Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors

Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Ma...

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Main Authors: Su-thitaya Intuvanich, Chaisiri Angkurawaranon, Kanokporn Pinyopornpanish
Language:English
Published: Faculty of Medicine, Chiang Mai University 2019
Subjects:
Online Access:https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/127741
http://cmuir.cmu.ac.th/jspui/handle/6653943832/66326
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-663262019-08-21T09:18:26Z Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors การนอนโรงพยาบาลในผู้ป่วยที่มีอาการเฉียบพลันจากโรคปอดอุดกั้นเรื้อรังในโรงพยาบาลสารภี: การศึกษาย้อนหลังหาความชุกปละปัจจัยที่เกี่ยวข้อง Su-thitaya Intuvanich Chaisiri Angkurawaranon Kanokporn Pinyopornpanish hospitalization COPD COPD exacerbation GOLD Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Objective To determine the prevalence of hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD) and the association with COPD severity, comorbidities, and treatment options. Methods A retrospective study was conducted with 277 acute exacerbation COPD patients who were diagnosed and treated at Sarapee Hospital between October 2015 and September 2016. The primary outcome was the hospitalization due to acute exacerbation during the year of study. Results Among the AECOPD patients treated at Sarapee Hospital, 21.3% were hospitalized. Predictors of the severity of the disease associated with hospitalization were found to including GOLD (Global Initiative for Obstructive Lung Disease) grade, steroid use, and home oxygen use. Of these three factors, home oxygen therapy was the strongest predictor (aOR=21.61, 95% CI=8.92- 52.38, p<0.001). Patients with ischemic heart disease (IHD) tended to have a higher rate of hospitalization for AECOPD than those with other co-morbidities (aOR=2.59, 95% CI=0.89-7.51, p-value 0.078). We found no statistically signi fi cant correlation with the other variables tested. Conclusion Hospitalization for AECOPD was associated with home oxygen use and tended to be associated with IHD. Awareness of means of prevention of disease progression, including proper treatment and comorbid disease control, could potentially decrease the prevalence of hospitalization for AECOPD. Proper use of home oxygen should be further investigated. 2019-08-21T09:18:26Z 2019-08-21T09:18:26Z 2019 Chiang Mai Medical Journal 57, 3 (July-Sept 2019), 151-157 0125-5983 https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/127741 http://cmuir.cmu.ac.th/jspui/handle/6653943832/66326 Eng Faculty of Medicine, Chiang Mai University
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
topic hospitalization
COPD
COPD exacerbation
GOLD
spellingShingle hospitalization
COPD
COPD exacerbation
GOLD
Su-thitaya Intuvanich
Chaisiri Angkurawaranon
Kanokporn Pinyopornpanish
Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
description Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
author Su-thitaya Intuvanich
Chaisiri Angkurawaranon
Kanokporn Pinyopornpanish
author_facet Su-thitaya Intuvanich
Chaisiri Angkurawaranon
Kanokporn Pinyopornpanish
author_sort Su-thitaya Intuvanich
title Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
title_short Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
title_full Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
title_fullStr Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
title_full_unstemmed Hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in Sarapee Hospital: A retrospective study of prevalence and associated factors
title_sort hospitalization of patients with acute exacerbation of chronic obstructive pulmonary diseases in sarapee hospital: a retrospective study of prevalence and associated factors
publisher Faculty of Medicine, Chiang Mai University
publishDate 2019
url https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/127741
http://cmuir.cmu.ac.th/jspui/handle/6653943832/66326
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