapy for smoking cessation is highly effective. However, the optimal prescription rate of smoking cessation medications among smokers with COPD has not been systemically studied. The purpose of this study was to estimate the national prescription rates of smoking cessation medications among smokers with COPD and to examine any disparities therein.
Methods
We conducted a retrospective study using National Ambulatory Medical Care Survey data from 2007 to 2012. We estimated the national prescription rate for any smoking cessation medication (varenicline, bupropion, and nicotine replacement therapy) each year. Multiple survey logistic regression was performed to characterize the effects of demographic variables and comorbidities on prescriptions.
Results
The average prescription rate of any smoking cessation medication over 5 years was 3.64%. The prescription rate declined each year, except for a slight increase in 2012: 9.91% in 2007, 4.47% in 2008, 2.42% in 2009, 1.88% in 2010, 1.46% in 2011, and 3.67% in 2012. Hispanic race and depression were associated with higher prescription rates (odds ratio [OR], 5.15; 95% confidence interval [CI], 1.59 to 16.67 and OR, 2.64; 95% CI, 1.26 to 5.51, respectively). There were no significant differences according to insurance, location of the physician, or other comorbidities. The high OR among Hispanic population and those with depression was driven by the high prescription rate of bupropion.
Conclusions
The prescription rate of smoking cessation medications among smokers with COPD remained low throughout the study period. Further studies are necessary to identify barriers and to develop strategies to overcome them.

Summary

Citations

Citations to this article as recorded by

Cigarette Smoking and Psychiatric Illness Among Individuals with COPD: a Systematic Review
Jacob Levin, David Estey, Ester Yadgaran, Esther Perez, Isabella Plotnick, Jennifer Gittleman, Joseph Friedman, Silvana Agterberg, Sylvie Messer, Tyler Pia, Jennifer Birchwale, Joun Lee, Lisa N. Cruz, Natacha A. Gordon, Rachel S. Kashan, Jung-Yun Min, Kat
Current Addiction Reports.2024; 11(1): 19. CrossRef
Challenges and perspectives of tobacco cessation in special groups of patients and populations
Stamatoula Tsikrika, Siyu Dai, Asli Dilektasli, Paraskevi Katsaounou, Elif Dagli
Breathe.2023; 19(2): 220224. CrossRef
Influence of ethnicity on adherence to nonsurgical interventions for COPD: a scoping review
Sarah Alamer, Anna Robinson-Barella, Hamde Nazar, Andy Husband
ERJ Open Research.2023; 9(6): 00421-2023. CrossRef
How the National Ambulatory Medical Care Survey has been used to identify health disparities in the care of patients in the United States
Amanda S. Weissman, Varun Ranpariya, Alan B. Fleischer, Steven R. Feldman
Journal of the National Medical Association.2021; 113(5): 504. CrossRef
Polypharmacy among Older Individuals with COPD: Trends between 2000 and 2015 in Quebec, Canada
Caroline Sirois, Amina Ouali, Marc Simard
COPD: Journal of Chronic Obstructive Pulmonary Disease.2019; 16(3-4): 234. CrossRef
Tobacco Screening and Treatment of Patients With a Psychiatric Diagnosis, 2012–2015
Erin S. Rogers, Christina N. Wysota
American Journal of Preventive Medicine.2019; 57(5): 687. CrossRef
Secular trends in smoking in relation to prevalent and incident smoking-related disease: A prospective population-based study
Philip Tonnesen, Jacob Marott, Børge Nordestgaard, S. Bojesen, Peter Lange
Tobacco Induced Diseases.2019;[Epub] CrossRef

Original Article

The Impact of Air Pollution, Including Asian Sand Dust, on Respiratory Symptoms and Health-related Quality of Life in Outpatients With Chronic Respiratory Disease in Korea: A Panel Study: Motoyuki Nakao, Yoko Ishihara, Cheol-Hong Kim, In-Gyu Hyun; J Prev Med Public Health. 2018;51(3):130-139. Published online May 9, 2018; DOI: https://doi.org/10.3961/jpmph.18.021

