Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
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Short Communication
Volume 14, Number 9, September 2022, pages 388-393
Prescribing Patterns for Long-Acting Inhaled Bronchodilators Among Rural Adults With Chronic Obstructive Pulmonary Disease
Figure
Tables
Ever prescribed LABD (N = 93) | Never prescribed LABD (N = 7) | P-value | |
---|---|---|---|
SD: standard deviation; COPD: chronic obstructive pulmonary disease; ED: emergency department; LABD: long-acting inhaled bronchodilator. | |||
Age, mean ± SD | 65.2 ± 10.3 | 64.1 ± 8.6 | 0.7656 |
Male, % | 57 (61.3) | 4 (57.1) | 0.9999 |
Body mass index, mean ± SD | 29.6 ± 8.1 | 32.8 ± 5.7 | 0.1950 |
Race | 0.2500 | ||
White | 93 (100) | 6 (85.7) | |
Ethnicity | |||
Hispanic | 0 | 1 (14.3) | |
Insurance | 0.3703 | ||
Medicare | 51 (54.8) | 3 (42.9) | |
Medicaid | 16 (17.2) | 2 (28.6) | |
Dual eligible | 14 (15.1) | 0 | |
Private | 12 (12.9) | 2 (28.6) | |
Smoking status | 0.3300 | ||
Never | 4 (4.3) | 1 (16.7) | |
Current | 35 (37.6) | 2 (33.3) | |
Former | 54 (58.1) | 3 (50.0) | |
Source of COPD care (not mutually exclusive) | |||
Primary care | 86 (92.5) | 7 (100) | 0.9999 |
Pulmonology | 66 (71.0) | 1 (14.3) | 0.0049 |
ED | 31 (34.4) | 0 | 0.0933 |
COPD-related ED visits/hospitalizations (April 1, 2017 - December 31, 2019) | 0.7329 | ||
0 | 66 (71.0) | 7 (100) | |
1 | 9 (9.7) | ||
2 | 4 (4.3) | ||
3+ | 14 (15.1) |
Ever prescribed LABD (N = 388) | Never prescribed LABD (N = 73) | P-value | |
---|---|---|---|
SD: standard deviation; COPD: chronic obstructive pulmonary disease; LABD: long-acting inhaled bronchodilator. | |||
Age, mean ± SD | 69.6 ± 10.7 | 72.6 ± 11.5 | 0.0413 |
Male, % | 178 (45.9) | 36 (49.3) | 0.5889 |
Body mass index, mean ± SD | 29.1 ± 9.5 | 32.6 ± 13.9 | 0.0453 |
Race | 0.4195 | ||
White | 384 (99.0) | 72 (98.6) | |
Black or African American | 2 (0.5) | 0 | |
Ethnicity | |||
Hispanic | 1 (0.3) | 0 | |
Insurance | 0.3465 | ||
Medicare | 230 (59.3) | 46 (63.0) | |
Medicaid | 46 (11.9) | 4 (5.5) | |
Dual eligible | 91 (23.5) | 17 (23.3) | |
Private | 18 (4.6) | 6 (8.2) | |
Uninsured | 3 (0.8) | 0 | |
Smoking status | 0.0122 | ||
Never | 24 (6.2) | 9 (12.3) | |
Current | 145 (37.4) | 18 (24.7) | |
Former | 219 (56.4) | 45 (61.6) | |
Total number of COPD-related hospitalizations (April 1, 2017 - December 31, 2019) | 597 | 89 | |
Total person-time (days) | 204,389 | 40,229 | |
Incidence density | 0.0029 | 0.0022 | 0.0123 |
Rate ratio yes/no LABD | 1.32 |