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Características y evolución de los pacientes con enfermedad pulmonar obstructiva crónica y enfermedad tromboembólica venosa aguda sintomática en urgencias: subanálisis del registro ESPHERIA. / Características y evolución de los pacientes con enfermedad pulmonar obstructiva crónica y enfermedad tromboembólica venosa aguda sintomática en urgencias: subanálisis del registro ESPHERIA. / Clinical characteristics and course in emergency department patients with chronic obstructive pulmonary disease and symptomatic acute venous thromboembolic disease: secondary analysis of the ESPHERIA registry.
Emergencias ; 32(1): 40-44, 2020 Feb.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-31909911
RESUMEN

OBJECTIVES:

To determine the impact of chronic obstructive pulmonary disease (COPD) on prognosis in patients diagnosed with venous thromboembolic disease (VTED) in Spanish emergency departments.

MATERIAL AND METHODS:

Secondary analysis of data from the ESPHERIA (Spanish acronym for Risk Profile of Patients VTED Attended in Spanish Emergency Departments) registry.

RESULTS:

A total of 801 patients, 71 (9%) with COPD, were included. Pulmonary thromboembolism was recorded in 77.%% of the patients with COPD (vs in 47.1% of patients without COPD; P<.001). Patients with COPD had evidence of right ventricular dysfunction on computed tomography angiography more often than other VTED patients (18.2% vs 13.1%; P<.001) and more often required ventilatory support (7% vs 0.5%; P<.001). VTED patients with COPD also had a higher rate of readmission or mortality at 180 days (hazard ratio, 1.52; 95% CI, 1.00-2.29; P = .048)] than patients without COPD.

CONCLUSION:

COPD affects the prognosis of patients diagnosed with VTED in Spanish emergency departments as evidenced by hospital readmission and mortality.

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Coleções: Bases de dados internacionais Base de dados: MEDLINE Aspecto clínico: Etiologia / Prognóstico Idioma: Inglês / Espanhol Revista: Emergencias Ano de publicação: 2020 Tipo de documento: Artigo