PT  - JOURNAL ARTICLE
AU  - Ben Jemia, Emna
AU  - Zendah, Ines
AU  - Kwas, Hamida
AU  - Guermazi, Emna
AU  - Khattab, Amel
AU  - Ghedira, Habib
TI  - Risk factors for another hospitalization in COPD patients hospitalized for exacerbation
AID  - 10.1183/13993003.congress-2016.PA3779
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA3779
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA3779.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA3779.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - Introduction: COPD exacerbation is a potentially life threatening event in the course of COPD. Each episode should be as strongly avoided as possible.Aim: To determine the severity criteria of a COPD exacerbation that are predictive of another readmission.Materials and methods: Retrospective study of 151 patients admitted in our department for COPD exacerbation. Two groups were identified: G1: patients rehospitalized for COPD exacerbation, G2: patients not rehospitalized for COPD exacerbation.Results: G1: 73 patients (48%) and G2: 78 patients (52%). Male patients represented 145 (96%) of all patients. G1 patients were younger than G2 (63 years vs 67 years; p=0.017). Associated cardio-vascular diseases, diabetes mellitus and tobacco smoking didn't differ from G1 to G2 (27.4% vs 19.2% ; p=0.2, 22% vs 17% ; p=0.4 and 62 pack- year vs 58 pack- year respectively ; p=0.53). G1 patients had less frequently polypnea compared to G2 (83.5% vs 91% ; p=0.001). Consciousness alteration was more frequently noticed in G1 as compared to G2 (23.2% vs 11.5% ; p=0.05). Nevertheless: neither orthopnea nor tachycardia nor lower limb oedema nor hypoxemia nor hypercapnia nor acidosis were associated in an increased risk of another hospitalisation for COPD exacerbation between G1 and G2 (11% vs 9.5% ; p=0,6) , (26% vs 33% ; p=0.13) , (6.8% vs 7.6% ; p=0.9), (48% vs 46% ; p=0.5) , (52% vs 51% ; p=0.7), ( 28.7% vs 37% ; p=0.3) respectively. Moreover the fact that a patient was readmitted in intensive care unit for the first COPD exacerbation wasn't a risk factor for his admission in hospital another time for COPD exacerbation (22% vs 11.7% ; p=0.09).