American Journal of Internal Medicine

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Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD)

Received: Jun. 28, 2018    Accepted: Jul. 19, 2018    Published: Aug. 14, 2018
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Abstract

Objective: The aim of our study was to study the COPD phenotypes, comorbidities and factors predicting treatment outcomes in patients with acute exacerbations of COPD admitted in hospital. Methodology: A retrospective study of fifty patients with acute exacerbation of COPD admitted in a tertiary care hospital during July 2015 to August 2016 was done. Results: It was observed that the mean duration of hospital stay was 8 ± 7 days with 44% of the patient discharged in less than 7 days (short stay) and 56% of patients in more than 7 days (long stay). The factors favouring longer stay in hospital include history of current smoking, hypoxia and CO2 retention while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay. Conclusion: For patients with acute exacerbations of COPD requiring hospitalization, history of current smoking with hypoxia and CO2 retention are associated with longer stay in hospital while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay.

DOI 10.11648/j.ajim.20180604.16
Published in American Journal of Internal Medicine ( Volume 6, Issue 4, July 2018 )
Page(s) 82-85
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

COPD, Hospital Mortality, Intensive Care Unit (ICU), Non-Invasive Ventilation (NIV)

References
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[2] Ocal S, Ortac Ersoy E, Ozturk O, Hayran M, Topeli A, Coplu L. Long-term outcome of chronic obstructive pulmonary disease patients with acute respiratory failure following intensive care unit discharge in Turkey. Clin Respir J. 2017 Nov; 11 (6):975-982. doi: 10.1111/crj.12450. Epub 2016 Feb 15.
[3] Alaithan AM, Memon JI, Rehmani RS, Qureshi AA, Salam A Chronic obstructive pulmonary disease: hospital and intensive care unit outcomes in the Kingdom of Saudi Arabia. Int J Chron Obstruct Pulmon Dis. 2012; 7:819-23. doi: 10.2147/COPD.S37611. Epub 2012 Dec 18.
[4] Gadre SK, Duggal A, Mireles-Cabodevila E, Krishnan S, Wang XF, Zell K, Guzman J. Acute respiratory failure requiring mechanical ventilation in severe chronic obstructive pulmonary disease (COPD). Medicine (Baltimore). 2018 Apr; 97 (17):e0487. doi: 10.1097/MD.0000000000010487.
[5] Alvisi V, Romanello A, Badet M, Gaillard S, Philit F, Guérin C. Time course of expiratory flow limitation in COPD patients during acute respiratory failure requiring mechanical ventilation. Chest. 2003 May; 123 (5):1625-32.
[6] Dikensoy O, Ikidag B, Filiz A, Bayram N. Comparison of non-invasive ventilation and standard medical therapy in acute hypercapnic respiratory failure: a randomised controlled study at a tertiary health centre in SE Turkey. Int. J. Clin. Pract. 2002; 56: 85–8.
[7] Agarwal R, Gupta R, Aggarwal AN, Gupta D. Noninvasive positive pressure ventilation in acute respiratory failure due to COPD vs other causes: effectiveness and predictors of failure in a respiratory ICU in North India. Int J Chron Obstruct Pulmon Dis. 2008; 3 (4):737-43.
[8] Abdullah N, Borhanuddin B, Shah SA, Hassan T, Jamal R. Global Lung Initiative 2012 spirometry reference values in a large Asian cohort of Malay, Chinese and Indian ancestry. Respirology. 2018 May 22. doi: 10.1111/resp.13330. [Epub ahead of print].
[9] National Heart, Lung, and Blood Institute. Unpublished Tabulations from the World Health Organization Mortality Database (Accessed March 2011). Available at: http://www.who.int/whosis/ mort/download/en/index.html.
[10] García-Sanz MT, González-Barcala FJ, Cánive-Gómez JC, García-Couceiro N, Alonso-Acuña S, Carreira JM. Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation. Lung India. 2018 Jul-Aug; 35 (4):316-320. doi: 10.4103/lungindia.lungindia_469_17.
[11] Lemyre B, Davis PG, De Paoli AG, Kirpalani H. Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation. Cochrane Database Syst Rev. 2017 Feb 1; 2:CD003212. doi: 10.1002/14651858.CD003212.pub3. Review.
[12] Osadnik CR, Tee VS, Carson-Chahhoud KV, Picot J, Wedzicha JA, Smith BJ. Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2017 Jul 13; 7:CD004104. doi: 10.1002/14651858. CD004104.
[13] Ocal S, Ortac Ersoy E, Ozturk O, Hayran M, Topeli A, Coplu L. Long-term outcome of chronic obstructive pulmonary disease patients with acute respiratory failure following intensive care unit discharge in Turkey. Clin Respir J. 2017 Nov; 11 (6):975-982. doi: 10.1111/crj.12450. Epub 2016 Feb 15.
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  • APA Style

