Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
| Autor: | Sara Alonso-Acuña, Maria-Teresa Garcia-Sanz, Francisco-Javier González-Barcala, Juan-Carlos Cánive-Gómez, Jose-Martín Carreira, Nuria García-Couceiro |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Chronic obstructive pulmonary disease exacerbation medicine.medical_specialty Exacerbation medicine.medical_treatment law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care medicine 030212 general & internal medicine Mechanical ventilation lcsh:RC705-779 Univariate analysis business.industry Medical record Retrospective cohort study Odds ratio lcsh:Diseases of the respiratory system Intensive care unit hospital admission predictors 030228 respiratory system Emergency medicine Original Article prolonged stay business |
| Zdroj: | Lung India : Official Organ of Indian Chest Society Lung India, Vol 35, Iss 4, Pp 316-320 (2018) |
| ISSN: | 0970-2113 |
| Popis: | Objectives 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. Methods 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. Results 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). Conclusions Prolonged stay in AECOPD is primarily related to the unit patients are admitted to, and to the need for more intensive care. |
| Databáze: | OpenAIRE |
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