因慢性阻塞性肺疾病急性加重而到急诊科就诊的患者中与住院相关的因素。
Factors associated with hospital admission in patients reaching the emergency department with COPD exacerbation.
作者信息
García-Sanz Maria Teresa, Pol-Balado Carlos, Abellás Concepción, Cánive-Gómez Juan Carlos, Antón-Sanmartin Diana, González-Barcala Francisco J
机构信息
Emergency Department, Salnés County Hospital, Ande-Rubiáns s/n, Vilagarcía de Arousa, Pontevedra, Spain.
出版信息
Multidiscip Respir Med. 2012 Jun 19;7(1):6. doi: 10.1186/2049-6958-7-6.
Abstract
BACKGROUND
The aim of this study was to determine the frequency of COPD exacerbations in our Emergency Department, as well as the hospitalization-related factors.
METHODS
Prospective observational study conducted in the Emergency Department of Salnés County Hospital among patients admitted for COPD exacerbation. Admission predictors were determined by multivariate analysis.
RESULTS
There were 409 exacerbations in 239 patients (79% male, mean age 75). 57% of exacerbations required hospitalization. Hospitalization-related factors were impaired oxygenation (p < 0.001), presence of neutrophilia (p < 0.01) and prescription of antibiotics in the Emergency Department (p < 0.05).
CONCLUSIONS
COPD exacerbation accounts for over 1% of all visits to our Emergency Department. 57% of them required hospitalization. Impaired oxygenation, greater neutrophilia and prescription of antibiotics in the Emergency Department were associated with greater probability of admission.
摘要
背景
本研究的目的是确定我院急诊科慢性阻塞性肺疾病（COPD）加重的发生率以及与住院相关的因素。
方法
在萨尔内斯县医院急诊科对因COPD加重而入院的患者进行前瞻性观察研究。通过多变量分析确定入院预测因素。
结果
239例患者共出现409次病情加重（男性占79%，平均年龄75岁）。57%的病情加重需要住院治疗。与住院相关的因素包括氧合受损（p<0.001）、存在中性粒细胞增多（p<0.01）以及在急诊科使用抗生素（p<0.05）。
结论
COPD加重占我院急诊科所有就诊病例的1%以上。其中57%需要住院治疗。氧合受损、中性粒细胞增多程度较高以及在急诊科使用抗生素与入院可能性较大相关。
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