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Metrics details. Published methods to describe and visualize Care Trajectories CTs as patterns of healthcare use are very sparse, often incomplete, and not intuitive for non-experts. The cohort included patients hospitalized for the first time over a 3-year period before the index date and who survived over the follow-up period. The CTs consisted of sequences of healthcare use e. ED-hospital-home-GP-respiratory therapists, etc.

Patients in the 3 highest utilization CT types were older, and had more comorbidities and more severe condition at index hospitalization. The proposed method allows for a better representation of the sequences of healthcare use in the real world, supporting data-driven decision making. Peer Review reports. Affecting approximately million people worldwide [ 1 ], Chronic Obstructive Pulmonary Disease COPD is a common, preventable and treatable disease characterized by progressive airway obstruction, deterioration in lung function and increased mortality.

As a leading cause of hospital admissions, COPD is one of the most significant public health concerns [ 1 , 2 , 3 ]. The course of the illness may also be significantly affected by concomitant chronic conditions such as cardiovascular diseases CVD , musculoskeletal disorders, diabetes and psychological disorders [ 3 , 4 , 5 , 6 ]. In this context, healthcare systems are under increasing pressure to propose changes in the care process that could reduce healthcare utilization and improve patient outcomes [ 4 , 7 ].

Real-world studies are essential to provide empirical evidence for data-driven decision-making in public health [ 8 ]. Studies on predictive factors and determinants, as well as healthcare use after a first hospitalization, provide relevant knowledge to improve the early management of COPD and delay further COPD-related adverse events [ 9 , 10 , 11 , 12 , 13 ].

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