Data indicate that COPD hospital admission rates have risen among relatively young people and women, challenging the view that the condition mostly affects old men who have a history of smoking.
Population growth and aging are expected to contribute to an increase in the burden of COPD in Canada. Changes in COPD hospital admissions, apart from those resulting from aging, are regarded as an indicator of the quality of outpatient care. In the current study, researchers sought to identify overall and secular trends in COPD admissions in Canada over a 16-year period.
Age-standardized admission rates decreased by 9.0% for older men during the study period. However, the rates increased by 12.2% among younger women, by 24.4% among younger men, and by 29.8% among older women. The findings may challenge the view that COPD mainly affects older male smokers. "As the prevalence of COPD in Canada's populations rises, so too will the burden on hospitals if a radical change in COPD care is not implemented," wrote Alina J. Blazer, MD, and Matthew B. Stanbrook, MD, PhD, both respirologists at the University of Toronto, in an"Without sustained and coordinated action, health systems will continue to fail patients with COPD in Canada," they wrote. Blazer and Stanbrook were not involved in the study.
The findings are strong but not surprising, she added. COPD is an overlooked disease, and inadequate attention is paid to its effects on patients. In addition, too few patients see specialists for COPD or work with respiratory educators who can help them cope with the challenges they face in breathing well, she said.
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