Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care

We aimed to investigate the efficacy of four severity-of-disease scoring systems in predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) requiring emergency care. Clinical data of patients with AECOPD who required emergency care...

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Main Authors: Zhihong Feng, Tao Wang, Ping Liu, Sipeng Chen, Han Xiao, Ning Xia, Zhiming Luo, Bing Wei, Xiuhong Nie
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2017/3063510
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spelling doaj-26e380e436d140a79f1f0c543bf6a19c2021-07-02T04:10:40ZengHindawi LimitedCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/30635103063510Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive CareZhihong Feng0Tao Wang1Ping Liu2Sipeng Chen3Han Xiao4Ning Xia5Zhiming Luo6Bing Wei7Xiuhong Nie8Department of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Emergency Medicine, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, ChinaDepartment of Physiology and Pathophysiology, Capital Medical University, Beijing, ChinaDepartment of Public Health, Capital Medical University, Beijing, ChinaDepartment of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, ChinaWe aimed to investigate the efficacy of four severity-of-disease scoring systems in predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) requiring emergency care. Clinical data of patients with AECOPD who required emergency care were recorded over 2 years. APACHE II, SAPS II, SOFA, and MEDS scores were calculated from severity-of-disease indicators recorded at admission and compared between patients who died within 28 days of admission (death group; 46 patients) and those who did not (survival group; 336 patients). Compared to the survival group, the death group had a significantly higher GCS score, frequency of comorbidities including hypertension and heart failure, and age (P<0.05 for all). With all four systems, scores of age, gender, renal inadequacy, hypertension, coronary heart disease, heart failure, arrhythmia, anemia, fracture leading to bedridden status, tumor, and the GCS were significantly higher in the death group than the survival group. The prediction efficacy of the APACHE II and SAPS II scores was 88.4%. The survival rates did not differ significantly between APACHE II and SAPS II (P=1.519). Our results may guide triage for early identification of critically ill patients with AECOPD in the emergency department.http://dx.doi.org/10.1155/2017/3063510
collection DOAJ
language English
format Article
sources DOAJ
author Zhihong Feng
Tao Wang
Ping Liu
Sipeng Chen
Han Xiao
Ning Xia
Zhiming Luo
Bing Wei
Xiuhong Nie
spellingShingle Zhihong Feng
Tao Wang
Ping Liu
Sipeng Chen
Han Xiao
Ning Xia
Zhiming Luo
Bing Wei
Xiuhong Nie
Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
Canadian Respiratory Journal
author_facet Zhihong Feng
Tao Wang
Ping Liu
Sipeng Chen
Han Xiao
Ning Xia
Zhiming Luo
Bing Wei
Xiuhong Nie
author_sort Zhihong Feng
title Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
title_short Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
title_full Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
title_fullStr Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
title_full_unstemmed Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
title_sort efficacy of various scoring systems for predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease requiring emergency intensive care
publisher Hindawi Limited
series Canadian Respiratory Journal
issn 1198-2241
1916-7245
publishDate 2017-01-01
description We aimed to investigate the efficacy of four severity-of-disease scoring systems in predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) requiring emergency care. Clinical data of patients with AECOPD who required emergency care were recorded over 2 years. APACHE II, SAPS II, SOFA, and MEDS scores were calculated from severity-of-disease indicators recorded at admission and compared between patients who died within 28 days of admission (death group; 46 patients) and those who did not (survival group; 336 patients). Compared to the survival group, the death group had a significantly higher GCS score, frequency of comorbidities including hypertension and heart failure, and age (P<0.05 for all). With all four systems, scores of age, gender, renal inadequacy, hypertension, coronary heart disease, heart failure, arrhythmia, anemia, fracture leading to bedridden status, tumor, and the GCS were significantly higher in the death group than the survival group. The prediction efficacy of the APACHE II and SAPS II scores was 88.4%. The survival rates did not differ significantly between APACHE II and SAPS II (P=1.519). Our results may guide triage for early identification of critically ill patients with AECOPD in the emergency department.
url http://dx.doi.org/10.1155/2017/3063510
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