[The epidemiology of COPD and asthma exacerbations in a general hospital].
Identifieur interne : 000647 ( Main/Exploration ); précédent : 000646; suivant : 000648[The epidemiology of COPD and asthma exacerbations in a general hospital].
Auteurs : I. Otero González ; M. Blanco Aparicio ; C. Montero Martínez ; P. Vali O L Pez ; H. Verea HernandoSource :
- Archivos de bronconeumologia [ 0300-2896 ] ; 2002.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Asthme (épidémiologie), Broncho-pneumopathie chronique obstructive (épidémiologie), Espagne (épidémiologie), Facteurs sexuels (MeSH), Facteurs temps (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Hospitalisation (MeSH), Humains (MeSH), Hôpitaux généraux (MeSH), Mâle (MeSH), Prévalence (MeSH), Réadmission du patient (MeSH), Saisons (MeSH), Service hospitalier d'urgences (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
- MESH :
- épidémiologie : Asthme, Broncho-pneumopathie chronique obstructive, Espagne.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs sexuels, Facteurs temps, Facteurs âges, Femelle, Hospitalisation, Humains, Hôpitaux généraux, Mâle, Prévalence, Réadmission du patient, Saisons, Service hospitalier d'urgences, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Asthma (epidemiology), Emergency Service, Hospital (MeSH), Female (MeSH), Hospitalization (MeSH), Hospitals, General (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Readmission (MeSH), Prevalence (MeSH), Pulmonary Disease, Chronic Obstructive (epidemiology), Retrospective Studies (MeSH), Seasons (MeSH), Sex Factors (MeSH), Spain (epidemiology), Time Factors (MeSH).
- MESH :
- geographic , epidemiology : Spain.
- epidemiology : Asthma, Pulmonary Disease, Chronic Obstructive.
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Emergency Service, Hospital, Female, Hospitalization, Hospitals, General, Humans, Male, Middle Aged, Patient Readmission, Prevalence, Retrospective Studies, Seasons, Sex Factors, Time Factors.
Abstract
This retrospective study identified the clinical and epidemiological characteristics of patients coming to the emergency room of our hospital with exacerbated asthma or chronic obstructive pulmonary disease (COPD) in 1993 and 1994. We followed a previously established protocol to review the case histories of patients from both years. The 1,592 exacerbations we identified in 1,209 asthmatics accounted for 0.9% of all emergency visits, with a mean of 2.2 1.6 (0-9) visits daily. The 2,106 exacerbations of COPD in 1,208 patients accounted for 1.2% of all emergencies, with a mean 2.9 (1-12) visits per day. The mean age was 51.2 (14-93) years for asthmatics and 70.3 (29-96) years for COPD patients. Of asthmatics, 69.8% were women and 30.1% were men, whereas 91.4% of COPD patients were men. The readmission rate was 3.4% for asthmatics and 4.8% for COPD patients. The hospitalization rate was 26.7% for asthmatics and 49.4% for COPD exacerbation patients. The hospital saw 22.6% of asthma exacerbations between midnight and 8 a.m. and 41.6% of COPD exacerbations during the same time frame. For both diseases, more emergencies occurred in winter. Correlation between asthma and COPD and declared influenza cases in the community were r = 0.63 (p < 0.001) for asthma and r = 0.83 (p < 0.0001) for COPD. Our findings underline the considerable emergency care burden generated by exacerbations of obstructive airway diseases and suggest that community acquired respiratory infections are usually the underlying cause.
DOI: 10.1016/s0300-2896(02)75209-5
PubMed: 12113741
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Spain. ioteromed@hotmail.com</nlm:affiliation><wicri:noCountry code="no comma">Servicio de Neumología. Hospital Juan Canalejo. A Coruña. Spain. ioteromed@hotmail.com</wicri:noCountry></affiliation></author><author><name sortKey="Blanco Aparicio, M" sort="Blanco Aparicio, M" uniqKey="Blanco Aparicio M" first="M" last="Blanco Aparicio">M. Blanco Aparicio</name></author><author><name sortKey="Montero Martinez, C" sort="Montero Martinez, C" uniqKey="Montero Martinez C" first="C" last="Montero Martínez">C. Montero Martínez</name></author><author><name sortKey="Vali O L Pez, P" sort="Vali O L Pez, P" uniqKey="Vali O L Pez P" first="P" last="Vali O L Pez">P. Vali O L Pez</name></author><author><name sortKey="Verea Hernando, H" sort="Verea Hernando, H" uniqKey="Verea Hernando H" first="H" last="Verea Hernando">H. Verea Hernando</name></author></analytic><series><title level="j">Archivos de bronconeumologia</title><idno type="ISSN">0300-2896</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Asthma (epidemiology)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (MeSH)</term><term>Hospitals, General (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Readmission (MeSH)</term><term>Prevalence (MeSH)</term><term>Pulmonary Disease, Chronic Obstructive (epidemiology)</term><term>Retrospective Studies (MeSH)</term><term>Seasons (MeSH)</term><term>Sex Factors (MeSH)</term><term>Spain (epidemiology)</term><term>Time Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Asthme (épidémiologie)</term><term>Broncho-pneumopathie chronique obstructive (épidémiologie)</term><term>Espagne (épidémiologie)</term><term>Facteurs sexuels (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux généraux (MeSH)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Réadmission du patient (MeSH)</term><term>Saisons (MeSH)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asthma</term><term>Pulmonary Disease, Chronic Obstructive</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Asthme</term><term>Broncho-pneumopathie chronique obstructive</term><term>Espagne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Emergency Service, Hospital</term><term>Female</term><term>Hospitalization</term><term>Hospitals, General</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Readmission</term><term>Prevalence</term><term>Retrospective Studies</term><term>Seasons</term><term>Sex Factors</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs sexuels</term><term>Facteurs temps</term><term>Facteurs