open access

Vol 88, No 4 (2020)
ORIGINAL PAPERS
Published online: 2020-07-15
Submitted: 2020-01-02
Accepted: 2020-04-14
Get Citation

Analysis of hospital management of chronic respiratory diseases in light of the “Maps of Health Needs” project in Poland

Karina Jahnz-Różyk, Małgorzata Czajkowska-Malinowska, Katarzyna Krenke, Dorota Sands, Halina Batura-Gabryel, Paweł Kabicz, Emilia Diaków, Barbara Więckowska
DOI: 10.5603/ARM.a2020.0107
·
Pubmed: 32869262
·
Adv Respir Med 2020;88(4):297-304.

open access

Vol 88, No 4 (2020)
ORIGINAL PAPERS
Published online: 2020-07-15
Submitted: 2020-01-02
Accepted: 2020-04-14

Abstract

Introduction: The “Maps of Health Needs” project has been carried out in Poland since 2016 and its purpose is to implement quality-promoting and organisational solutions in the Polish healthcare system. This paper is the analysis of hospitalisations for chronic respiratory diseases recorded in Polish National Health Fund databases in 2014. Material and methods: The study included 122,000 hospitalisations of adults and 22,000 hospitalisations of children. Epidemio-logical parameters (incidence and prevalence) and major hospitalisation parameters were determined through statistical analysis. Results: The highest registered incidence was observed in asthma patients (548 per 100,000 inhabitants) followed by COPD patients (233 per 100,000 inhabitants). Asthma patients were also characterised by the highest prevalence, with lower values being observed in COPD patients. In the group of adults, patients aged 65 years or older and 80 years or older accounted for 44% and 14% of hospitalised adults respectively. The analysis also revealed that 66% of hospitalisations of adults included patients with asthma, COPD and respiratory failure. The development of respiratory failure prolongs hospitalisation and increases both in-hospital and post-discharge mortality. In children, 90% of the identified hospitalisations were for asthma, chronic inflammatory lung diseases and cystic fibrosis. Conclusions: The results of the study demonstrate that pulmonary obstructive diseases are associated with a considerable burden. Therefore, corrective actions within the Polish healthcare system are required to decrease the number of hospitalisations for these diseases.

Abstract

Introduction: The “Maps of Health Needs” project has been carried out in Poland since 2016 and its purpose is to implement quality-promoting and organisational solutions in the Polish healthcare system. This paper is the analysis of hospitalisations for chronic respiratory diseases recorded in Polish National Health Fund databases in 2014. Material and methods: The study included 122,000 hospitalisations of adults and 22,000 hospitalisations of children. Epidemio-logical parameters (incidence and prevalence) and major hospitalisation parameters were determined through statistical analysis. Results: The highest registered incidence was observed in asthma patients (548 per 100,000 inhabitants) followed by COPD patients (233 per 100,000 inhabitants). Asthma patients were also characterised by the highest prevalence, with lower values being observed in COPD patients. In the group of adults, patients aged 65 years or older and 80 years or older accounted for 44% and 14% of hospitalised adults respectively. The analysis also revealed that 66% of hospitalisations of adults included patients with asthma, COPD and respiratory failure. The development of respiratory failure prolongs hospitalisation and increases both in-hospital and post-discharge mortality. In children, 90% of the identified hospitalisations were for asthma, chronic inflammatory lung diseases and cystic fibrosis. Conclusions: The results of the study demonstrate that pulmonary obstructive diseases are associated with a considerable burden. Therefore, corrective actions within the Polish healthcare system are required to decrease the number of hospitalisations for these diseases.

Get Citation

Keywords

Maps of Health Needs, hospitalisations, chronic respiratory diseases

About this article
Title

Analysis of hospital management of chronic respiratory diseases in light of the “Maps of Health Needs” project in Poland

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 4 (2020)

Pages

297-304

Published online

2020-07-15

DOI

10.5603/ARM.a2020.0107

Pubmed

32869262

Bibliographic record

Adv Respir Med 2020;88(4):297-304.

