Intrahospital mortality during acute exacerbations of BPCO. Study EABPCO-CPHG of the College of the Lung specialists of General hospitals (CPHG)

被引：7

作者：

Chavaillon, J. -M. ^{[1
]}

Lerousseau, L. ^{[1
]}

David, P. ^{[2
]}

Martin, F. ^{[3
]}

Lamour, C. ^{[4
]}

Beraud, A. ^{[5
]}

Sleiman, C. ^{[6
]}

Debieuvre, D. ^{[7
]}

Just, N. ^{[8
]}

Senechal, F. ^{[9
]}

Camuset, J. ^{[10
]}

Mornet, M. ^{[11
]}

Fesq, G. ^{[12
]}

Zureik, M. ^{[13
]}

Roche, N. ^{[14
]}

Blanchon, F. ^{[15
]}

Piquet, J. ^{[16
]}

机构：

[1] Ctr Hosp Gen Antibes, Serv Pneumol Soins Intensifs Resp, F-06606 Antibes, France

[2] CHG Elbeuf, F-76503 Elbeuf, France

[3] CHG Compiegne, F-60321 Compiegne, France

[4] CHG Niort, F-79000 Niort, France

[5] CHG Thionville, F-57100 Thionville, France

[6] CHG Chartres, F-28000 Chartres, France

[7] CHG Vesoul, F-70000 Vesoul, France

[8] CHG Roubaix, F-59100 Roubaix, France

[9] CHG Pontoise, F-95300 Pontoise, France

[10] CHG Argenteuil, F-95100 Argenteuil, France

[11] CHG Bourges, F-18016 Bourges, France

[12] CHG Evreux, F-27000 Evreux, France

[13] Univ Paris 07, INSERM, U700, Fac Xavier Bichat, F-75018 Paris, France

[14] Hop Hotel Dieu, F-75181 Paris, France

[15] CHG Meaux, F-77104 Meaux, France

[16] Ctr Hosp Intercommunal CHI Le Raincy Montfermeil, F-93370 Montfermeil, France

来源：

REVUE DES MALADIES RESPIRATOIRES | 2010年 / 27卷 / 07期

关键词：

Acute exacerbation; France; General hospital; Mortality; Chronic obstructive pulmonary disease; COPD; OBSTRUCTIVE PULMONARY-DISEASE; EMERGENCY-DEPARTMENT; COPD; SURVIVAL; OUTCOMES; PREDICTORS; ADMISSION; BURDEN;

D O I：

10.1016/j.rmr.2010.06.020

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

100201 [内科学];

摘要：

Introduction. - The objective of the present study was to determine the in-hospital mortality rate in the EAPCO-CPHG cohort and to identify risk factors. Methods. - All patients with COPD acute exacerbation admitted to the pneumology department of 68 French general hospitals between October 2006 and June 2007 were included in the EABPCO-CPHG cohort. Results. - At discharge, vital status was known for 1817 patients. Forty-five patients died during their hospital stay, i.e., an in-hospital mortality rate of 2.5%. Mutivariate analysis identified age (OR = 1.07 [1.03-1.11]), grade greater than 2 dyspnea in stable state (OR = 3.77 [1.68-8.57]), and number of clinical signs of severity during the acute exacerbation (OR = 1.36 [1.11-1.55]) as independent risk factors for in-hospital mortality. Conclusions. - In-hospital mortality in patients admitted to a pneumology department of a general hospital is quite low. Simple clinical criteria allow easy identification of at-risk patients and should enable management to be improved. (C) 2010 SPLF. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：709 / 716

页数：8

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