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Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit
Joint Authors
Dadeh, Ar-aishah
Pethyabarn, Wasuntaraporn
Chewae, Sareeman
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
We aimed to identify factors associated with treatment failure in patients with acute exacerbation of COPD (AECOPD) admitted to the emergency department observation unit (EDOU).
Methods.
A retrospective cohort study was conducted between January 1, 2013, and October 31, 2019.
The electronic medical records were reviewed of patients with AECOPD admitted to the EDOU.
The patients were divided into treatment failure and treatment success groups.
Treatment failure was defined as prolonged stay at the EDOU (>48 h) or COPD-related ED revisit (within 72 h) or readmission within 1 month.
The two groups were compared and analyzed using univariable and multivariable analyses by logistic regression.
Results.
Of the 220 patients enrolled, 82 (37.3%) developed treatment failure.
Factors associated with treatment failure included arrhythmias (odds ratio [OR] 3.8, 95% confidence interval [CI] 1.04–13.9), diabetic mellitus (OR 2.32, 95% CI 1.09–4.95), long-term oxygen therapy (OR 2.89, 95% CI 1.08–7.72), short-acting beta-agonist use (OR 6.06, 95% CI 1.98–18.62), pneumonia findings on chest X-ray (OR 3.24, 95% CI 1.06–9.95), and ED length of stay less than 4 h (OR 2, 95% CI 1.08–3.73).
Conclusion.
Arrhythmias, diabetic mellitus, long-term oxygen therapy, short-acting beta-agonist use, pneumonia findings on chest X-ray, and ED length of stay <4 h were the significant factors associated with treatment failure of AECOPD to which physicians at the ED should pay special attention before the admission of patients to the EDOU.
American Psychological Association (APA)
Pethyabarn, Wasuntaraporn& Chewae, Sareeman& Dadeh, Ar-aishah. 2020. Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1159143
Modern Language Association (MLA)
Pethyabarn, Wasuntaraporn…[et al.]. Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit. Emergency Medicine International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1159143
American Medical Association (AMA)
Pethyabarn, Wasuntaraporn& Chewae, Sareeman& Dadeh, Ar-aishah. Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1159143
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159143