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
Journal website https://www.jocmr.org

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

Figure 1.
Figure 1. Study flow diagrams. The arrows depict the study flow for the two separate analyses.

Tables

Table 1. Characteristics of Patients With Confirmed COPD by LABD Prescription Status (N = 100)
 
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 ± SD65.2 ± 10.364.1 ± 8.60.7656
Male, %57 (61.3)4 (57.1)0.9999
Body mass index, mean ± SD29.6 ± 8.132.8 ± 5.70.1950
Race0.2500
  White93 (100)6 (85.7)
Ethnicity
  Hispanic01 (14.3)
Insurance0.3703
  Medicare51 (54.8)3 (42.9)
  Medicaid16 (17.2)2 (28.6)
  Dual eligible14 (15.1)0
  Private12 (12.9)2 (28.6)
Smoking status0.3300
  Never4 (4.3)1 (16.7)
  Current35 (37.6)2 (33.3)
  Former54 (58.1)3 (50.0)
Source of COPD care (not mutually exclusive)
  Primary care86 (92.5)7 (100)0.9999
  Pulmonology66 (71.0)1 (14.3)0.0049
  ED31 (34.4)00.0933
COPD-related ED visits/hospitalizations (April 1, 2017 - December 31, 2019)0.7329
  066 (71.0)7 (100)
  19 (9.7)
  24 (4.3)
  3+14 (15.1)

 

Table 2. Characteristics of Patients Hospitalized for COPD During the Study Period by LABD Prescription Status (N = 461)
 
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 ± SD69.6 ± 10.772.6 ± 11.50.0413
Male, %178 (45.9)36 (49.3)0.5889
Body mass index, mean ± SD29.1 ± 9.532.6 ± 13.90.0453
Race0.4195
  White384 (99.0)72 (98.6)
  Black or African American2 (0.5)0
Ethnicity
  Hispanic1 (0.3)0
Insurance0.3465
  Medicare230 (59.3)46 (63.0)
  Medicaid46 (11.9)4 (5.5)
  Dual eligible91 (23.5)17 (23.3)
  Private18 (4.6)6 (8.2)
  Uninsured3 (0.8)0
Smoking status0.0122
  Never24 (6.2)9 (12.3)
  Current145 (37.4)18 (24.7)
  Former219 (56.4)45 (61.6)
Total number of COPD-related hospitalizations (April 1, 2017 - December 31, 2019)59789
Total person-time (days)204,38940,229
Incidence density0.00290.00220.0123
Rate ratio yes/no LABD1.32