Table 1– Associations of chronic obstructive pulmonary disease (COPD) as the cause of admission or as a comorbid condition with patient comorbidities and diagnoses at intensive care unit (ICU) admission and with outcome
Patients admitted to the ICU without COPDPatients admitted to the ICU because of acute respiratory failure due to COPDPatients admitted to the ICU with comorbid COPDp-value
Subjects177 679486811 906
Demographic characteristics
 Age years62.5±17.367.2±12.168.7±13.2<0.0001#,¶,+
 Male patients101 674 (57.4)3087 (63.5)7191 (60.5)<0.0001#,¶,+
Type of admission
 Medical83 991 (47.5)4868 (100.0)5131 (43.2)<0.0001#,¶,+
 Scheduled surgical59 604 (33.7)0 (0.0)4023 (33.8)<0.0001#,+
 Unscheduled surgical33 177 (18.8)0 (0.0)2734 (23.0)<0.0001#,¶,+
Risk upon ICU admission
 SAPS II original model27.0 (18.0–40.0)41.0 (31.0–55.0)34.0 (24.0–48.0)<0.0001#,¶,+
 SAPS II predicted mortality34 202 (19.3)1746 (35.9)3201 (26.9)<0.0001#,¶,+
Outcome
 ICU length of stay days3.00 (2.00–6.00)6.00 (3.00–14.00)4.00 (2.00–9.00)<0.0001#,¶,+
 Observed ICU mortality18 907 (10.6)1017 (20.9)2127 (17.9)<0.0001#,¶,+
 Post-ICU mortality8599 (4.8)532 (10.9)1007 (8.5)<0.0001#,¶,+
 Observed hospital mortality27 520 (15.5)1549 (31.8)3134 (26.3)<0.0001#,¶,+
 Ratio of observed to expected mortality (95% CI)0.805 (0.797–0.812)0.887 (0.857–0.918)0.979 (0.956–1.003)
 Patients with prolonged mechanical ventilation22 961 (12.9)1675 (34.4)2406 (20.2)<0.0001#,¶,+
 Patients requiring tracheotomy10 516 (5.9)966 (19.8)1424 (12.0)<0.0001#,¶,+
 Patients with prolonged weaning4140 (2.3)452 (9.3)462 (3.9)<0.0001#,¶,+
  • Data are presented as n, mean±sd, n (%) or median (interquartile range), unless otherwise stated. SAPS: Simplified Acute Physiology Score. p-values for comorbidites and diagnoses at admission obtained by Chi-squared test and for outcome obtained by Mann–Whitney U-test. #: significant difference between patients without COPD versus patients admitted to the ICU because of acute respiratory failure due to COPD in post hoc analysis; : significant difference between patients without COPD versus patients with comorbid COPD in post hoc analysis; +: significant difference between patients admitted to the ICU because of acute respiratory failure due to COPD versus patients with comorbid COPD in post hoc analysis.