PT - JOURNAL ARTICLE AU - Enrique Stazzone AU - Sol Pinasco AU - Daniel Piñeiro AU - Horacio di Fonzo AU - Mariano Mazzei TI - Mortality after COPD-exacerbations: Learning from epidemiology DP - 2014 Sep 01 TA - European Respiratory Journal PG - P3586 VI - 44 IP - Suppl 58 4099 - http://erj.ersjournals.com/content/44/Suppl_58/P3586.short 4100 - http://erj.ersjournals.com/content/44/Suppl_58/P3586.full SO - Eur Respir J2014 Sep 01; 44 AB - Chronic obstructive pulmonary disease (COPD) is characterized by exacerbations during the course of the disease. Many patients die during the admission. We had previously reported the mortality and epidemiological characteristics of those patients (ATS 2014). Many patients who survive the hospitalization die during the following year. We wanted to know the mortality at 1 year of the hospitalization and the epidemiological characteristics.We analyzed all patients admitted to our hospital from January 2008 to December 2012. In that time period there were 340 patients admitted with the diagnosis of COPD-E. After reviewing the hospital course, 142 had COPD-E, 63 patients had pneumonia (COPD-P), all the other had a different diagnosis (heart failure, thromboembolic disease, etc).Of those 142 patients, many had several admissions, that left us with 108 patients. Of those 108 patients, 10 died during the hospitalization, so we had 98 patients discharged after a COPD-E. We had no follow up data of 22 (22%). So we have 86 admited patients for our analisis, of those 10 died during the hospitalization.From the 86 patients admited for COPD-E, 26 are dead at 1 year, 10 during the hospitalization, and 16 during the 1 year follow up, so the 1 year mortality in our cohort is 30.2% (Male 32.7%/females 25.8%). If we analize only those 76 patients discharged after a COPD-E, 16 died at 1 year, so the 1 year mortality after a COPD-E is 21% ( males 21.3%/ female 20.7%).Conclusion: Hospitalization for COPD-E has a high 1 year mortality, despite maximizing efforts to change the course of the disease.