Clinical characteristics associated with adverse events in patients with exacerbation of chronic obstructive pulmonary disease: a prospective cohort study

Stiell, Ian G.; Clement, Catherine M.; Aaron, Shawn D.; Rowe, Brian H.; Perry, Jeffrey J.; Brison, Robert J.; Calder, Lisa A.; Lang, Eddy; Borgundvaag, Bjug; Forster, Alan J.; Wells, George A.

doi:10.1503/cmaj.130968

Cited by 47 publications

(56 citation statements)

References 38 publications

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“…As the scales are less than a year old, supporting literature has not yet fully permeated the emergency medicine community. 4,6 This led to several concerns about risk scale validity and may have hindered a potentially more conclusive response.…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

“…Each scale was developed through large multi-centre prospective cohort studies that analyzed dozens of different patient variables. 4,6 The scales were then further refined by rigorous prospective validation studies, ultimately resulting in two unique decision tools that are both simple and predictive. The purpose of these risk scales was not to replace physician judgment or to serve as a threshold at which a clinician must act.…”

Section: Introductionmentioning

confidence: 99%

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Emergency Department Management of Heart Failure and COPD: A National Survey of Attitudes and Practice

Hale

Stiell

Clement

2016

CJEM

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Objectives: The Ottawa Heart Failure Risk Scale (OHFRS) and the Ottawa COPD Risk Scale (OCRS) were developed in order to estimate medical risk and to help guide disposition decisions for patients presenting to the ED with acute exacerbations of heart failure (HF) and COPD. We sought to determine physician attitudes towards these two new risk scales and to identify potential barriers to their ED implementation. Methods: Two self-administered online surveys were distributed to the Canadian Association of Emergency Physicians. The surveys each consisted of 16 questions relating to the OHFRS and OCRS. The primary outcome measures were the overall physician rating of the two risk scales. Secondary outcome measures assessed the likelihood of risk scale implementation into Canadian EDs, as well as the perceived barriers to such implementation. Descriptive statistics were used. Results: For the OHFRS survey, we received responses from 195 emergency physicians (35.7%). Overall, 74.4% approved of the risk scale based on a Likert rating of 4 or 5 and 66.7% believed that the risk scale would be implemented at their hospital. For the OCRS survey, we received responses from 208 emergency physicians (38.1%). Overall, 76.9% approved of the risk scale based on a Likert rating of 4 or 5 and 70.2% believed that the risk scale would be implemented at their hospital. Conclusions: Canadian emergency physicians are very supportive of the new OHFRS and OCRS. We believe these risk scales will assist physicians with making safe and efficient disposition decisions and improve outcomes for patients suffering from HF and COPD. RÉSUMÉObjectifs: L'échelle Ottawa Heart Failure Risk Scale (OHFRS) et l'échelle Ottawa COPD Risk Scale (OCRS) ont toutes deux été élaborées dans le but de faciliter l'évaluation du risque médical et les prises de décision quant aux suites à donner chez les patients atteints d'insuffisance cardiaque (IC) aiguë et d'une exacerbation de bronchopneumopathie chronique obstructive (BPCO). L'étude visait donc à déterminer les attitudes des médecins à l'égard de ces deux nouvelles échelles de risque et à cerner les obstacles possibles à leur mise en oeuvre au service des urgences (SU).

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Section: Interpretation Of Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emergency Department Management of Heart Failure and COPD: A National Survey of Attitudes and Practice

Hale

Stiell

Clement

2016

CJEM

Self Cite

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“…Kadın olgularda konjestif kalp yetmezliği görülme sıklığı fazlaydı. Atak riskini değerlendirmede kullanılan Ottawa KOAH Risk Skalası parametrelerinin önemli bir bölümü kardiyak değişkenler ile ilgilidir (13). Ottowa Risk Skalası puanları da birbirine benzerdi.…”

Section: Discussionunclassified

“…Yüksek puanlar atak riskinin arttığını gösterir. "0" puan düşük risk, "1-2 puan" orta risk, "3-4 puan" yüksek risk ve "5->10 puan" ise yüksek risk olarak sınıflanır (13). Atak şiddeti Anthonisen Sınıflama Sistemi'ne göre belirlendi.…”

Section: Gereç Ve Yöntemlerunclassified

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Effects of Gender on Physical, Physiological, and Clinical Characteristics in Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Yağlı¹,

Sağlam²,

İnce³

et al. 2015

Yoğun Bakim Derg

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Objective: Differences can be observed between genders in chronic obstructive pulmonary disease (COPD) arising from clinical, perceptual, and structural factors. The purpose of this study was to investigate the effects of gender on physical and physiological characteristics in acute exacerbation of COPD.Material and Methods: Seventy-one patients with acute exacerbation of COPD (44 males, 27 females) participated in this study. Physical and demographical characteristics, vital signs, admission findings, comorbidities, arterial blood gas values, and chest radiography findings were recorded. Level of consciousness was determined using the Glasgow coma scale. Acute Physiology and Chronic Health Evaluation II (APACHE II) score, acute physiology score, Charlson Comorbidity Index score, and Ottawa COPD Risk Scale score were calculated. Functional level was determined using the Functional Status Scale. Exercise capacity was analyzed. Treatments conducted for the subjects (medical treatment, respiratory support, and physiotherapy) were recorded.Results: Male and female subjects with acute exacerbation of COPD were similar in terms of age, signs and symptoms, chest radiography findings, exercise capacity, Charlson Comorbidity Index score, and Ottawa COPD Risk Scale score (p>0.05). Females' body mass index, APACHE II score, acute physiology score were significantly higher than those of males (p<0.05). The smoking history was significantly higher and functional capacity was lower in male subjects than in females (p<0.05). There were no significant differences in medical treatment, respiratory support, physiotherapy applications, and length of hospital stay between males and females (p>0.05) Conclusion: Male and female patients with acute exacerbation of COPD had physical, physiological, and clinical differences. Smoking history was low, and their participation in daily life activities was less impaired. Physiotherapy applications and other treatments performed were similar between females and males, despite a higher disease severity in females. (Yoğun Bakım Derg 2015; 6: 27-33 Bulgular: KOAH akut atağında olan erkek ve kadın olgularda yaş, semptom ve bulgular, akciğer radyografisi bulguları, egzersiz kapasitesi, Charlson Komorbidite İndeksi puanı, Ottawa KOAH Risk Skalası puanı birbirine benzerdi (p>0,05). Erkeklerin sigara öyküsü anlamlı olarak daha yüksek; fonksiyonel kapasite ise anlamlı olarak daha dü-şüktü (p<0,05). Kadınların vücut kitle indeksi, APACHE II puanı ve akut fizyoloji skoru, erkeklerden anlamlı olarak daha yüksekti (p<0,05). Erkek ve kadın bireyler arasında medikal tedavi, solunum desteği ve fizyoterapi uygulamaları ve hastanede kalış süresi açısından istatistiksel olarak anlamlı fark bulunmadı (p>0,05).Sonuç: KOAH akut atağında kadın ve erkek hastalar; fiziksel, fizyolojik ve klinik özellik-ler açısından farklılık göstermektedir. Kadınlarda sigara öyküsü daha azdır ve günlük yaşama katılımları daha iyidir. KOAH akut atağındaki kadın olguların hastalık şiddeti daha fazla olmasına rağmen, fizyoterapi uygula...

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Co-design of a Data Summary Feature with Older Adults as Part of a Digital Health Platform to Support Multimorbidity Self-Management

Tighe,

Doyle,

Harvey

2024

Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

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Clinical characteristics associated with adverse events in patients with exacerbation of chronic obstructive pulmonary disease: a prospective cohort study

Cited by 47 publications

References 38 publications

Emergency Department Management of Heart Failure and COPD: A National Survey of Attitudes and Practice

Emergency Department Management of Heart Failure and COPD: A National Survey of Attitudes and Practice

Effects of Gender on Physical, Physiological, and Clinical Characteristics in Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Co-design of a Data Summary Feature with Older Adults as Part of a Digital Health Platform to Support Multimorbidity Self-Management

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