COPD exacerbation: anthropometric characteristics of patients and the frequency of hospital admissions.
DOI:
https://doi.org/10.26641/2307-0404.2014.4.35591Keywords:
COPD, exacerbation, anthropometric parametersAbstract
Exceptional importance of exacerbations for COPD course prognosing was reflected in the GOLD, 2011, where the number of exacerbations during the past year has been recognized as one of the main criteria of the future risks for patients. The aim of study was to determine the anthropometric indicators that increase the risk of re-hospitalization due to acute exacerbation of COPD. A retrospective analysis of medical records of inpatients who were hospitalized with COPD exacerbation to therapeutic department of CI "Dnipropetrovs’k sixth municipal clinical hospital" of Dnipropetrovsk regional council" during three years was done. It was established that neither sex, nor height, nor weight affect the rate of hospitalization due to COPD exacerbations. Older age is not a factor that increases the risk of hospitalization due to COPD exacerbation (despite the fact that the majority of hospitalized patients were elderly patients, 37% of them were persons of potentially working age). Severe exacerbation of COPD may occur in any patients with, even one year, experience of the disease. Among anthropometric indices, the most important predictor of re-hospitalization due to exacerbation of COPD is BMI<18.5, so its calculation is advisable in long-term observation of patients.References
Інструментальні методи дослідження функції зовнішнього дихання при захворюваннях бронхо-легеневої системи: метод. рекомендації / Ю.М. Мос¬то¬вий, Т. В. Константинович-Чічерельо, О.М. Ко¬лош¬ко, Л.В. Распутіна. – Вінниця, 2000. – 36 с.
Лапач С.Н. Статистические методы в медико-биологических исследованиях с использованием Exel / С.Н. Лапач, А.В. Губенко, П.Н. Бабич. – К. : Морион, 2000. – 320 с.
Про затвердження клінічних протоколів на¬дання медичної допомоги за спеціальністю "Пуль¬моно¬логія": наказ МОЗ України №128 від 19.03.2007р. / МОЗ Украіни. – Офіц. вид. – К., 2007. – 146 с.
Про затвердження та впровадження медико-тех¬нологічних документів зі стандартизації медичної допомоги при хронічному обструктивному захво¬рю¬ван¬ні легень: наказ МОЗ України № 555 від 27.06.2013 / МОЗ Украіни. – Офіц. вид. – К., 2013. – 3 с.
Реброва О.Ю. Статистический анализ меди¬цинских данных. Применение пакета прикладных про¬грамм STATISTICA / О. Ю. Реброва. – М.: Ме¬диасфера, 2002. – 312 с.
Фещенко Ю.И. Новая редакция глобальной ини¬циативы по ХОЗЛ / Ю.И. Фещенко // Укр. пульмонол. журнал. – 2012. – № 2. – С. 6–8.
Acute exacerbations of COPD in the United States: inpatient burden and predictors of costs and morta¬lity / P.N. Perera, E.P. Armstrong, D.L. Sherrill G.H. Skrepnek // COPD. – 2012. – Vol. 9. – P.131–141.
Baker Christine L Risk assessment of readmis¬sions following an initial COPD-related hospitalization / L. Christine Baker, H. Kelly Zou, Jun Su R // Inter. J. COPD. – 2013. – Vol. 8. – P. 551–559.
Elixhauser A. Readmissions for Chronic Obstruc¬tive Pulmonary Disease, 2008 [Electronic Resource] / A. Elixhauser, D. Au, J. Podulka. – HCUP Statistical Brief # 121. September 2011. Agency for Healthcare Research and Quality, Rockville, MD. Режим доступу : http://www.hcup-us.ahrq.gov/reports/statbriefs/sb121.pdf
Global Initiative for Chronic Obstructive Lung Diseases (GOLD). Global strategy for diagnosis, mana¬gement, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report [Electronic Resource] / WHO, 2011. – Режим доступу: http://www.goldcopd.com/.
Chronic obstructive pulmonary di¬sease: current burden and future projections / A.D. Lopez, K. Shibuya, C. Rao [et al.] // Eur. Resp. J. – 2006. – Vol. 27. – P. 397–412.
Natural history of chronic bronchitis and em¬physema / C. M. Fletcher, R. Peto, C. M. Tinker, F.E. Spei¬zer. – Oxford : Oxford University Press, 1976. – 272 p.
Newcombe R.G. Two-Sided Confidence Intervals for the Single Proportion: Comparison of Seven Methods / R.G. Newcombe // Statistics in Medicine. – 1998. – Vol. 17. – P. 857–872.
Oostenbrink J.B. Resource use and risk factors in high-cost exacerbations of COPD / J.B. Oos¬tenbrink, M. P. Rutten-van Molken // Resp. Medicine. – 2004. – Vol. 98. – P. 883–91.
