The usefulness of the DECAF score in predicting hospital mortality in Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Autor: Mohamed H. Zidan, Abdelmonem K. Rabie, Mohamed M. Megahed, Mahmoud Y. Abdel-Khaleq
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Egyptian Journal of Chest Disease and Tuberculosis, Vol 64, Iss 1, Pp 75-80 (2015)
Druh dokumentu: article
ISSN: 0422-7638
DOI: 10.1016/j.ejcdt.2014.11.006
Popis: Background: Limited information is available about predictors of short-term outcomes in patients with exacerbation of chronic obstructive pulmonary disease (eCOPD) attending an emergency department (ED). Such information could help to stratify these patients and guide medical decision-making. The aim of this study was to develop a clinical prediction rule for in-hospital mortality of eCOPD. Methods: The study was conducted on 100 consecutive adult patients, who were admitted to the Emergency Medical Department in Alexandria Main University Hospital with the diagnosis of eCOPD. Admission clinical data and in-hospital death rates were recorded. Independent predictors of outcome were identified by logistic regression analysis and incorporated into a clinical prediction tool. Results: Most of parameters in the DECAF score (Dyspnea, Eosinopenia, Consolidation, respiratory Acidosis and atrial Fibrillation) showed a statistically significant value to the mortality; dyspnea (p = 0.001), Consolidation (p = 0.030) and respiratory Acidosis (p
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