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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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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