Table 1

Demographics and outcomes for people discharged from hospital following acute exacerbation of COPD whose admissions did conform to the COPD Best Practice Tariff (BPT) (receipt of a respiratory specialist review within 24 hours of admission and a discharge bundle) and those whose admissions did not conform to the COPD BPT, N=28 345

Admission conformed to COPD BPTAdmission did not conform to COPD BPT
N=10 530N=17 815
n (%)n (%)
Age (years)
 Mean (SD)71.5 (10.3)72.5 (11.0)
Gender
 Male4895 (46.5%)8343 (46.8%)
 Female5635 (53.5%)9472 (53.2%)
Quintile of IMD/WIMD
 1 (most deprived)3485 (33.1%)5768 (32.4%)
 22509 (23.8%)4254 (23.9%)
 31894 (18.0%)3337 (18.7%)
 41492 (14.2%)2510 (14.1%)
 5 (least deprived)1058 (10.1%)1778 (10.0%)
 No data92 (0.9%)168 (0.9%)
Oxygen prescription
 Not needed1773 (16.8%)3579 (20.1%)
 Not prescribed2341 (22.2%)5098 (28.6%)
 Prescribed6416 (60.9%)9138 (51.3%)
NIV administered1201 (11.4%)1354 (7.6%)
Length of stay quintile
 0–1 day2581 (24.5%)4875 (27.4%)
 2–3 days2581 (24.5%)4290 (24.1%)
 4–5 days1770 (16.8%)2878 (16.2%)
 6–8 days1685 (16.0%)2471 (13.9%)
 9+ days1913 (18.2%)3301 (18.5%)
Smoking status
 Never smoked256 (2.4%)732 (4.1%)
 Ex-smoker6236 (59.2%)9559 (53.7%)
 Current smoker3586 (34.1%)5335 (30.0%)
 Not recorded452 (4.3%)2189 (12.3%)
Charlson comorbidity index
 15330 (50.6%)8305 (46.6%)
 22598 (24.7%)4510 (25.3%)
 31383 (13.1%)2457 (13.8%)
 4662 (6.3%)1267 (7.1%)
 5313 (3.0%)670 (3.8%)
 6107 (1.0%)273 (1.5%)
 7+137 (1.3%)333 (1.9%)
Mental health diagnoses
 No mental illness8309 (78.9%)14 347 (80.5%)
 Mild/moderate mental illness1547 (14.7%)2366 (13.3%)
 Severe mental illness674 (6.4%)1102 (6.2%)
DECAF score
 Low risk (0–1)1650 (15.7%)568 (3.2%)
 Intermediate risk (2)677 (6.4%)330 (1.9%)
 High risk (3–6)468 (4.4%)237 (1.3%)
 No data7735 (73.5%)16 680 (93.6%)
Spirometry: FEV1/FVC ratio
 ≥0.7507 (4.8%)866 (4.9%)
 <0.74253 (40.4%)4884 (27.4%)
 Invalid (<0.2 or >1.0)83 (0.8%)115 (0.7%)
 No data5687 (54.0%)11 950 (67.1%)
Outcomes
 Patient died within 30 days of admission285 (2.7%)461 (2.6%)
 Patient readmitted within 30 days of discharge2659 (25.3%)4577 (25.7%)
  • BPT, best practice tariff; COPD, chronic obstructive pulmonary disease; DECAF, Dyspnoea, Eosinopenia, Consolidation, Acidaemia and atrial Fibrillation; FEV1, forced expiratory volume in one second; FVC, forced vital capacity; IMD, English Index of Multiple Deprivation; NIV, non-invasive ventilation; WIMD, Welsh Index of Multiple Deprivation.