The Influence of COPD Awareness on Hospital Admissions: A Paradoxical Relationship?

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dc.authorid0000-0001-7362-8710
dc.authorid0000-0003-3599-2719
dc.authorid0000-0003-4634-205X
dc.authorid0009-0006-0619-2340
dc.authorid0000-0002-0968-1549
dc.authorid0000-0002-2745-7866
dc.authorid0000-0002-5078-3176
dc.contributor.authorCelik, Deniz
dc.contributor.authorYildiz, Murat
dc.contributor.authorMentes, Oral
dc.contributor.authorYetkin, Ozkan
dc.contributor.authorLakadamyali, Huseyin
dc.contributor.authorGegin, Savas
dc.contributor.authorYurttas, Ahmet
dc.date.accessioned2026-01-24T12:26:35Z
dc.date.available2026-01-24T12:26:35Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory condition characterised by frequent exacerbations, which contribute to increased healthcare utilisation and reduced quality of life. Knowledge about the disease is generally associated with better outcomes. This study examined the association between COPD knowledge levels and healthcare utilisation (including hospital readmissions) in patients hospitalised for acute exacerbations. Methods: This prospective observational study included 78 patients hospitalised for COPD exacerbations and classified as Group D according to the updated GOLD criteria 2021. The Bristol COPD Knowledge Questionnaire (BCKQ) was administered prior to discharge to evaluate patients' knowledge levels. Data were collected about emergency department visits, hospitalisations, and intensive care unit (ICU) admissions for a six-month follow-up period. Statistical analyses assessed the relationships between BCKQ scores, patient outcomes, and risk factors influencing hospital readmissions. Results: The median BCKQ total score was 23 (6-40). A strong correlation was found between higher BCKQ scores and more visits to the emergency room (p = 0.005), especially in the subdomains of epidemiology (p = 0.010), aetiology (p = 0.033), and dyspnoea (p = 0.042). Higher antibiotic knowledge scores were associated with ICU admissions (p = 0.019). Logistic regression analysis revealed that domiciliary NIV use (OR = 2.60, p = 0.041) and higher BCKQ scores (OR = 1.10, p = 0.010) were significant predictors of hospital readmissions. However, no significant relationship was found between survival and BCKQ or mCCI scores (p > 0.05). Conclusions: This study indicates that while increased COPD knowledge is associated with greater healthcare utilisation, it does not directly translate into improved clinical outcomes. These findings underscore the importance of integrating practical skills and behaviour management into educational programmes to help patients effectively apply their knowledge. Further research is needed to explore long-term implications and strategies to optimise knowledge-based interventions.
dc.identifier.doi10.3390/healthcare13121438
dc.identifier.issn2227-9032
dc.identifier.issue12
dc.identifier.pmid40565465
dc.identifier.scopus2-s2.0-105009259282
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/healthcare13121438
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4766
dc.identifier.volume13
dc.identifier.wosWOS:001515547000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofHealthcare
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectCOPD knowledge
dc.subjecthospital readmissions
dc.subjectBristol COPD Knowledge Questionnaire
dc.subjecthealthcare utilisation
dc.titleThe Influence of COPD Awareness on Hospital Admissions: A Paradoxical Relationship?
dc.typeArticle

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