Asthma exacerbations : factors related to longer hospital stay

Background: Hospital admissions account for a significant part of asthma cost, but with significant differences between geographic areas. Aims: The aim of our study is to analyse hospital admissions due to asthma, as well as the factors associated with longer hospital stays. Methods: A review was re...

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Detalles Bibliográficos
Autores: González Barcala, Francisco Javier, Calvo Álvarez, Uxío, Salgado Castro, Francisco Javier, Facal Mayo, David, García Sanz, María-Teresa, Muñoz, Xavier, García Couceiro, Nuria, Paz Neira, Olalla, San José, Esther, Valdés Cuadrado, Luis, Carreira Villamor, José Martin
Tipo de recurso: artículo
Fecha de publicación:2017
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:10347/39106
Acceso en línea:https://hdl.handle.net/10347/39106
Access Level:acceso abierto
Palabra clave:Asthma
Exacerbations
Hospital admissions
Length of stay
Risk factors
24 Ciencias de la vida
32 Ciencias médicas
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spelling Asthma exacerbations : factors related to longer hospital stayGonzález Barcala, Francisco JavierCalvo Álvarez, UxíoSalgado Castro, Francisco JavierFacal Mayo, DavidGarcía Sanz, María-TeresaMuñoz, XavierGarcía Couceiro, NuriaPaz Neira, OlallaSan José, EstherValdés Cuadrado, LuisCarreira Villamor, José MartinAsthmaExacerbationsHospital admissionsLength of stayRisk factors24 Ciencias de la vida32 Ciencias médicasBackground: Hospital admissions account for a significant part of asthma cost, but with significant differences between geographic areas. Aims: The aim of our study is to analyse hospital admissions due to asthma, as well as the factors associated with longer hospital stays. Methods: A review was retrospectively carried out on all admissions of patients over 18 years old due to exacerbation of asthma occurring in our hospital between the years 2000 and 2010. The personal characteristics of each patient, the asthma personal history, characteristics of every exacerbation, as well as the treatment before admission and after hospital discharge were recorded. Results: During the study period, there were 2163 hospital admissions in 1316 patients (mean age 62.6 years; mean hospital stay 11.6 days). The admissions mainly occur in winter, in the 56-75-year age group, and in patients with severe asthma. Female sex, higher comorbidity, a greater number of emergencies due to asthma in the previous year, and baseline treatment with theophylline were independently associated to longer hospital stay. Conclusions: The management of asthma in our population seems improvable. There appears to be a need to optimise both the diagnosis and treatment of the disease, and to identify risk factors as important as tobacco habits. As regards exacerbations, the hospital stay and mortality must be significantly reduced.Taylor & FrancisUniversidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e MedicinaUniversidade de Santiago de Compostela. Departamento de Psicoloxía Evolutiva e da Educación20172017-03-0120172017-03-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10347/39106reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostelainstname:Universidad de Santiago de Compostela (USC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:minerva.usc.gal:10347/391062026-06-15T12:47:27Z
dc.title.none.fl_str_mv Asthma exacerbations : factors related to longer hospital stay
title Asthma exacerbations : factors related to longer hospital stay
spellingShingle Asthma exacerbations : factors related to longer hospital stay
González Barcala, Francisco Javier
Asthma
Exacerbations
Hospital admissions
Length of stay
Risk factors
24 Ciencias de la vida
32 Ciencias médicas
title_short Asthma exacerbations : factors related to longer hospital stay
title_full Asthma exacerbations : factors related to longer hospital stay
title_fullStr Asthma exacerbations : factors related to longer hospital stay
title_full_unstemmed Asthma exacerbations : factors related to longer hospital stay
title_sort Asthma exacerbations : factors related to longer hospital stay
dc.creator.none.fl_str_mv González Barcala, Francisco Javier
Calvo Álvarez, Uxío
Salgado Castro, Francisco Javier
Facal Mayo, David
García Sanz, María-Teresa
Muñoz, Xavier
García Couceiro, Nuria
Paz Neira, Olalla
San José, Esther
Valdés Cuadrado, Luis
Carreira Villamor, José Martin
author González Barcala, Francisco Javier
author_facet González Barcala, Francisco Javier
Calvo Álvarez, Uxío
Salgado Castro, Francisco Javier
Facal Mayo, David
García Sanz, María-Teresa
Muñoz, Xavier
García Couceiro, Nuria
Paz Neira, Olalla
San José, Esther
Valdés Cuadrado, Luis
Carreira Villamor, José Martin
author_role author
author2 Calvo Álvarez, Uxío
Salgado Castro, Francisco Javier
Facal Mayo, David
García Sanz, María-Teresa
Muñoz, Xavier
García Couceiro, Nuria
Paz Neira, Olalla
San José, Esther
Valdés Cuadrado, Luis
Carreira Villamor, José Martin
author2_role author
author
author
author
author
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
Universidade de Santiago de Compostela. Departamento de Psicoloxía Evolutiva e da Educación
dc.subject.none.fl_str_mv Asthma
Exacerbations
Hospital admissions
Length of stay
Risk factors
24 Ciencias de la vida
32 Ciencias médicas
topic Asthma
Exacerbations
Hospital admissions
Length of stay
Risk factors
24 Ciencias de la vida
32 Ciencias médicas
description Background: Hospital admissions account for a significant part of asthma cost, but with significant differences between geographic areas. Aims: The aim of our study is to analyse hospital admissions due to asthma, as well as the factors associated with longer hospital stays. Methods: A review was retrospectively carried out on all admissions of patients over 18 years old due to exacerbation of asthma occurring in our hospital between the years 2000 and 2010. The personal characteristics of each patient, the asthma personal history, characteristics of every exacerbation, as well as the treatment before admission and after hospital discharge were recorded. Results: During the study period, there were 2163 hospital admissions in 1316 patients (mean age 62.6 years; mean hospital stay 11.6 days). The admissions mainly occur in winter, in the 56-75-year age group, and in patients with severe asthma. Female sex, higher comorbidity, a greater number of emergencies due to asthma in the previous year, and baseline treatment with theophylline were independently associated to longer hospital stay. Conclusions: The management of asthma in our population seems improvable. There appears to be a need to optimise both the diagnosis and treatment of the disease, and to identify risk factors as important as tobacco habits. As regards exacerbations, the hospital stay and mortality must be significantly reduced.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-03-01
2017
2017-03-01
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/10347/39106
url https://hdl.handle.net/10347/39106
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
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/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
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis
publisher.none.fl_str_mv Taylor & Francis
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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score 15.812429

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