Currently, chronic obstructive pulmonary disease (COPD) represents the fourth cause of death worldwide with significant economic burden. Comorbidities increase in number and severity with age and are identified as important determinants that influence the prognosis. In this observational study, we retrospectively analyzed data collected from the RePoSI register. We aimed to investigate comorbidities and outcomes in a cohort of hospitalized elderly patients with the clinical diagnosis of COPD. Socio-demographic, clinical characteristics and laboratory findings were considered. The association between variables and in-hospital, 3-month and 1-year follow-up were analyzed. Among 4696 in-patients, 932 (19.8%) had a diagnosis of COPD. Patients with COPD had more hospitalization, a significant overt cognitive impairment, a clinically significant disability and more depression in comparison with non-COPD subjects. COPD patients took more drugs, both at admission, in-hospital stay, discharge and 3-month and 1-year follow-up. 14 comorbidities were more frequent in COPD patients. Cerebrovascular disease was an independent predictor of in-hospital mortality. At 3-month follow-up, male sex and hepatic cirrhosis were independently associated with mortality. ICS-LABA therapy was predictor of mortality at in-hospital, 3-month and 1-year follow-up. This analysis showed the severity of impact of COPD and its comorbidities in the real life of internal medicine and geriatric wards.

Pattern of comorbidities and 1-year mortality in elderly patients with COPD hospitalized in internal medicine wards: data from the RePoSI Registry / Argano, Christiano; Scichilone, Nicola; Natoli, Giuseppe; Nobili, Alessandro; Corazza, Gino Roberto; Mannucci, Pier Mannuccio; Perticone, Francesco; Corrao, Salvatore; Reposi, Investigator; Muscaritoli, Maurizio; Molfino, Alessio; Colangelo, Luciano; Valeriani, Emanuele. - In: INTERNAL AND EMERGENCY MEDICINE. - ISSN 1828-0447. - 16:2(2021), pp. 389-400. [10.1007/s11739-020-02412-1]

Pattern of comorbidities and 1-year mortality in elderly patients with COPD hospitalized in internal medicine wards: data from the RePoSI Registry

Corrao, Salvatore
;
Muscaritoli, Maurizio
Membro del Collaboration Group
;
Molfino, Alessio
Membro del Collaboration Group
;
Colangelo, Luciano
Membro del Collaboration Group
;
Valeriani, Emanuele
Membro del Collaboration Group
2021

Abstract

Currently, chronic obstructive pulmonary disease (COPD) represents the fourth cause of death worldwide with significant economic burden. Comorbidities increase in number and severity with age and are identified as important determinants that influence the prognosis. In this observational study, we retrospectively analyzed data collected from the RePoSI register. We aimed to investigate comorbidities and outcomes in a cohort of hospitalized elderly patients with the clinical diagnosis of COPD. Socio-demographic, clinical characteristics and laboratory findings were considered. The association between variables and in-hospital, 3-month and 1-year follow-up were analyzed. Among 4696 in-patients, 932 (19.8%) had a diagnosis of COPD. Patients with COPD had more hospitalization, a significant overt cognitive impairment, a clinically significant disability and more depression in comparison with non-COPD subjects. COPD patients took more drugs, both at admission, in-hospital stay, discharge and 3-month and 1-year follow-up. 14 comorbidities were more frequent in COPD patients. Cerebrovascular disease was an independent predictor of in-hospital mortality. At 3-month follow-up, male sex and hepatic cirrhosis were independently associated with mortality. ICS-LABA therapy was predictor of mortality at in-hospital, 3-month and 1-year follow-up. This analysis showed the severity of impact of COPD and its comorbidities in the real life of internal medicine and geriatric wards.
2021
1-year mortality; 3-month mortality; COPD; comorbidities; elderly; internal medicine; in-hospital mortality
01 Pubblicazione su rivista::01a Articolo in rivista
Pattern of comorbidities and 1-year mortality in elderly patients with COPD hospitalized in internal medicine wards: data from the RePoSI Registry / Argano, Christiano; Scichilone, Nicola; Natoli, Giuseppe; Nobili, Alessandro; Corazza, Gino Roberto; Mannucci, Pier Mannuccio; Perticone, Francesco; Corrao, Salvatore; Reposi, Investigator; Muscaritoli, Maurizio; Molfino, Alessio; Colangelo, Luciano; Valeriani, Emanuele. - In: INTERNAL AND EMERGENCY MEDICINE. - ISSN 1828-0447. - 16:2(2021), pp. 389-400. [10.1007/s11739-020-02412-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1437697
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