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Fırat Tıp Dergisi
2013, Cilt 18, Sayı 3, Sayfa(lar) 171-175
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Factors Related with Duration of Hospital Stay in Patients with COPD
Gamze KIRKIL1, Figen DEVECİ1, Teyfik TURGUT1, Mehmet Hamdi MUZ1, Suat TÜRKOĞLU2
1Fırat Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Elazığ, Türkiye
2Batman Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Batman, Türkiye

Objective: It is thought that hospitalization because of chronic obstructive lung disease (COPD) acute exacerbations is related with parameters that reflect the disease severity.

Material and Method: We investigated retrospectively the demographic data and laboratory findings of patients who were treated in our clinic because of COPD acute exacerbation for 1 year, and the presence of variable parameters that can be related with hospital stay.

Results: Of 113 cases inrolled into the study, 14 were female (12.4%) and 99 were male (87.6%). Median age of cases was 65.33±8.96. Duration of hospital stay was 16.02±12.85 day. Duration of hospital stay of ≥ 65 years old COPD patients was statistically shorter than <65 years old patients (p=0.047). Median duration of hospital stay was increased with increase in annual exacerbation number. Median duration of hospital stay of patients who have pulmonary hypertension, and history of intensive care unit (ICU) stay was more longer (p=0.024, p<0.001, respectively). A positive correla-tion was observed between duration of hospital stay and PaCO2, and pulmonary artery pressure (r=0.220, p=0.019, r=0.266, p=0.004, respectively), a negative correlation between oxygen saturation and FEV1 value (r=-0.327, p<0.001, r=-0.191, p=0.043, respectively). More than 1 exacerbation per year was an independent risk factor for ≥15 day hospital stay.

Conclusion: It must be kept in mind that COPD patients who have more than 1 exacerbation per year, and history of ICU stay can have longer duration of hospitalization during exacerbation, so these patients must be warned.


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