Akademik Veri Yönetim Sistemi
2nd International Internal Medicine Nursing Congress, İzmir, Türkiye, 17 - 19 Aralık 2020, cilt.6, ss.109
ABSTRACT
Introduction: Chronic obstructive pulmonary disease (COPD) is an increasing cause of morbidity and mortality
worldwide. Acute exacerbations affect health status, disease progression and mortality rates negatively in COPD
and also the greatest part of COPD related costs are exacerbations. Patients diagnosed with COPD, an important
disease affecting the individual's life, are hospitalized during periods of acute exacerbation.
Aim: The aim of this study was to determine the general characteristics of COPD patients with acute
exacerbation, who were treated in hospital.
Methods: This retrospective study was conducted with 699 COPD patients, who were treated with acute
exacerbation during a one-year period (02.01.218-31.12.2018) in a chest clinic. The characteristics of the
patients such as acute indication, hospitalization according to the seasons, arterial blood gas and leukocyte values
at the time of hospitalization, length of hospital stay and whether they received mechanical ventilator support
were examined. Written approval has been obtained from the hospital local ethics committee and hospital
management. The SPSS version 22.0 (IBM) program was used for statistical analysis. Socio-demographic and
clinical data were analyzed with the number and percentage distributions.
Results: The mean age of the patients was 67.7±1.25 (Min/max:17/95), 54.2% were men, 66.81% were primary
education graduates, 71.5% were married, 47.21% were retired and 82.98% live in the province. 60.08% of the
patients quit smoking, 56.50% presence of other chronic diseases, 54.36% of them use noninvasive mechanical
ventilation (NIMV). It was found that 36.48% of the patients are Body Mass İndex (BMI) 25-29.9 kg/m2
, of
them 67.24% were hospitalized in cold months. 43.63% of the patients have been hospitalized once in the year,
the rate of those who have stayed 2 and 3 times is respectively 22.88 and 18.59%. The average duration of
hospitalization was found to be 9.4 ± 6.0. Arterial blood gas (ABG) values of the patients are given in Table 1. In
addition, according to the hemogram results of patients, leukocyte values (average) (mm3) were found to be
16200 ± 7800. In the spirometric results, FEV1 = 47 ± 21.8, FVC = 86 ± 9.4.
Conclusion: It was found that patients with COPD hospitalized more often in the advanced stages, patients with
COPD exacerbations increased hypoxemia and carbon dioxide levels, and infections had a serious effect. In
addition, we think that the presence of chronic disease outside COPD increases acute exacerbation.
Key words: Chronic Obstructive Pulmonary Disease (COPD), Acute exacerbation, Retrospective research