COPD creates a significant health care burden, which includes hospitalizations, emergency department visits, and economic costs.

Hospitalizations

  • From 1993 to 2015, the COPD hospitalization rate increased an average of 0.9 points per year.
  • In 2016, there were close to 652,000 COPD hospitalizations, or 201.7 per 100,000 population. This was somewhat greater than the close to 580,000 diabetes hospitalizations in 2016, with a rate of 179.4 per 100,000 population.

Emergency Department Visits

  • From 1993 to 2014, the COPD emergency department visit rate increased an average of 13.3 points per year.
  • In 2016, there were close to 2,051,000 COPD emergency department visits, or 634.7 per 100,000 population.

Economic Cost

  • The total economic cost of COPD was close to $50 billion each year in 2009, including $29.5 billion for direct health care expenditures, $12.4 billion for indirect mortality costs, and $8.0 billion for indirect morbidity costs.
  • Agency for Healthcare Research and Quality. HCUPnet, Healthcare Cost and Utilization Project, 1993-2016.
  • Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance Survey, 2018. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
  • Centers for Disease Control and Prevention. National Center for Health Statistics. CDC WONDER On-line Database, compiled from Underlying Cause of Death 1999-2018, 2020.
  • Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey, 1999-2018. Analysis by the American Lung Association Research and Program Services Division of using SPSS software.
  • National Heart Lung and Blood Institute. Morbidity and Mortality: 2009 Chart Book on Cardiovascular, Lung and Blood Diseases.
  • Tilert T, Dillon C, Paulose-Ram R, et al. Estimating the U.S. Prevalence of Chronic Obstructive Pulmonary Disease Using Pre- and Post-Bronchodilator Spirometry: The National Health and Nutrition Examination Survey (NHANES) 2007–2010. Respiratory Research. 2013; 14(1):103.
  • United States Census Bureau. Population Estimates, 2009.
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