Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Risk factors for hospitalization for a chronic obstructive pulmonary disease exacerbation - EFRAM Study
Autore:
Garcia-Aymerich, J; Monso, E; Marrades, RM; Escarrabill, J; Felez, MA; Sunyer, J; Anto, JM; Alonso, J; Barreiro, E; Farrero, E; Redondo, MJ; Soler, N; Torres, A; Bonet, G; Izquierdo, J; Morera, J;
Indirizzi:
Inst Municipal Invest Med, Resp & Environm Hlth Res Unit, E-08003 Barcelona, Spain Inst Municipal Invest Med Barcelona Spain E-08003 08003 Barcelona, Spain Hosp Germans Trias & Pujol, Dept Pneumol, Badalona, Spain Hosp Germans Trias & Pujol Badalona Spain Dept Pneumol, Badalona, Spain Hosp Clin Barcelona, Dept Pneumol, Barcelona, Spain Hosp Clin Barcelona Barcelona Spain ona, Dept Pneumol, Barcelona, Spain Ciutat Sanitaria & Univ Bellvitge, Dept Pneumol, Lhospitalet DeLlobregat, Spain Ciutat Sanitaria & Univ Bellvitge Lhospitalet DeLlobregat Spain , Spain Hosp Mare Deu Esperanca, Dept Pneumol, Barcelona, Spain Hosp Mare Deu Esperanca Barcelona Spain Dept Pneumol, Barcelona, Spain Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain Univ Pompeu Fabra Barcelona Spain ept Expt & Hlth Sci, Barcelona, Spain
Titolo Testata:
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 6, volume: 164, anno: 2001,
pagine: 1002 - 1007
SICI:
1073-449X(20010915)164:6<1002:RFFHFA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; FLUTICASONE PROPIONATE; CONTROLLED TRIAL; OXYGEN-THERAPY; LUNG-DISEASE; MODERATE; REHABILITATION; METAANALYSIS; VACCINATION; MORTALITY;
Keywords:
COPD; exacerbation; hospitalization; risk factors; case-control;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Anto, JM Inst Municipal Invest Med, Resp & Environm Hlth Res Unit, Doctor Aiguader 80, E-08003 Barcelona, Spain Inst Municipal Invest Med Doctor Aiguader 80 Barcelona Spain E-08003
Citazione:
J. Garcia-Aymerich et al., "Risk factors for hospitalization for a chronic obstructive pulmonary disease exacerbation - EFRAM Study", AM J R CRIT, 164(6), 2001, pp. 1002-1007

Abstract

Although exacerbation of chronic obstructive pulmonary disease (COPD) is important in terms of health and costs, there is little information about which are the risk factors. We estimated the association between modifiable and nonmodifiable potential risk factors of exacerbation and the admission for a COPD exacerbation, using a case-control approach. Cases were recruitedamong admissions for COPD exacerbation during 1 yr in four tertiary hospitals of the Barcelona area. Control subjects were recruited from hospital's register of discharges, having coincided with the referent case in a previous COPD admission but being clinically stable when the referent case was hospitalized. All patients completed a questionnaire and performed spirometry, blood gases, and physical examination. Information about potential risk factors was collected, including variables related to clinical status, characteristics of medical care, medical prescriptions, adherence to medication,lifestyle, quality of life, and social support. A total of 86 cases and 86control subjects were included, mean age 69 yr, mean FEV1 39% of predicted. Multivariate logistic regression showed the following risk (or protective) factors of COPD hospitalization: three or more COPD admissions in the previous year (odds ratio [OR] 6.21, p = 0.008); FEV1 (OR 0.96 per percentual unit, p < 0.0005); underprescription of long-term oxygen therapy (LTOT) (OR22.64, p = 0.007); and current smoking (OR 0.30, p = 0.022). Among a wide range of potential risk factors we have found that only previous admissions, lower FEV1, and underprescription of LTOT are independently associated with a higher risk of admission for a COPD exacerbation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:31:52