âges</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Hôpitaux généraux</term><term>Mâle</term><term>Prévalence</term><term>Réadmission du patient</term><term>Saisons</term><term>Service hospitalier d'urgences</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This retrospective study identified the clinical and epidemiological characteristics of patients coming to the emergency room of our hospital with exacerbated asthma or chronic obstructive pulmonary disease (COPD) in 1993 and 1994. We followed a previously established protocol to review the case histories of patients from both years. The 1,592 exacerbations we identified in 1,209 asthmatics accounted for 0.9% of all emergency visits, with a mean of 2.2 1.6 (0-9) visits daily. The 2,106 exacerbations of COPD in 1,208 patients accounted for 1.2% of all emergencies, with a mean 2.9 (1-12) visits per day. The mean age was 51.2 (14-93) years for asthmatics and 70.3 (29-96) years for COPD patients. Of asthmatics, 69.8% were women and 30.1% were men, whereas 91.4% of COPD patients were men. The readmission rate was 3.4% for asthmatics and 4.8% for COPD patients. The hospitalization rate was 26.7% for asthmatics and 49.4% for COPD exacerbation patients. The hospital saw 22.6% of asthma exacerbations between midnight and 8 a.m. and 41.6% of COPD exacerbations during the same time frame. For both diseases, more emergencies occurred in winter. Correlation between asthma and COPD and declared influenza cases in the community were r = 0.63 (p < 0.001) for asthma and r = 0.83 (p < 0.0001) for COPD. Our findings underline the considerable emergency care burden generated by exacerbations of obstructive airway diseases and suggest that community acquired respiratory infections are usually the underlying cause.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12113741</PMID><DateCompleted><Year>2002</Year><Month>10</Month><Day>30</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0300-2896</ISSN><JournalIssue CitedMedium="Print"><Volume>38</Volume><Issue>6</Issue><PubDate><Year>2002</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Archivos de bronconeumologia</Title><ISOAbbreviation>Arch. Bronconeumol.</ISOAbbreviation></Journal><ArticleTitle>[The epidemiology of COPD and asthma exacerbations in a general hospital].</ArticleTitle><Pagination><MedlinePgn>256-62</MedlinePgn></Pagination><Abstract><AbstractText>This retrospective study identified the clinical and epidemiological characteristics of patients coming to the emergency room of our hospital with exacerbated asthma or chronic obstructive pulmonary disease (COPD) in 1993 and 1994. We followed a previously established protocol to review the case histories of patients from both years. The 1,592 exacerbations we identified in 1,209 asthmatics accounted for 0.9% of all emergency visits, with a mean of 2.2 1.6 (0-9) visits daily. The 2,106 exacerbations of COPD in 1,208 patients accounted for 1.2% of all emergencies, with a mean 2.9 (1-12) visits per day. The mean age was 51.2 (14-93) years for asthmatics and 70.3 (29-96) years for COPD patients. Of asthmatics, 69.8% were women and 30.1% were men, whereas 91.4% of COPD patients were men. The readmission rate was 3.4% for asthmatics and 4.8% for COPD patients. The hospitalization rate was 26.7% for asthmatics and 49.4% for COPD exacerbation patients. The hospital saw 22.6% of asthma exacerbations between midnight and 8 a.m. and 41.6% of COPD exacerbations during the same time frame. For both diseases, more emergencies occurred in winter. Correlation between asthma and COPD and declared influenza cases in the community were r = 0.63 (p < 0.001) for asthma and r = 0.83 (p < 0.0001) for COPD. Our findings underline the considerable emergency care burden generated by exacerbations of obstructive airway diseases and suggest that community acquired respiratory infections are usually the underlying cause.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Otero González</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Servicio de Neumología. Hospital Juan Canalejo. A Coruña. Spain. ioteromed@hotmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanco Aparicio</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Montero Martínez</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Valiño López</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Verea Hernando</LastName><ForeName>H</ForeName><Initials>H</Initials></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Características epidemiológicas de las exacerbaciones por EPOC y asma en un hospital general.</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Arch Bronconeumol</MedlineTA><NlmUniqueID>0354720</NlmUniqueID><ISSNLinking>0300-2896</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006769" MajorTopicYN="N">Hospitals, General</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010359" MajorTopicYN="N">Patient Readmission</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>7</Month><Day>13</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2002</Year><Month>11</Month><Day>1</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>7</Month><Day>13</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12113741</ArticleId><ArticleId IdType="pii">13032777</ArticleId><ArticleId IdType="doi">10.1016/s0300-2896(02)75209-5</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Blanco Aparicio, M" sort="Blanco Aparicio, M" uniqKey="Blanco Aparicio M" first="M" last="Blanco Aparicio">M. Blanco Aparicio</name><name sortKey="Montero Martinez, C" sort="Montero Martinez, C" uniqKey="Montero Martinez C" first="C" last="Montero Martínez">C. Montero Martínez</name><name sortKey="Otero Gonzalez, I" sort="Otero Gonzalez, I" uniqKey="Otero Gonzalez I" first="I" last="Otero González">I. Otero González</name><name sortKey="Vali O L Pez, P" sort="Vali O L Pez, P" uniqKey="Vali O L Pez P" first="P" last="Vali O L Pez">P. Vali O L Pez</name><name sortKey="Verea Hernando, H" sort="Verea Hernando, H" uniqKey="Verea Hernando H" first="H" last="Verea Hernando">H. Verea Hernando</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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