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Cited by 5Chronic Obstructive Pulmonary Disease (COPD) ResearchPneumonia and Respiratory InfectionsGlobal Health and Epidemiology

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

The most common pulmonary diseases length of stay, and characteristics of patients admitted to pulmonary service

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AL-Jahdali, Hamdan, Ahmed, Anwar, AL-Harbi, Abdullah, Khan, Ayaz, ALGamedi, Majed, Alyami, Sami, Hayyan, Hajar, Al-Moamary, Mohamed, Almuttari, Ahmed·2023·Annals of Thoracic Medicine
DOI 10.4103/atm.atm_348_22PMC PMC10473058
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Abstract

BACKGROUND: Although chronic respiratory diseases are prevalent in Saudi Arabia, there are limited data on the patient burden and associated factors. The aim of this study is to identify the chronic respiratory diseases frequently admitted to pulmonary services and to determine the patient's characteristics, associated comorbidities readmission rate, and reason for a more extended stay in hospital. METHODS: A prospective study was conducted over a 5-year period at King Abdulaziz Medical City-Riyadh, Saudi Arabia, in the Pulmonary Division, between March 2015 and December 2019. Data on demographics, comorbidities, and chronic respiratory diseases were collected. RESULTS: Total patients admitted were 1315 patients, female 54.2%, the mean age was 62.4 (SD±17.6), and the ages ranged from 14 to 98 years. Overall, chronic obstructive pulmonary disease was the most common respiratory disease requiring admission (17.9%), followed by interstitial lung disease (15.8%), bronchiectasis (11.9%), and obesity hypoventilation syndrome (10.8%). The most common comorbidities were obesity (42.5%), diabetes 49.1%, and hypertension 54.9%. Only 135 (10.3%) were readmitted within 30 days posthospital discharge. Among the patients who were readmitted, 103 (76.3%) were readmitted due to issues related to previous admission diagnosis, noncompliance 75 (55.5%), social reasons, and premature discharges in 51 (37.8%) and 29 (21.5%) of the cases, respectively. The respiratory disease varied significantly by gender, age, obesity status, comorbidities, length of stay (LOS), and admissions. CONCLUSION: Chronic respiratory diseases are prevalent in our population and are mainly influenced by gender, age, obesity status, comorbidities, LOS, and admissions. Policymakers and health professionals need to recognize the burden of chronic respiratory diseases on patients and health systems and implement effective prevention programs.

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  • Al-Jahdali et al. reported prolonged length of stay among patients admitted with pulmonary diseases, including COPD cohorts, particularly among patients with complex comorbidity profiles.

    “Al-Jahdali et al. [15] also reported prolonged LOS among patients admitted with pulmonary diseases, including COPD cohorts, particularly among patients with complex comorbidity profiles.”

    From Chronic Obstructive Pulmonary Disease in the Gulf Cooperation Council: Acute-Care Utilization and Medication Adherence: A PRISMA-ScR Scoping Review (2026) · cites this paper as [15]

    The Discussion reports a mean length of stay of 12 ± 13 days for COPD patients, and the Results identify comorbidities as a reason for stays exceeding five days in 16% of admissions. The paper does not show that prolonged stays occurred particularly among patients with complex comorbidity profiles; it also identifies acute illness as the more common reason for stays exceeding five days. (LLM, conf=0.85)

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Metadata

Authors
AL-Jahdali, H., Ahmed, A., AL-Harbi, A., Khan, A., ALGamedi, M., Alyami, S., Hayyan, H., Al-Moamary, M., & Almuttari, A.
Affiliations
  • King Saud bin Abdulaziz University for Health Sciences (SA)
  • Henry M. Jackson Foundation (US)
Corresponding author
AL-Jahdali, Hamdan
ORCID
Venue
Annals of Thoracic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2023-07
Volume
18
Issue
3
Pages
124-131
ISSN
1817-1737 (ISSN-L)
DOI
10.4103/atm.atm_348_22
PMC
PMC10473058
OpenAlex
W4385504552
Cited by
5
References
40
Citations by year
2026: 2 · 2025: 2 · 2023: 1
FWCI
0.92
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Annals of Thoracic Medicine (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Epidemiology
Keywords
chronic respiratory disease, length of hospital stay, hospital readmission, chronic obstructive pulmonary disease, interstitial lung disease, bronchiectasis, obesity hypoventilation syndrome, comorbidities, obesity, diabetes mellitus, hypertension, premature discharge, patient burden, Saudi Arabia

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