García-Sanz María-Teresa, González-Barcala Francisco-Javier, Cánive-Gómez Juan-Carlos, García-Couceiro Nuria, Alonso-Acuña Sara, Carreira José-Martín
Department of Emergency, Salnés County Hospital, Vilagarcía de Arousa, Spain.
Department of Medicine, University of Santiago de Compostela; Spanish Biomedical Research Networking Centre-CIBERES, Barcelona; Department of Respiratory Medicine, University Hospital Complex of Santiago de Compostela; Health Research Institute of Santiago de Compostela, Spain.
Lung India. 2018 Jul-Aug;35(4):316-320. doi: 10.4103/lungindia.lungindia_469_17.
The study aimed to identify the factors related to prolonged stay in those patients admitted with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) to our hospital.
We conducted a retrospective study by reviewing the medical records of all patients admitted with AECOPD to the University Hospital Complex of Santiago de Compostela in 2007 and 2008. To identify variables independently associated with length of stay, we conducted a logistic regression including those variables which proved to be significant in the univariate analysis.
Six hundred and sixty-one patients were assessed; 76.6% were male and the mean age was 74.5 years (standard deviation [SD]: 11.48). The mean stay was 11.9 days (SD: 8) and 24% of all patients required prolonged stay. Factors associated with prolonged mean stay in multivariate analysis were admission to the Intensive Care Unit (odds ratio [OR], 14.7), hospitalization by internal medicine (OR, 2.1), and use of noninvasive mechanical ventilation (OR, 1.75).
Prolonged stay in AECOPD is primarily related to the unit patients are admitted to, and to the need for more intensive care.
本研究旨在确定我院收治的慢性阻塞性肺疾病急性加重期（AECOPD）患者长期住院的相关因素。
我们通过回顾2007年和2008年在圣地亚哥德孔波斯特拉大学综合医院收治的所有AECOPD患者的病历进行了一项回顾性研究。为了确定与住院时间独立相关的变量，我们进行了逻辑回归分析，纳入了在单因素分析中被证明具有显著性的变量。
共评估了661例患者；76.6%为男性，平均年龄为74.5岁（标准差[SD]：11.48）。平均住院时间为11.9天（SD：8），24%的患者需要长期住院。多因素分析中与平均住院时间延长相关的因素有入住重症监护病房（比值比[OR]，14.7）、内科住院治疗（OR，2.1）和使用无创机械通气（OR，1.75）。
AECOPD患者长期住院主要与患者入住的科室以及更 intensive care 的需求有关。
原文中“更 intensive care”表述有误，推测可能是“更重症监护”，完整准确的表述应该是“更重症监护的需求”，这里按照正确理解进行了翻译。
