Effect of social factors on winter hospital admission for respiratory disease: A case-control study of older people in the UK

Rachel E. Jordan*, Jeremy Hawker, Jon G. Ayres, Peymané Adab, William Tunnicliffe, Babatunde Olowokure, Joe Kai, Richard J. McManus, Ros Salter, Kar Keung Cheng

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Citations (Scopus)

Abstract

Every winter, UK hospitals experience a surge in resipiratory admissions. Social circumstance may be an important determinant. This case-control study was undertaken to establish the most important factors causing winter hospital admissions among older people presenting with acute respiratory disease. The study found that socioeconomic factors had little relative effect compared with medical and functional factors. Most important were having long-term medical conditions, especially chronic obstructive pulmonary disease (odds ratio 4.0; 95% confidence interval = 1.4 to 11.4), being housebound, and history of oral steroid treatment. Socially-isolated patients also had increased risk.

Original languageEnglish
Pages (from-to)400-402
Number of pages3
JournalBritish Journal of General Practice
Volume58
Issue number551
DOIs
Publication statusPublished - Jun 2008

Keywords

  • Chronic obstructive pulmonary disease
  • Elderly
  • Hospitalisation
  • Respiratory tract Infections
  • Socioeconomic factors
  • Winter pressures

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