COPD exacerbations in the emergency department: Epidemiology and related costs. A retrospective cohort multicentre study from the Italian Society of Emergency Medicine (SIMEU)

被引：17

作者：

Germini, Federico ^{[1
,37
,38
,39
]}

Veronese, Giacomo ^{[40
]}

Marcucci, Maura ^{[1
,37
]}

Coen, Daniele ^{[40
]}

Ardemagni, Deborah ^{[41
,42
]}

Montano, Nicola ^{[39
,42
]}

Fabbri, Andrea ^{[43
]}

Adinolfi, Luigi Elio ^{[4
]}

Alvisi, Antonella ^{[4
]}

Azin, Giulia ^{[6
]}

Balloni, Andrea ^{[7
]}

Bandiera, Geminiano ^{[8
]}

Barchetti, Marco ^{[9
]}

Barillari, Alfredo ^{[10
]}

Barozzi, Marco ^{[11
]}

Belloni, Giulia ^{[12
]}

Belotti, Eugenia ^{[13
]}

Binetti, Nicola ^{[14
]}

Bonora, Miriam ^{[15
]}

Bruni, Rosamaria ^{[16
]}

Cacco, Silvia ^{[17
]}

Camisa, Daniele ^{[17
]}

Carbone, Giorgio ^{[18
]}

Carpinteri, Giuseppe ^{[19
]}

Catino, Laura ^{[20
]}

Cazzaniga, Massimo ^{[21
]}

Cenni, Patrizia ^{[22
]}

Chelli, Vittorio ^{[2
]}

Cicero, Leonora ^{[11
]}

Cottone, Carlo Domenico ^{[23
]}

Cuccia, Filippa ^{[15
]}

D'Angelo, Luciano ^{[21
]}

Dalmonte, Francesca ^{[22
]}

Daviddi, Fabio ^{[24
]}

De Vita, Anna ^{[1
]}

Fama, Fausto ^{[25
]}

Fedele, Marta ^{[14
]}

Fonti, Caterina ^{[18
]}

Frigerio, Marta ^{[7
]}

Gallingani, Alan ^{[9
]}

Ghiglione, Valeria ^{[26
]}

Gioffre-Florio, Maria ^{[25
]}

Giordano, Mauro

Giostra, Fabrizio ^{[7
]}

Galli, Maria Giulia ^{[27
]}

Greggi, Maria Elena ^{[28
]}

Groff, Paolo ^{[29
]}

Guizzardi, Stefano ^{[30
]}

Lagasio, Chiara ^{[26
]}

Lazzara, Giuseppe ^{[30
]}

机构：

[1] Univ Campania Luigi Vanvitelli, Osped Clinicizzato Marcianise, Dipartimento Sci Med Chirurg Neurol Metab & Invec, Marcianise, CE, Italy

[2] Azienda Usl Toscana Sud Est, Presidio Grosseto, Dipartimento Emergenza & Accettaz, Siena, Italy

[3] Osped Morgagni Pierantoni Forli, Med Urgenza 118, Pronto Soccorso, Forli, Italy

[4] Osped Civile Vignola AUSL, Pronto Soccorso & Med Urgenza, Modena, Italy

[5] UOC Ps OBI AORNA Cardarelli Napoli, Naples, Italy

[6] Univ Milano Bicocca, Dipartimento Sci Salute, Milan, Italy

[7] Pronto Soccorso Osped A Murri, Fermo, Italy

[8] Azienda Osped Univ Policlin OCSAE Modena, Pronto Soccorso OCSAE, Modena, Italy

[9] Nuovo Osped Sassuolo, Modena, Italy

[10] Osped Monfalcone Go, Pronto Soccorso, Bassa Friulana Isontina AAS2, Monfalcone, Italy

[11] Presidio Osped Bufalini Marconi Angiloni, UO Med Urgenza Pronto Soccorso, Cesena, Italy

