Exacerbated chronic obstructive pulmonary disease: a frequently unrecognized condition
| Autor: | R. Antonelli Incalzi, L. M. Tramaglino, Luciana Carosella, P. U. Carbonin, Salvatore Basso, Maria Serra, Riccardo Pistelli, L. Fuso |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Coronary Disease Medical Records Hypoxemia Coronary artery disease Hospitals University Pulmonary Disease Chronic Obstructive Oxygen therapy Internal medicine Internal Medicine medicine Prevalence Humans Diagnostic Errors Intensive care medicine Retrospective Studies Geriatrics COPD business.industry Respiratory disease Emergency department medicine.disease Respiratory failure Italy Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | Journal of internal medicine. 252(1) |
| ISSN: | 0954-6820 |
| Popis: | Incalzi RA, Fuso L, Serra M, Basso S, Carosella L, Tramaglino LM, Pistelli R, Carbonin P. (Department of Geriatrics and Department of Respiratory Physiology, Catholic University, Rome, Italy). Exacerbated chronic obstructive pulmonary disease: a frequently unrecognized condition. J Intern Med 2002; 252: 48–55. Objectives. To assess to which extent exacerbated chronic obstructive pulmonary disease (COPD) remains unrecognized in the emergency department, which factors account for misdiagnosis and which are the effects of misdiagnosis on patient's management. Design. Retrospective study and stratified random sampling method as selection criterion. Setting. University Hospital. Subjects. Eighty patients representative of those discharged from the wards of medicine with a diagnosis of exacerbated COPD and 72 having a discharge diagnosis of coronary artery disease (CAD) were studied. Main outcome measures. Degree of concordance between admission and discharge diagnosis; presenting symptoms and signs of patients correctly or incorrectly classified on admission; impact of diagnostic procedures carried out by the physician on call on patient's management. Results. The correct diagnosis was missed on admission in 13/80 COPD and 3/72 CAD patients (χ2: 5.87, P=0.015). The prevalence of the following presenting features distinguished the 67 COPD patients who were correctly classified on admission from the remaining 13: severe weakness (21 vs. 10, χ2: 9.53, P=0.002), dyspnea (60 vs. 3, χ2: 28.75, P |
| Databáze: | OpenAIRE |
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