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COPD exacerbations in the emergency department: Epidemiology and related costs. A retrospective cohort multicentre study from the Italian Society of Emergency Medicine (SIMEU)
- Publication Year :
- 2018
-
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
- 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
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....df8d04ecac3bfff9897219caa45fe5a2