[12] Osped Maggiore Policlin, Geriatria, Fdn IRCCS Ca Granda, Milan, Italy

[13] ASST Papa Giovanni XXIII Bergamo, Emergenza Alta Specializzaz Pronto Soccorso, Bergamo, Italy

[14] Area Nord Bologna, Unita Operat Pronto Soccorso & Emergenza Terr, Bologna, Italy

[15] Osped Madonna Grazie, Pronto Soccorso & Med Urgenza, Matera, Italy

[16] Pronto Soccorso Osped San Martino, Belluno, Italy

[17] Presidio Vizzolo Predabissi, Pronto Soccorso, ASST Melegnano & Martesana, Milan, Italy

[18] Humanitas Gradenigo, SC Med & Chirurg Urgenza Accettaz, Turin, Italy

[19] Azienda Osped Univ Policlin Vittorio Emanuele, Catania, Italy

[20] Univ Modena & Reggio Emilia, Modena, Italy

[21] Azienda Osped Lecco, Osped A Manzoni, Pronto Soccorso, Lecce, Italy

[22] Osped Imola BO, Pronto Soccorso & Med Urgenza, Imola, Italy

[23] Osped Petralia Sottana, Responsabile PS, Petralia Sottana, PA, Italy

[24] Med Accettaz & Urgenza PO Pescia PT, Pescia, Italy

[25] Univ Hosp G Martino Messina, Human Pathol Dept, Messina, Italy

[26] ASL 2 Liguria, Pronto Soccorso, Osped S Paolo, Savona, Italy

[27] Univ Parma, Dipartimento Med Clin & Sperimentale, Parma, Italy

[28] Osped Petralia Sottana PA, Pronto Soccorso, Petralia Sottana, Italy

[29] Osped Madonna del Soccorso, UO Pronto Soccorso & Med Urgenza, San Benedetto Tronto, Italy

[30] Azienda ULSS 6 Euganea, Ospedali Riuniti Padova Sud Madre Teresa Calcutta, Pronto Soccorso, Padua, Italy

[31] Osped Vimercate MB, ASST Vimercate, Pronto Soccorso, Vimercate, Italy

[32] ASST Nord Milano, Cinisello Balsamo, Osped Bassini, Pronto Soccorso, Milan, Italy

[33] AUSL Modena, Osped Civile Vignola, Pronto Soccorso & Med Urgenza, Modena, Italy

[34] Pronto Soccorso & Med Urgenza Pordenone, Pordenone, Italy

[35] Azienda USL Toscana Nordovest, Med & Chirurg Accettaz Urgenza, Carrara, Italy

[36] Osped S Andrea Vercelli, Med & Chirurg Accettaz Urgenza MeCAU, Pronto Soccorso, Vercelli, Italy

[37] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, 1280 Main St W, Hamilton, ON L8S 4K1, Canada

[38] Univ Milan, Dept Hlth Sci, Milan, Italy

[39] Osped Maggiore Policlin, Fdn IRCCS Ca Granda, Emergency Dept, Milan, Italy

[40] Univ Milano Bicocca, Grande Osped Metropolitano Niguarda Ca Granda, Dept Emergency Med, Milan, Italy

[41] Osped Maggiore Policlin, Fdn IRCCS Ca Granda, Geriatr Unit, Milan, Italy

[42] Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy

[43] Osped Morgagni Pierantoni, Dept Emergency Med, Forli, Italy

来源：

EUROPEAN JOURNAL OF INTERNAL MEDICINE | 2018年 / 51卷

关键词：

Pulmonary disease; Chronic obstructive Emergency service; Hospital epidemiology costs; Cost analysis; OBSTRUCTIVE PULMONARY-DISEASE; MANAGEMENT;

D O I：

10.1016/j.ejim.2018.01.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 (sic). Conclusions: Patients attending the ED for an AECOPD are old and present important comorbidities. The rate of admission is high, and costs are remarkable.

引用

页码：74 / 79

页数：6

共 19 条

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