2020
National trends in palliative care use among older adults with cardiopulmonary and malignant conditions
Feder SL, Jean RA, Bastian L, Akgün KM. National trends in palliative care use among older adults with cardiopulmonary and malignant conditions. Heart & Lung 2020, 49: 370-376. PMID: 32115242, PMCID: PMC7305962, DOI: 10.1016/j.hrtlng.2020.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansNeoplasmsPalliative CarePatient DischargePulmonary Disease, Chronic ObstructiveReferral and ConsultationUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care
2019
Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation
Bade BC, DeRycke EC, Ramsey C, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Brandt C, Bastian LA, Akgün KM. Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation. Annals Of The American Thoracic Society 2019, 16: 707-714. PMID: 30822098, PMCID: PMC6543475, DOI: 10.1513/annalsats.201809-615oc.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAgedAsthmaBronchodilator AgentsComorbidityDisease ProgressionDrug CombinationsFemaleGlucocorticoidsHospitalizationHumansIntensive Care UnitsLogistic ModelsMaleMental DisordersMiddle AgedMultivariate AnalysisMuscarinic AntagonistsPatient ReadmissionPulmonary Disease, Chronic ObstructiveRespiration, ArtificialRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokingSmoking CessationSubstance-Related DisordersTobacco Use Cessation DevicesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPulmonary function testingCOPD exacerbationsSmoking statusReadmission riskFunction testingPsychiatric comorbidityChronic obstructive pulmonary disease exacerbationsChronic obstructive pulmonary disease (COPD) prevalenceObstructive pulmonary disease exacerbationsMultivariate logistic regression modelPulmonary disease exacerbationsNicotine replacement therapyRetrospective observational analysisTreatment of COPDDiagnosis of drugHigh smoking ratesLogistic regression modelsComprehensive case managementAntimuscarinic useDisease exacerbationReadmission ratesPrimary outcomeMedication prescriptionsCorticosteroid inhalersPrimary care
2017
Association between length of stay and readmission for COPD.
Rinne ST, Graves MC, Bastian LA, Lindenauer PK, Wong ES, Hebert PL, Liu CF. Association between length of stay and readmission for COPD. The American Journal Of Managed Care 2017, 23: e253-e258. PMID: 29087152, PMCID: PMC6007823.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsComorbidityHumansLength of StayPatient ReadmissionPulmonary Disease, Chronic ObstructiveRegression AnalysisSeverity of Illness IndexSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsConceptsLonger LOSLength of stayHospital LOSPatient levelHospital levelChronic Obstructive Pulmonary Disease ReadmissionsShorter LOSRisk of readmissionAssociation of patientVeterans Affairs hospitalTransitional care practicesCause readmissionCOPD hospitalizationsCOPD readmissionsOdds ratioObservational studyReadmissionMultivariable regressionHigh riskCare practicesCOPDPatientsStayHospitalAssociationImpact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease
Rinne ST, Elwy AR, Bastian LA, Wong ES, Wiener RS, Liu CF. Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease. Medical Care 2017, 55: s20-s25. PMID: 28288076, DOI: 10.1097/mlr.0000000000000708.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDelivery of Health CareHospitalizationHumansInsurance Claim ReviewMiddle AgedMulti-Institutional SystemsPatient ReadmissionPulmonary Disease, Chronic ObstructiveRetrospective StudiesVeterans HealthConceptsChronic obstructive pulmonary diseaseNon-VA careObstructive pulmonary diseaseOutpatient carePulmonary diseaseReadmission riskRetrospective cohort studyDays of dischargeNon-VA providersHealth careVeterans Affairs hospitalAssociation of useVA administrative dataMixed-effects logistic regressionMedicare-eligible veteransOutcomes of interestCause readmissionIndex hospitalizationPostdischarge outcomesCohort studyBaseline severityCOPD readmissionsFollow-upWorse outcomesCommon causeImplementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans
Rinne ST, Elwy AR, Liu CF, Wiener RS, Thayer L, Gerity A, Bastian LA. Implementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans. Chronic Respiratory Disease 2017, 14: 385-391. PMID: 28618875, PMCID: PMC5729732, DOI: 10.1177/1479972317702141.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAdrenergic beta-AgonistsCross-Sectional StudiesDrug PrescriptionsDrug Therapy, CombinationFemaleGuideline AdherenceHumansInappropriate PrescribingMaleMuscarinic AntagonistsPractice Guidelines as TopicPulmonary Disease, Chronic ObstructiveRetrospective StudiesSex FactorsSteroidsUnited StatesVeteransConceptsChronic obstructive pulmonary diseaseObstructive pulmonary diseaseCOPD medicationsHospital outcomesPulmonary diseaseBeta agonistsMuscarinic antagonistGuideline-based therapyBaseline patient characteristicsMultivariable logistic regressionLength of stayVeterans Affairs hospitalChronic disease managementCross-sectional studyQuality of careCOPD guidelinesCOPD therapyOral steroidsInhaler therapyCOPD managementPatient characteristicsHospital readmissionSame therapyCurrent guidelinesVA hospitalsOrganizational Practices Affecting Chronic Obstructive Pulmonary Disease Readmissions
Rinne ST, Hebert PL, Wong ES, Au DH, Bastian LA, Nembhard IM, Neely EL, Sulc CA, Liu CF. Organizational Practices Affecting Chronic Obstructive Pulmonary Disease Readmissions. American Journal Of Respiratory And Critical Care Medicine 2017, 195: 1269-1272. PMID: 28459333, DOI: 10.1164/rccm.201609-1783le.Peer-Reviewed Original ResearchAdministration, InhalationAdrenal Cortex HormonesAgedAmbulatory CareBronchodilator AgentsDisease ProgressionFeedbackFemaleGuideline AdherenceHospitals, VeteransHumansLogistic ModelsMaleMedicaidMedicareMiddle AgedOrganizational PolicyPatient ReadmissionPractice Guidelines as TopicPulmonary Disease, Chronic ObstructiveRespiration, ArtificialSelf CareUnited StatesUnited States Department of Veterans Affairs
2016
Organizational structure for chronic heart failure and chronic obstructive pulmonary disease.
Rinne ST, Liu CF, Wong ES, Hebert PL, Heidenreich P, Bastian LA, Au DH. Organizational structure for chronic heart failure and chronic obstructive pulmonary disease. The American Journal Of Managed Care 2016, 22: e82-7. PMID: 26978239.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCross-Sectional StudiesDelivery of Health CareDisease ManagementFemaleHealth Care SurveysHeart FailureHospitals, VeteransHumansMaleOrganizational ObjectivesPatient Care PlanningPulmonary Disease, Chronic ObstructiveQuality of Health CareSeverity of Illness IndexTreatment OutcomeUnited StatesConceptsChronic obstructive pulmonary diseaseChronic heart failureObstructive pulmonary diseaseHeart failurePulmonary diseaseBurden of COPDManagement of CHFGuideline-based careHome monitoring programBurden of diseaseVeterans Affairs facilitiesHospital readmission penaltiesChief of CardiologyQuality of careHigh-quality careCOPD clinicCOPD surveyChief of medicineCHF clinicPulmonary medicineReadmission penaltiesMeasures of qualityCareDiseaseDisease management