Keywords

Maps of Health Needs
hospitalisations
chronic respiratory diseases

Authors

Karina Jahnz-Różyk
Małgorzata Czajkowska-Malinowska
Katarzyna Krenke
Dorota Sands
Halina Batura-Gabryel
Paweł Kabicz
Emilia Diaków
Barbara Więckowska

References (20)
  1. European Lung White Book, 2018. Available at: www.erswhitebook.org [Last accessed at: 31.05.2020].
  2. Mapy potrzeb zdrowotnych — Baza Analiz Systemowych i Wdrożeniowych. Available at: www.mpz.mz.gov.pl. [Last accesse at: 15.01.2018].
  3. Vieira R, Fonseca J, Lopes F, et al. Trends in hospital admissions for obstructive lung disease from 2000 to 2010 in Portugal. Respiratory Medicine. 2016; 116: 63–69.
  4. Global Initiative for Chronic Obstructive Lung Disease, 2017. Available at: www.goldcopd.org. [Last accessed at: 15.01.2018].
  5. Global Initiative for Asthma. Available at: www.ginasthma.orag. [Last accessed: 15.01.2018].
  6. Lung Disease in the UK — big picture statistics. British Lung Foundation, 2018. Available at: http://www.statistics.blf.org.uk/lung. [Last accessed at: 15.01.2018].
  7. Bernard LT., Zhang J. Report The impact on respiratory disease in New Zealand 2016. Available at: http://www.astmafoundation.org.nz/research/key-statistics. [Last accessed at 15.01.2018].
  8. Ore T, Ireland P. Chronic obstructive pulmonary disease hospitalisations and mortality in Victoria: analysis of variations by socioeconomic status. Australian and New Zealand Journal of Public Health. 2015; 39(3): 243–249.
  9. Groenewegen K, Schols A, Wouters E. Mortality and mortality-related factors after hospitalization for acute exacerbation of COPD. Chest. 2003; 124(2): 459–467.
  10. Lykkegaard J, Søndergaard J, Kragstrup J, et al. All Danish first-time COPD hospitalisations 2002–2008: Incidence, outcome, patients, and care. Respiratory Medicine. 2012; 106(4): 549–556.
  11. Santibáñez M, Garrastazu R, Ruiz-Nuñez M, et al. Predictors of hospitalized exacerbations and mortality in chronic obstructive pulmonary disease. PLOS ONE. 2016; 11(6): e0158727.
  12. Galán I, Simón L, Boldo E, et al. Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain. PLOS ONE. 2017; 12(5): e0177979.
  13. Iltchev P, Śliwczyński A, Czeleko T, et al. Epidemiology of asthma in Poland in urban and rural areas, based on provided health care services. Pnemonol Alergol Pol. 2015; 83(3): 178–187.
  14. FitzGerald JM, Bateman E, Hurd S, et al. The GINA Asthma Challenge: reducing asthma hospitalisations. European Respiratory Journal. 2011; 38(5): 997–998.
  15. Terry D, Robins S, Gardiner S, et al. Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians. BMC Public Health. 2017; 17(1).
  16. Santos N, Bugalho de, Covas A, et al. Trends of asthma hospitalization and hospital mortality in mainland Portugal. . Eur Ann Allergy Clin Immunol; 2016; No. 2016; 48(6): 237–241.
  17. Kivistö J, Protudjer J, Karjalainen J, et al. Trends in paediatric asthma hospitalisations – differences between neighbouring countries. Thorax. 2017; 73(2): 185–187.
  18. Chatterjee K, Goyal A, Shah N, et al. Contemporary national trends of cystic fibrosis hospitalizations and co-morbidities in the United States. Advances in respiratory medicine. 2016; 84(6): 316–323.
  19. Conway S, Balfour-Lynn I, Rijcke KDe, et al. European cystic fibrosis society standards of care: framework for the cystic fibrosis centre. Journal of Cystic Fibrosis. 2014; 13: S3–S22.
  20. Newton T. Respiratory care of the hospitalized patient with cystic fibrosis. Respiratory Care. 2009; 54(6): 769–776.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl