Influence of deprivation on health care use, health care costs, and mortality in COPD.

ABSTRACT:

Background and aim

Deprivation is associated with the incidence of COPD, but its independent impact on clinical outcomes is still relatively unknown. This study aimed to explore the influence of deprivation on health care use, costs, and survival.

Methods

A total of 424 outpatients with COPD were assessed for deprivation across two hospitals. The English Index of Multiple Deprivation (IMD) was used to establish a deprivation score for each patient. The relationship between deprivation and 1-year health care use, costs, and mortality was examined, controlling for potential confounding variables (age, malnutrition risk, COPD severity, and smoking status).

Results

IMD was significantly and independently associated with emergency hospitalization (β-coefficient 0.022, SE 0

SUBMITTER: Collins PF 

PROVIDER: S-EPMC5914553 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature