Pınar AKIN KABALAK, İlker ÖZDEMİR, Hatice TASLAK, Derya KIZILGÖZ, Ülkü YILMAZ

Factors Associated With Hospitalisation of Copd Exacerbations During a Winter Season In an Emergency Ward

Objectives: Chronic obstructive pulmonary disease (COPD) is a difficult chronic illness to manage because it causes prolonged hospital admissions and repeated applications. We aimed to examine the factors affecting this situation in a winter emergency in a chest diseases emergency. Material and Method: We conducted a retrospective study in our emergency department (ED) with patients who admitted due to COPD exacerbations. Factors affecting hospitalization and ICU requirement were evaluated. Results: Totally 128 patients were included. Mean number for ED admissions was 3.01±2.1. There were 73 (57%) hospitalized patients and 17(13.3%) patients transferred to intensive care unit (ICU). White blood cell (WBC) and C reactive protein (CRP) were significantly higher in patients with ≥3 ED admissions than others (p=0.06 and p=0.007 respectively). Among categorical variables being current smoker, long time oxygen therapy (LTOT) and non-invasive mechanical ventilation (NIMV) devices and existence of bronchiectasis were related to frequent ED admission (p=0.025, p=0.01, p=0.046 and p=0.028 respectively). Existence of pneumonia and comorbidities had positive and significant correlations with hospitalization (r=0.18, p=0.04 and r=0.26, p=0.02). In terms of ICU requirement, pneumonia, partial arterial pressure of carbon dioxide (PaCO2) value and mean pulmonary arterial pressure (PAB) had significant correlations (r=0.27, p=0.001, r=0.34, p

Bir Kiş Döneminde Acile Koah Atak ile Başvuran Olgularin Yönetimi ve Hastane Yatişi İlişkili Faktörler

Giriş: Kronik obstrüktif akciğer hastalığı (KOAH), tekrarlayan acil başvurusu ve uzamış hastane yatışlarına neden olduğu için tedavisi zor bir kronik hastalıktır. Bir kış döneminde göğüs hastalıkları acilinde KOAH atak seyrini etkileyen faktörleri incelemeyi amaçladık. Yöntemler: KOAH alevlenmeleri nedeniyle acil servisimize başvuran olgularla retrospektif bir çalışma gerçekleştirdik. Sık acil başvurusu, hastaneye yatış ve yoğun bakım ünitesi (YBÜ) gerekliliğini etkileyen faktörler değerlendirildi. Bulgular: Toplam 128 hasta dahil edildi. Ortalama acil başvuru sayısı 3.01 ± 2.1 idi. Hastaların 73'ü (% 57) hastaneye yatırıldı ve 17'si (% 13.3) YBÜ transfer edildi. Beyaz küre ve C-reaktif protein (CRP), 3 den fazla acil başvurusu olan hastalarda diğerlerine kıyasla anlamlı olarak yüksekti (p= 0.06 ve p= 0.007 sırasıyla). Aktif sigara kullanımı, uzun süreli oksijen tedavisi (USOT) ve non-invaziv mekanik ventilasyon (NIMV) cihazları ve bronşektazi varlığı sık acil başvurusu ile ilişkili saptandı (Sırasıyla p= 0.025, p= 0.01, p= 0.046 ve p= 0.028). Zatürree ve komorbiditelerin yatış ile pozitif ve anlamlı korelasyonları vardı (r= 0.18, p = 0.04 ve r= 0.26, p= 0.02). Yoğun bakım gereksinimi açısından pnömoni, Parsiyel arteriyel karbondioksit basıncı (PaCO2) değeri ve ortalama pulmoner arter basıncı (PAB) arasında anlamlı korelasyonlar vardı (Sırasıyla r= 0.27, p= 0.001; r=0.34, p

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