Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation

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 w...

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Autores: García-Sanz, María-Teresa, González Barcala, Francisco Javier, Cánive-Gómez, Juan-Carlos, García Couceiro, Nuria, Alonso-Acuña, Sara, Carreira, José-Martín
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Santiago de Compostela (USC)
Repositorio:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
Idioma:inglés
OAI Identifier:oai:minerva.usc.gal:10347/38964
Acceso en línea:https://hdl.handle.net/10347/38964
Access Level:acceso abierto
Palabra clave:Chronic obstructive pulmonary disease exacerbation
Hospital admission
Predictors
Prolonged stay
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spelling Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbationGarcía-Sanz, María-TeresaGonzález Barcala, Francisco JavierCánive-Gómez, Juan-CarlosGarcía Couceiro, NuriaAlonso-Acuña, SaraCarreira, José-MartínChronic obstructive pulmonary disease exacerbationHospital admissionPredictorsProlonged stayObjectives: 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.Medknow PublicationsUniversidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina20182018-07-0120182018-07-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10347/38964reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostelainstname:Universidad de Santiago de Compostela (USC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.http://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:minerva.usc.gal:10347/389642026-06-15T12:47:27Z
dc.title.none.fl_str_mv Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
title Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
spellingShingle Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
García-Sanz, María-Teresa
Chronic obstructive pulmonary disease exacerbation
Hospital admission
Predictors
Prolonged stay
title_short Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
title_full Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
title_fullStr Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
title_full_unstemmed Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
title_sort Prolonged stay predictors in patients admitted with chronic obstructive pulmonary disease acute exacerbation
dc.creator.none.fl_str_mv García-Sanz, María-Teresa
González Barcala, Francisco Javier
Cánive-Gómez, Juan-Carlos
García Couceiro, Nuria
Alonso-Acuña, Sara
Carreira, José-Martín
author García-Sanz, María-Teresa
author_facet García-Sanz, María-Teresa
González Barcala, Francisco Javier
Cánive-Gómez, Juan-Carlos
García Couceiro, Nuria
Alonso-Acuña, Sara
Carreira, José-Martín
author_role author
author2 González Barcala, Francisco Javier
Cánive-Gómez, Juan-Carlos
García Couceiro, Nuria
Alonso-Acuña, Sara
Carreira, José-Martín
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina
dc.subject.none.fl_str_mv Chronic obstructive pulmonary disease exacerbation
Hospital admission
Predictors
Prolonged stay
topic Chronic obstructive pulmonary disease exacerbation
Hospital admission
Predictors
Prolonged stay
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018-07-01
2018
2018-07-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10347/38964
url https://hdl.handle.net/10347/38964
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Medknow Publications
publisher.none.fl_str_mv Medknow Publications
dc.source.none.fl_str_mv reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
instname:Universidad de Santiago de Compostela (USC)
instname_str Universidad de Santiago de Compostela (USC)
reponame_str Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
collection Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
repository.name.fl_str_mv
repository.mail.fl_str_mv
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