Prompt initiation of maintenance treatment following a COPD exacerbation: outcomes in a large insured population

• DOI: 10.2147/copd.s102570
• Publication Date: 2016-06-09T02:50:34Z
• Authors: Anna D’Souza Cout...; Tasneem Lokhandwala; Robert Boggs; Anand Dalal; Pamela Landsman-B...; Julie Priest; David Stempel
• Keywords: Copd exacerbation

Background: The aim of this study was to extend previous findings and determine the value prompt initiation maintenance treatment (MT) following COPD exacerbations requiring hospitalization or an emergency department (ED) visit. Patients methods: Administrative claims data (collected between January 1, 2009 June 30, 2012) from employer-sponsored commercially insured population were retrospectively used identify patients with a exacerbation resulting in ED initiating approved MT for within 30 days discharge/diagnosis (prompt) compared those 31–180 (delayed). COPD-related total, medical, prescription drug costs during 1-year follow-up period evaluated using semilog ordinary least square regressions, controlling baseline characteristics plus year. odds number subsequent delayed cohorts logistic regression zero-inflated negative binomial models, respectively. Results: A total 6,521 visit included, whom 4,555 received 1,966 MT. Adjusted medical significantly lower than (US$3,931 vs US$4,857 US$2,327 US$3,087, respectively; both P <0.010), as (US$1,526 US$1,683, <0.010) period. receiving 68% more likely have 80% Conclusion: Prompt associated significant reduction year initiation. Keywords: COPD, treatment, costs,