Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/66326
Title: Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
Other Titles: การนอนโรงพยาบาลในผู้ป่วยที่มีอาการเฉียบพลันจากโรคปอดอุดกั้นเรื้อรังในโรงพยาบาลสารภี: การศึกษาย้อนหลังหาความชุกปละปัจจัยที่เกี่ยวข้อง
Authors: Su-thitaya Intuvanich
Chaisiri Angkurawaranon
Kanokporn Pinyopornpanish
Keywords: hospitalization
COPD
COPD exacerbation
GOLD
Issue Date: 2019
Publisher: Faculty of Medicine, Chiang Mai University
Citation: Chiang Mai Medical Journal 57, 3 (July-Sept 2019), 151-157
Abstract: Objective To determine the prevalence of hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD) and the association with COPD severity, comorbidities, and treatment options. Methods A retrospective study was conducted with 277 acute exacerbation COPD patients who were diagnosed and treated at Sarapee Hospital between October 2015 and September 2016. The primary outcome was the hospitalization due to acute exacerbation during the year of study. Results Among the AECOPD patients treated at Sarapee Hospital, 21.3% were hospitalized. Predictors of the severity of the disease associated with hospitalization were found to including GOLD (Global Initiative for Obstructive Lung Disease) grade, steroid use, and home oxygen use. Of these three factors, home oxygen therapy was the strongest predictor (aOR=21.61, 95% CI=8.92- 52.38, p<0.001). Patients with ischemic heart disease (IHD) tended to have a higher rate of hospitalization for AECOPD than those with other co-morbidities (aOR=2.59, 95% CI=0.89-7.51, p-value 0.078). We found no statistically signi fi cant correlation with the other variables tested. Conclusion Hospitalization for AECOPD was associated with home oxygen use and tended to be associated with IHD. Awareness of means of prevention of disease progression, including proper treatment and comorbid disease control, could potentially decrease the prevalence of hospitalization for AECOPD. Proper use of home oxygen should be further investigated.
Description: Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
URI: https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/127741
http://cmuir.cmu.ac.th/jspui/handle/6653943832/66326
ISSN: 0125-5983
Appears in Collections:CMUL: Journal Articles

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