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Mortality in COPD patients discharged from hospital: the role of treatment and co-morbidity

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Authors
Gudmundsson, Gunnar
Gislason, Thorarinn
Lindberg, Eva
Hallin, Runa
Ulrik, Charlotte Suppli
Brøndum, Eva
Nieminen, Markku M
Aine, Tiina
Bakke, Per
Janson, Christer
Issue Date
2006-09-16

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Citation
Respir. Res. 2006, 7:109
Abstract
BACKGROUND: The aim of this study was to analyse mortality and associated risk factors, with special emphasis on health status, medications and co-morbidity, in patients with chronic obstructive pulmonary disease (COPD) that had been hospitalized for acute exacerbation. METHODS: This prospective study included 416 patients from each of the five Nordic countries that were followed for 24 months. The St. George's Respiratory Questionnaire (SGRQ) was administered. Information on treatment and co-morbidity was obtained. RESULTS: During the follow-up 122 (29.3%) of the 416 patients died. Patients with diabetes had an increased mortality rate [HR = 2.25 (1.28-3.95)]. Other risk factors were advanced age, low FEV1 and lower health status. Patients treated with inhaled corticosteroids and/or long-acting beta-2-agonists had a lower risk of death than patients using neither of these types of treatment. CONCLUSION: Mortality was high after COPD admission, with older age, decreased lung function, lower health status and diabetes the most important risk factors. Treatment with inhaled corticosteroids and long-acting bronchodilators may be associated with lower mortality in patients with COPD.
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Additional Links
http://respiratory-research.com/content/7/1/109
ae974a485f413a2113503eed53cd6c53
10.1186/1465-9921-7-109
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English Journal Articles (Peer Reviewed)

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