1. COPD exacerbations in the emergency department: Epidemiology and related costs. A retrospective cohort multicentre study from the Italian Society of Emergency Medicine (SIMEU)
- Author
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Federico Germini, Giacomo Veronese, Maura Marcucci, Daniele Coen, Deborah Ardemagni, Nicola Montano, Andrea Fabbri, Luigi Elio Adinolfi, Antonella Alvisi, Giulia Azin, Andrea Balloni, Geminiano Bandiera, Marco Barchetti, Alfredo Barillari, Marco Barozzi, Giulia Belloni, Eugenia Belotti, Nicola Binetti, Miriam Bonora, Rosamaria Bruni, Silvia Cacco, Daniele Camisa, Giorgio Carbone, Giuseppe Carpinteri, Laura Catino, Massimo Cazzaniga, Patrizia Cenni, Vittorio Chelli, Leonora Cicero, Carlo Domenico Cottone, Filippa Cuccia, Luciano D'Angelo, Francesca Dalmonte, Fabio Daviddi, Anna De Vita, Fausto Famà, Marta Fedele, Caterina Fonti, Marta Frigerio, Alan Gallingani, Valeria Ghiglione, Maria Gioffrè-Florio, Mauro Giordano, Fabrizio Giostra, Maria Giulia Galli, Maria Elena Greggi, Paolo Groff, Stefano Guizzardi, Chiara Lagasio, Giuseppe Lazzara, Eloisa Lubini, Laura Magni, Sandro Mancarella, Giuseppe Mangano, Margherita Maragno, Monia Menabue, Eleonora Meoni, Federica Molinaro, Alice Morelli, Francesco Moscariello, Riccardo Nevola, Paola Noto, Antonio Pagano, Fiorella Paladino, Roberta Pancani, Giuseppina Petrelli, Roberta Petrino, Carmine Sinno, Aferdita Tafa, Sergio Tartaglia, Chiara Taurino, Martina Treleani, Liliana Villari, Alessandra Vitelli, Cinzia Zaccagni, Bruna Zaccaro, Massimo Zacchino, Germini, F1, Veronese, G2, Marcucci, M3, Coen, D2, Ardemagni, D4, Montano, N5, Fabbri, A6, SIMEU Study Group Collaborators (70) Adinolfi, Le7, Alvisi, A8, Azin, G9, Balloni, A10, Bandiera, G11, Barchetti, M12, Barillari, A13, Barozzi, M14, Belloni, G15, Belotti, E16, Binetti, N17, Bonora, M18, Bruni, R19, Cacco, S20, Camisa, D20, Carbone, G21, Carpinteri, G22, Catino, L23, Cazzaniga, M24, Cenni, P25, Chelli, V26, Cicero, L14, Cottone, Cd27, Cuccia, F18, D'Angelo, L24, Dalmonte, F25, Daviddi, F28, De Vita, A7, Famà, F29, Fedele, M17, Fonti, C21, Frigerio, M10, Gallingani, A12, Ghiglione, V30, Gioffrè-Florio, M29, Giordano, M, Giostra, F10, Galli, Mg31, Greggi, Me32, Groff, P33, Guizzardi, S34, Lagasio, C30, Lazzara, G34, Lubini, E13, Magni, L35, Mancarella, S36, Mangano, G22, Maragno, M18, Menabue, M37, Meoni, E28, Molinaro, F21, Morelli, A38, Moscariello, F39, Nevola, R7, Noto, P22, Pagano, A40, Paladino, F40, Pancani, R41, Petrelli, G33, Petrino, R42, Sinno, C18, Tafa, A26, Tartaglia, S42, Taurino, C41, Treleani, M39, Villari, L41, Vitelli, A40, Zaccagni, C36, Zaccaro, B18, and Zacchino, M. 9.
- Subjects
Male ,medicine.medical_specialty ,Comorbidity ,Disease ,Pulmonary Disease, Chronic Obstructive ,03 medical and health sciences ,0302 clinical medicine ,Epidemiology ,Internal Medicine ,Humans ,Medicine ,030212 general & internal medicine ,Chronic obstructive Emergency service, Cost analysis, Hospital epidemiology costs, Pulmonary disease, Internal Medicine ,Aged ,Retrospective Studies ,Aged, 80 and over ,Heart Failure ,COPD ,business.industry ,Retrospective cohort study ,Health Care Costs ,Emergency department ,medicine.disease ,Hospitalization ,Italy ,030228 respiratory system ,Heart failure ,Cohort ,Emergency medicine ,Disease Progression ,Female ,Emergency Service, Hospital ,business - Abstract
Acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) frequently cause patients with COPD to access the emergency department and have a negative impact on the course of the disease. The objectives of our study were: 1) describing the socio-demographic and clinical characteristics, and the clinical management, of patients with AECOPD, when they present to the emergency department; and 2) estimating the costs related to the management of these patients. We conducted a retrospective cohort study in Italy, collecting data on 4396 patients, from 34 centres. Patients had a mean (SD) age of 76,6 (10.6) years, and 61.2% of them where males. >70% of the patients had a moderate to very high comorbidity burden, and heart failure was present in 26.4% of the cohort. The 64.6% of patients were admitted to hospital wards, with a mean (SD) length of stay of 10.8 (9.8) days. The estimated cost per patient was 2617 €. Conclusions: Patients attending the ED for an AECOPD are old and present important comorbidities. The rate of admission is high, and costs are remarkable. © 2018 European Federation of Internal Medicine
- Published
- 2018