慢性阻塞性肺疾病急性加重患者非计划再入院风险预测模型的研究进展

Research progress on risk prediction models for unplanned readmission in patients with AECOPD

慢性阻塞性肺疾病急性加重是肺功能急剧恶化的疾病状态,具有较高的发病率和再入院率,频繁再入院极易导致死亡、致残等不良结局,产生严重的经济负担。构建慢性阻塞性肺疾病急性加重再入院风险预测模型对早期识别并筛选再入院高风险患者、提高患者长期生存率具有重要意义。本综述从再入院间隔时间这一角度出发,对再入院的概念、国内外慢性阻塞性肺疾病急性加重再入院风险预测模型的研究现状及进展进行总结和归纳,旨在为临床工作者提供医疗决策依据。

Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is a disease state with rapid deterioration of lung function,which has a high incidence and readmission rate.Frequent readmission is prone to lead to adverse outcomes such as death and disability,resulting in serious economic burden.Construction of readmission risk prediction model for AECOPD is of great significance for early identification and screening of high-risk readmission patients and improvement of long-term survival rate.From the perspective of readmission interval,this review summarizes the concept of readmission,and the research progress of risk prediction models for AECOPD readmission,so as to provide a reference for clinical workers to make medical decisions.