Parameters in predicting the risk of a prolonged hospital stay in patients with acute exacerbation of chronic obstructive pulmonary disease: a single-centre experience
- Aida Mujaković
(General Hospital “Prim. dr. Abdulah Nakaš“, Sarajevo, Department of Pulmonology, Bosnia and Herzegovina)
- Belma Paralija (University of Sarajevo Clinical Centre, Sarajevo, Clinic for Pulmonary Diseases and Tuberculosis “Podhrastovi”, Bosnia and Herzegovina)
- Besim Prnjavorac (School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Department of Pathophysiology, Bosnia and Herzegovina)
- Orhan Lepara (University of Sarajevo, Sarajevo, Department of Physiology, School of Medicine, Bosnia and Herzegovina)
- Almir Fajkić (School of Medicine, University of Sarajevo, Sarajevo, Department of Pathophysiology, Bosnia and Herzegovina)
- Edin Begić (General Hospital “Prim.dr Abdulah Nakaš“, Sarajevo, Department of Cardiology, Bosnia and Herzegovina)
- Avdo Kurtović (Primary Healthcare Centre Gračanica, Gračanica, Bosnia and Herzegovina)
- Midhat Čizmić (General Hospital “Prim. dr Abdulah Nakaš“, Sarajevo, Department of Radiology, Bosnia and Herzegovina)
- Mirad Odobašić (Private Healthcare Institution „Poliklinika dr. Odobašić“, Sarajevo, Bosnia and Herzegovina)
Abstract
Aim: To identify clinical and laboratory parameters on admission and/or during a hospital stay that would predict prolonged hospital stay in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
Methods: A retrospective cross-sectional study was conducted at the Clinic for Pulmonary Diseases and Tuberculosis, Clinical Centre University of Sarajevo for the period 2019-2021 accounting patients admitted due to AECOPD. The need for hospitalization was evaluated according to the current GOLD criteria and certain clinical parameters. Spirometry testing and laboratory analysis were performed for all patients on the day of admission and on the 10th day of hospital stay. Linear regression was used to show the relationship between multiple independent predictor variables and LOS.
Results: A total of 50 patients were evaluated during their hospital stay due to AECOPD. Median of LOS was 22.02±1.06, with 90% hospital survival rate. Due to AECOPD the median of LOS in the intensive care unit (ICU) was 4±0.68 days with pH<7.35 in 34% of hospitalized patients. According to spirometry classification on the day of admission, 56% of patients were assigned to group 3 and 16% to group 4 with significant improvement identified on spirometry findings on discharge. Platelets on the day of admission were the only statistically significant positive predictors of the length of hospital stay.
Conclusion: Identifying chronic obstructive pulmonary disease patients at risk of frequent exacerbations and appropriate disease management could reduce the disease burden.
Keywords: chronic obstructive pulmonary disease, hospitalization, therapeutics
How to Cite:
Mujaković, A., Paralija, B., Prnjavorac, B., Lepara, O., Fajkić, A., Begić, E., Kurtović, A., Čizmić, M. & Odobašić, M., (2022) “Parameters in predicting the risk of a prolonged hospital stay in patients with acute exacerbation of chronic obstructive pulmonary disease: a single-centre experience”, Medicinski glasnik 20(1), 45-51. doi: https://doi.org/10.17392/1514-22
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