Prognostic score for predicting respiratory admissions among patients with chronic obstructive pulmonary disease in primary care: development and validation in population cohorts (Birmingham Lung Improvement Studies (BLISS)).

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Title: Prognostic score for predicting respiratory admissions among patients with chronic obstructive pulmonary disease in primary care: development and validation in population cohorts (Birmingham Lung Improvement Studies (BLISS)).
Authors: Jordan RE; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Keene SJ; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, Netherlands.; CIRO, Horn, Netherlands.; British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.; Victor Phillip Dahdaleh Heart and Lung Research Institute, University of Cambridge, Cambridge, UK., Franssen FME; CIRO, Horn, Netherlands.; Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands., Fitzmaurice D; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Adderley NJ; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK., Dickens AP; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; Observational and Pragmatic Research Institute, Midview City, Singapore., Martin JT; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Sitch AJ; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK a.j.sitch@bham.ac.uk.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK., Enocson A; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Jowett S; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Riley RD; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK., Miller MR; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Cooper BG; Lung Function and Sleep, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, UK., Turner A; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Jolly K; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Applied Research Collaboration West Midlands, West Midlands, UK., Ayres JG; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Stockley R; Lung Function and Sleep, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, UK., Greenfield S; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., Siebert S; Business School, University of Birmingham, Birmingham, UK., Daley A; Centre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK., Cheng KK; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK., de Vries F; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, Netherlands.; CIRO, Horn, Netherlands.; Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands., Wouters EFM; CIRO, Horn, Netherlands.; Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC), Maastricht, Netherlands.; Sigmund Freud Private University, Department of Medicine, Vienna, Austria., Adab P; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.
Source: BMJ (Clinical research ed.) [BMJ] 2026 Mar 05; Vol. 392, pp. e084521. Date of Electronic Publication: 2026 Mar 05.
Publication Type: Journal Article; Validation Study
Journal Info: Publisher: British Medical Association Country of Publication: England NLM ID: 8900488 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-1833 (Electronic) Linking ISSN: 09598138 NLM ISO Abbreviation: BMJ Subsets: MEDLINE
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  Data: Prognostic score for predicting respiratory admissions among patients with chronic obstructive pulmonary disease in primary care: development and validation in population cohorts (Birmingham Lung Improvement Studies (BLISS)).
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  Data: <searchLink fieldCode="AU" term="%22Jordan+RE%22">Jordan RE</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Keene+SJ%22">Keene SJ</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, Netherlands.; CIRO, Horn, Netherlands.; British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.; Victor Phillip Dahdaleh Heart and Lung Research Institute, University of Cambridge, Cambridge, UK.<br /><searchLink fieldCode="AU" term="%22Franssen+FME%22">Franssen FME</searchLink>; CIRO, Horn, Netherlands.; Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands.<br /><searchLink fieldCode="AU" term="%22Fitzmaurice+D%22">Fitzmaurice D</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Adderley+NJ%22">Adderley NJ</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Dickens+AP%22">Dickens AP</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; Observational and Pragmatic Research Institute, Midview City, Singapore.<br /><searchLink fieldCode="AU" term="%22Martin+JT%22">Martin JT</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Sitch+AJ%22">Sitch AJ</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK a.j.sitch@bham.ac.uk.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Enocson+A%22">Enocson A</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Jowett+S%22">Jowett S</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Riley+RD%22">Riley RD</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Miller+MR%22">Miller MR</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Cooper+BG%22">Cooper BG</searchLink>; Lung Function and Sleep, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Turner+A%22">Turner A</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Jolly+K%22">Jolly K</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.; NIHR Applied Research Collaboration West Midlands, West Midlands, UK.<br /><searchLink fieldCode="AU" term="%22Ayres+JG%22">Ayres JG</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Stockley+R%22">Stockley R</searchLink>; Lung Function and Sleep, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Greenfield+S%22">Greenfield S</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Siebert+S%22">Siebert S</searchLink>; Business School, University of Birmingham, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22Daley+A%22">Daley A</searchLink>; Centre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.<br /><searchLink fieldCode="AU" term="%22Cheng+KK%22">Cheng KK</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.<br /><searchLink fieldCode="AU" term="%22de+Vries+F%22">de Vries F</searchLink>; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, Netherlands.; CIRO, Horn, Netherlands.; Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands.<br /><searchLink fieldCode="AU" term="%22Wouters+EFM%22">Wouters EFM</searchLink>; CIRO, Horn, Netherlands.; Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC), Maastricht, Netherlands.; Sigmund Freud Private University, Department of Medicine, Vienna, Austria.<br /><searchLink fieldCode="AU" term="%22Adab+P%22">Adab P</searchLink>; Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, UK.
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