Enfermedad pulmonar obstructiva crónica en pacientes con tromboembolia de pulmón aguda sintomática

Fernández, Carolina; Jiménez, David; Miguel, Javier de; Sánchez, David Martí; Díaz, Gema; Sueiro, Antonio

doi:10.1016/j.arbres.2008.10.008

Cited by 13 publications

(5 citation statements)

References 24 publications

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“…Fernández et al reported that patients with PE and COPD had a lower pre-test probability for PE than the patients with PE but without COPD. ( 8 ) In the present study, a low probability according to all three scoring systems (revised Geneva, Well's and Miniati et al) ( 11 - 13 ) could not rule out PE in the patients with COPD exacerbation. These results showed that the clinical risk assessment of patients with COPD exacerbation for PE can mislead clinicians.…”

Section: Discussioncontrasting

confidence: 52%

“…Fernández et al relatou que pacientes com EP e DPOC apresentavam menor probabilidade pré-teste de EP do que pacientes com EP mas sem DPOC. ( 8 ) No presente estudo, baixa probabilidade segundo todos os três sistemas de pontuação (Genebra revisado, Wells e Miniati et al.) ( 11 - 13 ) não permitiu excluir EP nos pacientes com exacerbação da DPOC.…”

Section: Discussionunclassified

“…( 7 ) Mortality and delay in diagnosis of PE are higher in patients with COPD. ( 8 ) The prevalence of PE in a highly specific group of patients who were hospitalized for severe exacerbation with unknown origin was reported to be 25%. ( 9 ) Gunen et al reported that venous thromboembolism (VTE) was three times more prevalent in patients with an exacerbation of unknown origin than in patients with an exacerbation of known origin.…”

Section: Introductionmentioning

confidence: 99%

“…( 7 ) A mortalidade e o atraso no diagnóstico de EP são maiores em pacientes com DPOC. ( 8 ) Há um relato de que a prevalência de EP em um grupo altamente específico de pacientes hospitalizados por exacerbação grave de origem desconhecida foi de 25%. ( 9 ) Gunen et al relataram que o tromboembolismo venoso (TEV) foi três vezes mais prevalente em pacientes com exacerbação de origem desconhecida do que em pacientes com exacerbação de origem conhecida.…”

Section: Introductionunclassified

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Incidence of pulmonary embolism during COPD exacerbation

et al. 2014

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OBJECTIVE:Because pulmonary embolism (PE) and COPD exacerbation have similar presentations and symptoms, PE can be overlooked in COPD patients. Our objective was to determine the prevalence of PE during COPD exacerbation and to describe the clinical aspects in COPD patients diagnosed with PE.METHODS:This was a prospective study conducted at a university hospital in the city of Ankara, Turkey. We included all COPD patients who were hospitalized due to acute exacerbation of COPD between May of 2011 and May of 2013. All patients underwent clinical risk assessment, arterial blood gas analysis, chest CT angiography, and Doppler ultrasonography of the lower extremities. In addition, we measured D-dimer levels and N-terminal pro-brain natriuretic peptide (NT-pro-BNP) levels.RESULTS:We included 172 patients with COPD. The prevalence of PE was 29.1%. The patients with pleuritic chest pain, lower limb asymmetry, and high NT-pro-BNP levels were more likely to develop PE, as were those who were obese or immobile. Obesity and lower limb asymmetry were independent predictors of PE during COPD exacerbation (OR = 4.97; 95% CI, 1.775-13.931 and OR = 2.329; 95% CI, 1.127-7.105, respectively).CONCLUSIONS:The prevalence of PE in patients with COPD exacerbation was higher than expected. The association between PE and COPD exacerbation should be considered, especially in patients who are immobile or obese.

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Section: Discussioncontrasting

confidence: 52%

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Section: Introductionmentioning

confidence: 99%

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Incidence of pulmonary embolism during COPD exacerbation

et al. 2014

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“…This is why postoperative antibiotics are unhesitantly indicated for these patients 18. In addition, patients with COPD have lower tolerability of heart arrhythmias and pulmonary embolism and, if they happen, are more likely to be fatal 1419. COPD has as well been associated with osteoporosis, which necessitates more caution during early postoperative ambulation and rehabilitation 2021…”

Section: Discussionmentioning

confidence: 99%

The impact of chronic obstructive pulmonary disease and obesity on length of stay and cost of spine surgery

Walid

Zaytseva

2010

IJOO

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Background:Chronic obstructive pulmonary disease (COPD) and obesity may be more common among spine surgery patients than in the general population and may affect hospital cost.Materials and Methods:We retrospectively studied the prevalence of COPD and obesity among 605 randomly selected spine surgery inpatients operated between 2005 and 2008, including lumbar microdiskectomy, anterior cervical decompression and fusion and lumbar decompression and fusion patients. The length of hospital stay and hospital charges for patients with and without COPD and obesity (body mass index [BMI]≥30 kg/m2) were compared.Results:Among 605 spine surgery patients, 9.6% had a history of COPD. There were no statistical difference in the prevalence of COPD between the three spine surgery groups. Obesity was common, with 47.4% of the patients having a BMI≥30 kg/m2. There were no significant differences in obesity rates or BMI values between the three types of spine surgery patients. Obesity rates between patients with and without COPD were 62.1% vs. 45.9%, and were statistically different (P<0.05). Similarly, significant difference (P<0.01) in BMI values between COPD and non-COPD groups, 32.66±7.19 vs. 29.57±6.048 (mean ± std. deviation), was noted. There was significant difference (P<0.01) in cost between nonobese female patients without COPD and those with obesity and COPD in the anterior cervical decompression and fusion (ACDF) group. No association with increased hospital length of stay or cost was found in the other two types of spine surgery or in male ACDF patients.Conclusion:COPD and obesity seem to additively increase the length of hospital stay and hospital charges in ACDF female patients, an important finding that requires further investigation.

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Archivo de Archivos: 2009

Granda‐Orive

Roig-Vázquez

2010

Archivos de Bronconeumología

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Enfermedad pulmonar obstructiva crónica en pacientes con tromboembolia de pulmón aguda sintomática

Cited by 13 publications

References 24 publications

Incidence of pulmonary embolism during COPD exacerbation

Incidence of pulmonary embolism during COPD exacerbation

The impact of chronic obstructive pulmonary disease and obesity on length of stay and cost of spine surgery

Archivo de Archivos: 2009

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