8,383 View
244 Download
25 Crossref

Abstract PDF Supplementary Material

Objectives
Air pollution is a growing concern in Korea because of transboundary air pollution from mainland China. A panel study was conducted to clarify the effects of air pollution on respiratory symptoms and health-related quality of life (HR-QoL) in outpatients with and without chronic obstructive pulmonary disease (COPD) in Korea.
Methods
Patients filled out a questionnaire including self-reported HR-QoL in February and were followed up in May and July. The study was conducted from 2013 to 2015, with different participants each year. Air quality parameters were applied in a generalized estimating equation as independent variables to predict factors affecting HR-QoL.
Results
Lower physical fitness scores were associated with Asian sand dust events. Daily activity scores were worse when there were high concentrations of particulate matter (PM) less than 10 μm in diameter (PM₁₀). Lower social functioning scores were associated with high PM less than 2.5 μm in diameter and nitrogen dioxide (NO₂) concentrations. High NO₂ concentrations also showed a significant association with mental health scores. Weather-related cough was prevalent when PM₁₀, NO₂, or ozone (O₃) concentrations were high, regardless of COPD severity. High PM₁₀ concentrations were associated with worsened wheezing, particularly in COPD patients.
Conclusions
The results suggest that PM, NO₂, and O₃ cause respiratory symptoms leading to HR-QoL deterioration. While some adverse effects of air pollution appeared to occur regardless of COPD, others occurred more often and more intensely in COPD patients. The public sector, therefore, needs to consider tailoring air pollution countermeasures to people with different conditions to minimize adverse health effects.

