Relationship between clinical anxiety and patient outcomes in patients with chronic obstructive lung disease exacerbation in the emergency department.
Med Klin Intensivmed Notfmed
; 118(3): 236-241, 2023 Apr.
Article
en En
| MEDLINE
| ID: mdl-35661228
ABSTRACT
PURPOSE:
Anxiety is a comorbidity that is not routinely addressed in patients with chronic obstructive lung disease (COPD) exacerbation in the emergency department (ED). Anxiety in patients with COPD exacerbation can be related with negative outcomes. The Generalized Anxiety Disorder 7 (GAD-7) score is an easy-to-use tool to determine anxiety. This study aimed to investigate the relationship between GAD7 score and patient outcomes in patients with COPD exacerbation in the ED.METHODS:
A prospective, cross-sectional study was conducted in a tertiary academic ED between July 2019 and January 2021. Patients admitted to the ED with COPD exacerbation were included. A GAD7 score of ≥â¯10 was defined as clinically significant anxiety. Negative outcomes were defined as a composite outcome that included recurrent ED visits, intensive care unit admission, and mortality. The relationship between clinically significant anxiety and negative outcomes within 30 days was determined.RESULTS:
A total of 92 patients were assessed for eligibility and 80 were included in the study. Thirty-seven patients (46.3%) experienced negative outcomes. Although no significant difference was detected in median GAD7 scores between patients with positive and negative outcomes, negative outcomes were significantly higher in patients who had a GAD7 score of ≥â¯10 (nâ¯= 25, pâ¯= 0.03). A sensitivity of 43.2%, specificity of 79.1%, positive likelihood ratio of 2.1 and negative likelihood ratio of 0.7 were determined for GAD7 score in predicting negative outcome.CONCLUSION:
In patients with COPD exacerbation in the ED, a GAD7 score of ≥â¯10 was associated with 30-day negative outcomes.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad Pulmonar Obstructiva Crónica
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Med Klin Intensivmed Notfmed
Año:
2023
Tipo del documento:
Article
País de afiliación:
Turquía