Socioeconomic deprivation, readmissions, mortality and acute exacerbations of XXXX .

@entity1 @entity6 @entity565 @entity1030 @entity4595 @entity299 @entity24773
BACKGROUND: Bronchiectasis is known to cause significant morbidity in @entity1 in New Zealand. Little is known of the disease in adults. AIM: Our objective was to characterise a cohort of adults who presented to hospital with acute exacerbations of the disease. METHODS: We retrospectively collected information on all exacerbations treated as inpatients from a single hospital in South Auckland, New Zealand during 2002. RESULTS: We collected information on 307 exacerbations in 152 @entity1 . Twenty-seven per cent were of Maaori ethnic origin, and 44% Pacific. Seventy per cent lived in areas categorised as the 20% most deprived in New Zealand. Comorbid conditions were present in 80% of @entity1 - most commonly @entity1030 , @entity565 , @entity6 and @entity299 . Seventy (46%) @entity1 had at least one readmission and 32 @entity1 (21%) died within 12 months of admission to hospital. Greater deprivation was associated with increased mortality at 12 months after admission after adjusting for other factors ( @entity24773 , 95% CI 2.0-61, P= 0.006). In the subgroup who underwent high-resolution computed tomographic scanning (93), increasing severity of @entity4595 (modified Bhalla score) was associated with readmission within 12 months (P= 0.004), but not mortality (P= 0.419). CONCLUSIONS: We have shown that exacerbations of @entity4595 in South Auckland are more common in @entity1 who are predominantly of Maaori or Pacific descent and are socioeconomically deprived. Admission to hospital for an exacerbation is associated with high readmission and mortality rates.
