The Factors Influencing Relapse in Patients Presenting to the Emergency Department with COPD Exacerbation

Durmaz, Dilek; Göksu, Erkan; Yildiz, Gunay; Ünal, Aslıhan Yürüktümen; Kartal, Mutlu; Oskay, Alten; Şimşek, Yeliz

doi:10.5505/1304.7361.2014.37791

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…A DPOC é uma doença evolutiva e, nos dias de hoje, ainda sem cura, todavia, com o diagnóstico e o tratamento preciso é possível controlá-la (COPD Foundation, s/d). Segundo Durmaz et al (2015), a DPOC é uma patologia crónica altamente prevalente nas vias aéreas, com grande impacto pessoal e social, associada à alta morbidade e mortalidade e está projetada para ser a terceira causa mais comum de morte no mundo até 2030 (WHO, 2008). A patologia tem um considerável índice de mortalidade em todo o planeta e os fatores de risco, de forma geral, incluem fatores genéticos, a asma, o tabagismo, a poluição atmosférica, a idade e o sexo (Seo e Lee, 2019).…”

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A DPOC na Área Metropolitana do Porto e o efeito das ondas de calor e de frio na enfermidade

et al. 2019

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Resumo: Caracterizou-se a doença pulmonar obstrutiva crónica (DPOC) e os possíveis aspectos socioeconómicos associados à enfermidade e avaliaram-se os efeitos que as ondas de calor (OdC) e as ondas de frio (OdF) podem ter no aumento dos internamentos hospitalares nas pessoas residentes na Área Metropolitana do Porto (AMP) entre 2000 e 2015. Os efeitos das OdC e das OdF nas admissões hospitalares por DPOC foram investigados por meio da análise de regressão linear múltipla, com nível de significância de α = 5%. A análise estatística e cartográfica da distribuição geográfica dos internamentos hospitalares por DPOC, por grupos etários, por taxa de analfabetismo e por taxa de desemprego, à escala de freguesia, permitiu explicar os efeitos das OdC e das OdF no agravamento desta enfermidade. Do ponto de vista da caracterização das admissões por DPOC na AMP, concluiuse que, em geral, esta doença está associada às freguesias com condições socioeconómicas mais precárias e com a população mais envelhecida. A intensidade e a duração, de acordo com o modelo utilizado, explicam o aumento nas taxas de admissões por DPOC durante os eventos de OdC e OdF. Todavia, a duração contribuiu mais nos eventos de calor e a intensidade nos eventos de frio. A severidade média foi o único parâmetro que não compôs o modelo. Palavras-chave:DPOC; Área Metropolitana do Porto; Onda de calor; Onda de frio.Abstract: Chronic obstructive pulmonary disease (COPD) and the possible socioeconomic aspects associated with the disease were characterized and the effects that heat waves (HW) and cold waves (CW) can have on the increase of hospitalizations in people living in the Porto Metropolitan Area (PMA) between 2000 and 2015 were evaluated. The effects of HW and CW on hospital admissions for COPD were investigated by multiple linear regression analysis, with a significance level of α = 5%. Statistical and cartographic analysis of the geographic distribution of hospitalizations for COPD in the age groups, illiteracy rate and unemployment rate at the parish scale, explained the effects of HW and CW on the aggravation of this disease. From the point of view of the characterization of COPD admissions in PMA, it was concluded that, in general, this disease is associated with parishes with poorer socioeconomic Silveira et al. / Physis Terrae, Vol. 1, nº 1, 2019, 31-56 32 conditions and the older population. Intensity and duration, according to the model used, explain the increase in COPD admission rates during the HW and CW events. However, duration contributed more in heat events and intensity in cold events. Average severity was the only parameter that did not make up the model. IntroduçãoA busca de relações entre clima e saúde tem sido uma preocupação constante dos seres humanos e são inúmeros os exemplos, desde a Antiguidade Clássica. Diferentes pesquisas em décadas passadas exibem as percepções e as evidências vinculadas aos impactos ambientais, incluindo os climáticos, sobre as condições de saúde das pessoas (e.g. exemplo, no livro Geography in the Mid...

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A DPOC na Área Metropolitana do Porto e o efeito das ondas de calor e de frio na enfermidade

et al. 2019

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Associated factors, assessment, management, and outcomes of patients who present to the emergency department for acute exacerbation of chronic obstructive pulmonary disease: A scoping review

Phillips

Moloney

Sneath

et al. 2022

Respiratory Medicine

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Terms and Definitions Used to Describe Recurrence, Treatment Failure and Recovery of Acute Exacerbations of COPD: A Systematic Review of Observational Studies

Meeraus

DeBarmore

Müllerová

et al. 2021

COPD

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Introduction Acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) are important clinical events, with many patients experiencing multiple AECOPDs annually. The terms used in the literature to define recurring AECOPD events are inconsistent and may impact the ability to describe the true burden of these events. We undertook a systematic review to identify and summarize terms and definitions used in observational studies to describe AECOPD-related events occurring after an initial AECOPD (hereafter “subsequent AECOPD”). Methods PubMed was searched (2000–2019) for observational studies on subsequent AECOPD events using broad search strings for “COPD”, “exacerbation”, and “subsequent exacerbation events”. Only English-language studies were included. Small studies (n<50) and studies focusing on hospital re-admission only were excluded. Extracted data were analyzed descriptively to generate a narrative summary, using a thematic approach to group studies utilizing similar terms for subsequent AECOPD. Results Forty-seven studies were included. No single, distinct terms or definitions were used to define and identify multiple occurrences of AECOPDs, though most (46) studies used one or more of four clustered terms and definitions: reapse (n = 13), recurrence/re-exacerbation (n = 11), treatment failure (n = 12) and non-recovery/time to recovery (n = 16). Heterogeneity was observed within and between the four clusters with respect to study setting, starting point for observing subsequent AECOPDs, time frame to identify a subsequent AECOPD (except for studies using “time to recovery”), and basis for identifying a subsequent exacerbation. Conclusion Our review demonstrates that subsequent AECOPDs (including events such as relapse, recurrence/re-exacerbation, treatment failure, non-recovery/time to recovery) are ill-defined in the observational study literature, emphasizing the need to reach consensus on precise and objective definitions (for example, when one AECOPD ends and another begins). Use of standardized terminology and definitions may aid comparability between, and synthesis of, studies, thus improving the understanding of the natural history and burden of exacerbations in COPD patients.

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The Factors Influencing Relapse in Patients Presenting to the Emergency Department with COPD Exacerbation

Cited by 3 publications

References 15 publications

A DPOC na Área Metropolitana do Porto e o efeito das ondas de calor e de frio na enfermidade

A DPOC na Área Metropolitana do Porto e o efeito das ondas de calor e de frio na enfermidade

Associated factors, assessment, management, and outcomes of patients who present to the emergency department for acute exacerbation of chronic obstructive pulmonary disease: A scoping review

Terms and Definitions Used to Describe Recurrence, Treatment Failure and Recovery of Acute Exacerbations of COPD: A Systematic Review of Observational Studies

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