Prediction model for COPD readmissions: cat¬ching up, catching our breath, and improving a national problem / A. Bravein, K. Lukasz, P. Arvin [et al.] // J. Com¬munity Hospital Inter. Medicine Perspectives. – 2012. – Vol 2, N 1. – P. 302–304.
Series ATS/ERS task force: Standardisation of lung function testing [Text] / V. Brusasco [et al.] // Eur. Resp. J. – 2005. – Vol. 26. – P. 319–338.
Stein B.D. Hospitalizations for acute exacer¬bations of chronic obstructive pulmonary disease: how you count matters / B.D. Stein, J.T. Charbeneau, T.A. Lee [et al.] // COPD. – 2010. – Vol. 7. – P. 164–171.
Trends in hospitalization with chronic obstructive pulmonary disease – United States, 1990-2005 / D.W. Brown, J. B. Croft, K. J. Greenlund, W. H. Giles // COPD. – 2010. – Vol. 7. – P. 59–62.
WHO. Physical status: the use and interpretation of anthropometry / Report of a WHO Expert Com¬mittee. WHO Technical Report Series 854. – Geneva: World Health Organization, 1995. – 36 р.
REFERENCES
Mostoviy YuM, Konstantinovich-Chіcherel'o TV, Koloshko OM, Rasputіna LV. [Instrumental methods of res¬piratory function testing in patients with broncho-pulmonary diseases]. Vіnnitsya; 2000. Russian.
Lapach SN, Gubenko AV, Babich PN. [Statistic methods in medical-biological investigations by means of Exel] Kiev: Morion; 2000. Russian.
[On approval of clinical protocols of care in "Pulmonology" specialty]. Order N 128 of MOH of Uk¬raine. March 19; 2007. Ukrainian.
[On approval and implementation of medical and technological documents on standardization of medical care in chronic obstructive pulmonary disease]: Order N 555 MoH of Ukraine. June 27; 2013. Ukrainian.
Rebrova ОYu. [Statistical analysis of medical data. Application of software package STATISTICA] Мoscow. Mediasphera; 2002. Russian.
FeshchenkoYuI. [New edition of Global Initiative for Chronic Obstructive Pulmonary Diseases]. Uk¬raїns'kiy pul'monologіchniy zhurnal. 2012;2:6-8. Russian.
Perera PN, Armstrong EP, Sherrill DL, Skrepnek GH. Acute exacerbations of COPD in the United States: inpatient burden and predictors of costs and mortality. COPD. 2012;9:131-41.
Baker CL, Zou KH, R JunSu. Risk assessment of readmissions following an initial COPD-related hospi¬talization. International Journal of COPD. 2013;8:551-9.
Elixhauser A, Au D, Podulka J. Readmissions for Chronic Obstructive Pulmonary Disease, 2008. HCUP Statistical Brief N 121. September 2011. Agency for Healthcare Research and Quality, Rockville, MD. [cited 2014 Aug 15]; [about 2 p.]. Available from: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb121.pdf
Global Initiative for Chronic Obstructive Lung Diseases (GOLD). Global strategy for diagnosis, mana¬gement, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report WHO, 2011. [cited 2014 Aug 15]; Available from: http://www.goldcopd.com/.
Lopez A, Shibuya K, Rao C. et al. Chronic ob¬struc¬tive pulmonary disease: current burden and future pro¬jections. European Respiratory Journal. 2006;27:397-412.
Fletcher CM, Peto R, Tinker CM, Speizer FE. Na¬tural history of chronic bronchitis and emphysema. Oxfor: Oxford University Press; 1976.
Newcombe RG. Two-Sided Confidence Intervals for the Single Proportion: Comparison of Seven Methods. Statistics in Medicine. 1998;17:857-72.
Oostenbrink JB, Rutten-van Molken MP. Re¬source use and risk factors in high-cost exacerbations of COPD. Respiratory Medicine. 2004;98:883–91.
Bravein AA, Lukasz K, Arvin P. et al. Prediction model for COPD readmissions: catching up, catching our breath, and improving a national problem. Journal of Community Hospital Internal Medicine Perspectives. 2012;2(1):302-4.
Brusasco V. et al. Series ATS/ERS task force: Stan¬dardisation of lung function testing. European Respiratory Journal. 2005;26:319-38.
Stein BD, Charbeneau JT, Lee TA. et al. Hospi¬talizations for acute exacerbations of chronic obstructive pulmonary disease: how you count matters. COPD. 2010;7:164-71.
Brown DW, Croft JB, Greenlund KJ, Giles WH. Trends in hospitalization with chronic obstructive pulmonary disease. United States, 1990-2005. COPD. 2010;7:59-62.
WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Geneva: World Health Organization, 1995;36.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Medical Perspectives
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