    Abhay Uppe, Padmaraj Ankale, Arti Sharma, Ria Shah, Girija Nair. (2018). Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD). American Journal of Internal Medicine, 6(4), 82-85. https://doi.org/10.11648/j.ajim.20180604.16

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    ACS Style

    Abhay Uppe; Padmaraj Ankale; Arti Sharma; Ria Shah; Girija Nair. Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD). Am. J. Intern. Med. 2018, 6(4), 82-85. doi: 10.11648/j.ajim.20180604.16

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    AMA Style

    Abhay Uppe, Padmaraj Ankale, Arti Sharma, Ria Shah, Girija Nair. Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD). Am J Intern Med. 2018;6(4):82-85. doi: 10.11648/j.ajim.20180604.16

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  • @article{10.11648/j.ajim.20180604.16,
      author = {Abhay Uppe and Padmaraj Ankale and Arti Sharma and Ria Shah and Girija Nair},
      title = {Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD)},
      journal = {American Journal of Internal Medicine},
      volume = {6},
      number = {4},
      pages = {82-85},
      doi = {10.11648/j.ajim.20180604.16},
      url = {https://doi.org/10.11648/j.ajim.20180604.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20180604.16},
      abstract = {Objective: The aim of our study was to study the COPD phenotypes, comorbidities and factors predicting treatment outcomes in patients with acute exacerbations of COPD admitted in hospital. Methodology: A retrospective study of fifty patients with acute exacerbation of COPD admitted in a tertiary care hospital during July 2015 to August 2016 was done. Results: It was observed that the mean duration of hospital stay was 8 ± 7 days with 44% of the patient discharged in less than 7 days (short stay) and 56% of patients in more than 7 days (long stay). The factors favouring longer stay in hospital include history of current smoking, hypoxia and CO2 retention while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay. Conclusion: For patients with acute exacerbations of COPD requiring hospitalization, history of current smoking with hypoxia and CO2 retention are associated with longer stay in hospital while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay.},
     year = {2018}
    }
    

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    T1  - Factors Predicting Treatment Outcome in Hospitalized Patients with Acute Exacerbation of COPD (AECOPD)
    AU  - Abhay Uppe
    AU  - Padmaraj Ankale
    AU  - Arti Sharma
    AU  - Ria Shah
    AU  - Girija Nair
    Y1  - 2018/08/14
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    N1  - https://doi.org/10.11648/j.ajim.20180604.16
    DO  - 10.11648/j.ajim.20180604.16
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 82
    EP  - 85
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20180604.16
    AB  - Objective: The aim of our study was to study the COPD phenotypes, comorbidities and factors predicting treatment outcomes in patients with acute exacerbations of COPD admitted in hospital. Methodology: A retrospective study of fifty patients with acute exacerbation of COPD admitted in a tertiary care hospital during July 2015 to August 2016 was done. Results: It was observed that the mean duration of hospital stay was 8 ± 7 days with 44% of the patient discharged in less than 7 days (short stay) and 56% of patients in more than 7 days (long stay). The factors favouring longer stay in hospital include history of current smoking, hypoxia and CO2 retention while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay. Conclusion: For patients with acute exacerbations of COPD requiring hospitalization, history of current smoking with hypoxia and CO2 retention are associated with longer stay in hospital while patients on active COPD treatment and cessation of smoking leads to shorter hospital stay.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Department of Pulmonary Medicine, D. Y. Patil Medical College, Nerul, Navi Mumbai, India

  • Department of Pulmonary Medicine, D. Y. Patil Medical College, Nerul, Navi Mumbai, India

  • Department of Pulmonary Medicine, D. Y. Patil Medical College, Nerul, Navi Mumbai, India

  • Department of Pulmonary Medicine, D. Y. Patil Medical College, Nerul, Navi Mumbai, India

  • Department of Pulmonary Medicine, D. Y. Patil Medical College, Nerul, Navi Mumbai, India

  • Section