Assessment Of Different Scores In Predicting Outcome In Acute Exacerbation Of Chronic Obstructive Pulmonary Disease Patients In Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 139
- 主要终点
- Evaluate the value of different scores in predicting hospital mortality
研究概览
简要总结
evaluate the value of different scores in predicting hospital mortality and Need for MV In patients presented to ED with AECOPD.
详细描述
Chronic obstructive pulmonary disease (COPD) is one of the top three causes of death worldwide, and 90% of deaths occur in low- and middle-income countries.
Acute exacerbation of chronic obstructive pulmonary disease(AECOPD) is defined as an acute change in patient's dyspnea, cough, or sputum beyond normal variability that is sufficient to warrant a change in therapy. AECOPD has a negative effect on the quality of life, admission and readmission rates, and disease progression.
For these reasons, appropriate management of acute exacerbations is recommended by national and international organizations.
Identifying high-risk dying patients on hospital admission helps in triaging them to the required level of care.
The use of early warning scores in follow-up is recommended for the early detection of critically ill patients and the prediction of clinical deterioration. CURB65, BAP65, qSOFA , DECAF and NEWS, which mainly involve mental status, respiratory rate, oxygen saturations, pulse, blood pressure, age, BUN level, etc., can be used to predict AECOPD-associated mortality in ED given the simple structure and data availability.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patient presented to ED with acute exacerbation of COPD.
排除标准
- •Patient presented with acute insult affecting other system.
- •Patient transferred to other centers.
- •Inadequate data.
结局指标
主要结局
Evaluate the value of different scores in predicting hospital mortality
时间窗: one year
Assessment Of Different Scores In Predicting Outcome In Acute Exacerbation Of Chronic Obstructive Pulmonary Disease Patients In Emergency Department as DECAF(dyspnea grade V according to eMRCD,esinopenia\<0.05x10\*9/L,consolidation,acidemia\<7.30,atrial fibrillation) 1=mild,2_3=moderate,4_5=severe can be used to predict AECOPD-associated mortality in ED given the simple structure and data availability.
次要结局
- Value of these scores in predicting need for MV.(one year)
研究者
Mohammed Mostafa Saleh Hussein
Principal investigator
Assiut University