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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Faculty of Medicine, Chiang Mai University
2019
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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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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 |
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hospitalization COPD COPD exacerbation GOLD |
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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 |
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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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