Characteristics Related To Poor Outcomes Among Patients Hospitalised For Acute Exacerbation Of Chronic Obstructive Pulmonary Disease
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Date
2014-08
Authors
Al Aqqad, Sana' M. H.
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are associated with increased hospital admission and mortality. Older patients were more prone for severe life threatening exacerbations. They are usually present with multiple co-morbidities of which anxiety and depression are often neglected and under-diagnosed. The objectives of this study were to explore the general characteristics of patients hospitalised with AECOPD and to identify the prognostic factors associated with poor outcomes (mortality and readmission) after hospital discharge. The occurrence of probable anxiety and depression among older patients were also evaluated.
A historical cohort study among patients admitted with primary diagnosis of AECOPD over a 5-year period between 2007 and 2011 was conducted in part 1 of the study. This was followed by a multicenter prospective longitudinal study (part 2) which was conducted in four states in Malaysia focusing on older (≥60 years) patients over a one year period. The occurrences of probable anxiety and depression were assessed using Geriatric Depression Scale (GDS-15) and Generalized Anxiety Disorder-7 (GAD-7).
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Keywords
Acute exacerbations of , chronic obstructive pulmonary disease