[内科服务中因慢性阻塞性肺疾病失代偿而住院患者的合并症研究。ECCO研究]
[Study of the comorbidities in hospitalized patients due to decompensated chronic obstructive pulmonary disease attended in the Internal Medicine Services. ECCO Study].
作者信息
Almagro P, López García F, Cabrera F J, Montero L, Morchón D, Díez J, de la Iglesia F, Roca F B, Fernández-Ruiz M, Castiella J, Zubillaga E, Recio J, Soriano J B
机构信息
Servicio de Medicina Interna, Hospital Mútua de Terrassa, Terrasa, Barcelona, Spain.
出版信息
Rev Clin Esp. 2010 Mar;210(3):101-8. doi: 10.1016/j.rce.2009.12.002.
OBJECTIVE
Evaluate comorbidity in patients hospitalized due to COPD in the Internal Medicine services.
METHODS
An observational, prospective and multicenter study. The Charlson index and a specific questionnaire were used.
RESULTS
A total of 398 patients, 353 men (89%), with mean age of 73.7 years (8.9) and mean FEV(1) of 43.2% (12.5), were included. The most frequent comorbidities were: arterial hypertension (55%), arrhythmias (27%) and diabetes mellitus (26%). A total of 27% suffered heart failure, 17% coronary disease and 9% previous myocardial infarction. The number of associated chronic diseases was 3.6 (1,8). Score on Charlson index was 2.72 (2).
CONCLUSIONS
The patients hospitalized due to decompensated COPD had an elevated comorbidity.
目的
评估内科服务中因慢性阻塞性肺疾病（COPD）住院患者的合并症情况。
方法
一项观察性、前瞻性多中心研究。采用查尔森指数和一份特定问卷。
结果
共纳入398例患者，其中353例男性（89%），平均年龄73.7岁（8.9岁），平均第一秒用力呼气容积（FEV₁）为43.2%（12.5%）。最常见的合并症为：动脉高血压（55%）、心律失常（27%）和糖尿病（26%）。共有27%的患者患有心力衰竭，17%患有冠状动脉疾病，9%有既往心肌梗死病史。相关慢性病的数量为3.6（1.8）。查尔森指数得分是2.72（2）。
结论
因失代偿性COPD住院的患者合并症发生率较高。
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