Summary

Citations

Citations to this article as recorded by

The effects of Pycnogenol, a pine bark extract on pulmonary inflammation by Asian sand dust in mice
SW Pak, SJ Lee, Kim WI, YG Yang, YK Cho, JS Kim, TW Kim, JW Ko, JC Kim, SH Kim, IS Shin
Veterinární medicína.2024; 69(1): 8. CrossRef
Ambient air pollution and the health-related quality of life of older adults: Evidence from Shandong China
Jialong Tan, Nuo Chen, Jing Bai, Peizhe Yan, Xinyu Ma, Meiling Ren, Elizabeth Maitland, Stephen Nicholas, Wenjing Cheng, Xue Leng, Chen Chen, Jian Wang
Journal of Environmental Management.2023; 336: 117619. CrossRef
Climate change and mental health in Korea: A scoping review
Jiyoung Shin, Juha Baek, Sumi Chae
Journal of Climate Change Research.2023; 14(6-2): 989. CrossRef
Roles of the physical environment in health-related quality of life in patients with chronic obstructive pulmonary disease
Subhabrata Moitra, Maria Foraster, Ane Arbillaga-Etxarri, Alicia Marín, Anael Barberan-Garcia, Diego A. Rodríguez-Chiaradia, Eva Balcells, Maria Koreny, Pere Torán-Monserrat, Pere Vall-Casas, Robert Rodríguez-Roisin, Judith Garcia-Aymerich
Environmental Research.2022; 203: 111828. CrossRef
Ambient PM Concentrations as a Precursor of Emergency Visits for Respiratory Complaints: Roles of Deep Learning and Multi-Point Real-Time Monitoring
SungChul Seo, Choongki Min, Madeline Preston, Sanghoon Han, Sung-Hyuk Choi, So Young Kang, Dohyeong Kim
Sustainability.2022; 14(5): 2703. CrossRef
Comparative Evaluation between Particulate Matter Concentrations in Rural Villages in Wanju-gun and the Air Pollution Monitoring Network
Minji Lee, Dongphil Choi, Kyungsu Kim
The Korean Journal of Community Living Science.2022; 33(1): 139. CrossRef
Air and water health: industrial footprints of COVID-19 imposed lockdown
Vedika Gupta, Nikita Jain, Deepali Virmani, Senthilkumar Mohan, Ali Ahmadian, Massimiliano Ferrara
Arabian Journal of Geosciences.2022;[Epub] CrossRef
Effects of Non‐Photosynthetic Vegetation on Dust Emissions
Xinyue Huang, Hosein Foroutan
Journal of Geophysical Research: Atmospheres.2022;[Epub] CrossRef
Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007-2017 Korea National Health and Nutritional Examination Survey
Soo Beom Choi, Sungha Yun, Sun-Ja Kim, Yong Bum Park, Kyungwon Oh
Epidemiology and Health.2021; 43: e2021082. CrossRef
Effects of temperature, humidity, and diurnal temperature range on influenza incidence in a temperate region
Ji‐Eun Park, Woo‐Sik Son, Yeonhee Ryu, Soo Beom Choi, Okyu Kwon, Insung Ahn
Influenza and Other Respiratory Viruses.2020; 14(1): 11. CrossRef
Improved Interpolation and Anomaly Detection for Personal PM2.5 Measurement
JinSoo Park, Sungroul Kim
Applied Sciences.2020; 10(2): 543. CrossRef
Asian Sand Dust Particles Increased Pneumococcal Biofilm Formation in vitro and Colonization in Human Middle Ear Epithelial Cells and Rat Middle Ear Mucosa
Mukesh Kumar Yadav, Yoon Young Go, Sung-Won Chae, Moo Kyun Park, Jae-Jun Song
Frontiers in Genetics.2020;[Epub] CrossRef
Latest circular economy policy and direction in the Republic of Korea: Room for enhancements
Manuel Herrador, Youngtae Cho, Pil-Hwan Park
Journal of Cleaner Production.2020; 269: 122336. CrossRef
Association of air pollution with outpatient visits for respiratory diseases of children in an ex-heavily polluted Northwestern city, China
Yueling Ma, Li Yue, Jiangtao Liu, Xiaotao He, Lanyu Li, Jingping Niu, Bin Luo
BMC Public Health.2020;[Epub] CrossRef
Health Effects of Asian Dust: A Systematic Review and Meta-Analysis
Masahiro Hashizume, Yoonhee Kim, Chris Fook Sheng Ng, Yeonseung Chung, Lina Madaniyazi, Michelle L. Bell, Yue Leon Guo, Haidong Kan, Yasushi Honda, Seung-Muk Yi, Ho Kim, Yuji Nishiwaki
Environmental Health Perspectives.2020;[Epub] CrossRef
Associations between perceived environmental pollution and health-related quality of life in a Chinese adult population
Bingxue Han
Health and Quality of Life Outcomes.2020;[Epub] CrossRef
Associations Between Dust Storms and Intensive Care Unit Admissions in the United States, 2000–2015
C. S. Rublee, C. J. Sorensen, J. Lemery, T. J. Wade, E. A. Sams, E. D. Hilborn, J. L. Crooks
GeoHealth.2020;[Epub] CrossRef
Temporal-spatial variation and environmental risk assessment of pharmaceuticals in tributaries of the Han River watershed, South Korea
Jong Kwon Im, Sang Hun Kim, Hye Ran Noh, Soon Ju Yu
Science of The Total Environment.2020; 741: 140486. CrossRef
Distribution of Viable Bacteria in the Dust-Generating Natural Source Area of the Gobi Region, Mongolia
Katsuro Hagiwara, Tamaki Matsumoto, Purevsuren Tsedendamba, Kenji Baba, Buho Hoshino
Atmosphere.2020; 11(9): 893. CrossRef
Impact of the COVID-19 Outbreak on Air Quality in Korea
Ji Hoon Seo, Hyun Woo Jeon, Ui Jae Sung, Jong-Ryeul Sohn
Atmosphere.2020; 11(10): 1137. CrossRef
Marble Dust Exposure Relationship to Workers‘ Lung Conditions in Marble Industries
Ummul Khoiroh
JURNAL KESEHATAN LINGKUNGAN.2020; 12(4): 285. CrossRef
Association between ambient temperature and chronic obstructive pulmonary disease: a population-based study of the years of life lost
Guijie Luan, Peng Yin, Lijun Wang, Maigeng Zhou
International Journal of Environmental Health Research.2019; 29(3): 246. CrossRef
Influence of Particulate Matter during Seasonal Smog on Quality of Life and Lung Function in Patients with Chronic Obstructive Pulmonary Disease
Chaicharn Pothirat, Warawut Chaiwong, Chalerm Liwsrisakun, Chaiwat Bumroongkit, Athavudh Deesomchok, Theerakorn Theerakittikul, Atikun Limsukon, Pattraporn Tajaroenmuang, Nittaya Phetsuk
International Journal of Environmental Research and Public Health.2019; 16(1): 106. CrossRef
Young mothers’ acceptance of herbal food supplements: Centred on preventive health behaviour for children
Malliga Marimuthu
Journal of Retailing and Consumer Services.2019; 51: 311. CrossRef
Environmental Air Pollution and the Risk of Osteoporosis and Bone Fractures
Vu H. Nguyen
Journal of Preventive Medicine and Public Health.2018; 51(4): 215. CrossRef

First
Prev
Page of 1
Next
Last

Search