PURPOSE: To evaluate the characteristics of exacerbated COPD patients to determine the more important factors which predict the exacerbations rate and the gravity.
METHODS: The 104 hospitalised, exacerbated COPD patients were studied In hospital the cases have been separated in two groups: group 1 are included the COPD patients admitted for first time group which was consider as a control and group 2 COPD patients admitted in hospital for more than one time per year. The second group has been separated in two subgroups: cases with 1-2 exacerbation per year and cases with 3 or more exacerbation per year The source of information have been the questionnaire at the admission as well as the charts of the patients.
RESULTS: The number of males was 88 cases, females 16 cases The number of admissions for first time was 33 cases The number of repeated admissions within the year was 71 cases The mean age of hospitalised COPD patients was 64.3± 8.69 years old. The male’s smokers made up 72 % of case, females smokers made up 6.3 % of cases.The cases with exacerbations more than 3 per year belong to stage III and IV.The patients with exacerbations more than 3 times had other disease in 84% of them. The mortality of hospitalised exacerbadly COPD patients was 10%. In this study the higher figures of mortality belongs the cases with rate of exacerbation more than three which made up 7.6% of deaths.
CONCLUSION: Age,gender male duration of the disease and smoking are risk factor of COPD exacerbations. The cell profile of sputum has a important role in determination of exacerbation gravity There is a stable correlation between the mortality of exacerbated COPD patient frequency of exacerbations concomitant diseases and advanced stages of the COPD.
CLINICAL IMPLICATIONS: The data of conclusions make the doctor to treat patient in hospital with powerfull therapy.
DISCLOSURE: Perlat Kapisyzi, None.