COPD exacerbations in the emergency department: Epidemiology and related costs. A retrospective cohort multicentre study from the Italian Society of Emergency Medicine (SIMEU) Academic Article uri icon

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abstract

  • Acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) frequently cause patients with COPD to access the emergency department and have a negative impact on the course of the disease. The objectives of our study were: 1) describing the socio-demographic and clinical characteristics, and the clinical management, of patients with AECOPD, when they present to the emergency department; and 2) estimating the costs related to the management of these patients. We conducted a retrospective cohort study in Italy, collecting data on 4396 patients, from 34 centres. Patients had a mean (SD) age of 76,6 (10.6) years, and 61.2% of them where males. >70% of the patients had a moderate to very high comorbidity burden, and heart failure was present in 26.4% of the cohort. The 64.6% of patients were admitted to hospital wards, with a mean (SD) length of stay of 10.8 (9.8) days. The estimated cost per patient was 2617 €. CONCLUSIONS: Patients attending the ED for an AECOPD are old and present important comorbidities. The rate of admission is high, and costs are remarkable.

authors

  • Germini, Federico
  • Veronese, Giacomo
  • Marcucci, Maura
  • Coen, Daniele
  • Ardemagni, Deborah
  • Montano, Nicola
  • Fabbri, Andrea
  • Adinolfi, Luigi Elio
  • Alvisi, Antonella
  • Azin, Giulia
  • Balloni, Andrea
  • Bandiera, Geminiano
  • Barchetti, Marco
  • Barillari, Alfredo
  • Barozzi, Marco
  • Belloni, Giulia
  • Belotti, Eugenia
  • Binetti, Nicola
  • Bonora, Miriam
  • Bruni, Rosamaria
  • Cacco, Silvia
  • Camisa, Daniele
  • Carbone, Giorgio
  • Carpinteri, Giuseppe
  • Catino, Laura
  • Cazzaniga, Massimo
  • Cenni, Patrizia
  • Chelli, Vittorio
  • Cicero, Leonora
  • Cottone, Carlo Domenico
  • Cuccia, Filippa
  • D'Angelo, Luciano
  • Dalmonte, Francesca
  • Daviddi, Fabio
  • De Vita, Anna
  • Famà, Fausto
  • Fedele, Marta
  • Fonti, Caterina
  • Frigerio, Marta
  • Gallingani, Alan
  • Ghiglione, Valeria
  • Gioffrè-Florio, Maria
  • Giordano, Mauro
  • Giostra, Fabrizio
  • Galli, Maria Giulia
  • Greggi, Maria Elena
  • Groff, Paolo
  • Guizzardi, Stefano
  • Lagasio, Chiara
  • Lazzara, Giuseppe
  • Lubini, Eloisa
  • Magni, Laura
  • Mancarella, Sandro
  • Mangano, Giuseppe
  • Maragno, Margherita
  • Menabue, Monia
  • Meoni, Eleonora
  • Molinaro, Federica
  • Morelli, Alice
  • Moscariello, Francesco
  • Nevola, Riccardo
  • Noto, Paola
  • Pagano, Antonio
  • Paladino, Fiorella
  • Pancani, Roberta
  • Petrelli, Giuseppina
  • Petrino, Roberta
  • Sinno, Carmine
  • Tafa, Aferdita
  • Tartaglia, Sergio
  • Taurino, Chiara
  • Treleani, Martina
  • Villari, Liliana
  • Vitelli, Alessandra
  • Zaccagni, Cinzia
  • Zaccaro, Bruna
  • Zacchino, Massimo

publication date

  • May 2018