Clinical characteristics, subclinical, treatment results of COPD patients with and without pneumonia at Thai Nguyen central hospital
Overview
Abstract:
Objectives: To describe clinical,
subclinical characteristics and treatment results of patients with acute
exacerbation of COPD with and without pneumonia at Thai Nguyen Central Hospital
in 2020-2021. Subjects: 139 patients was diagnosed with ECOPD and treated at
the Respiratory Department of Thai Nguyen Central Hospital. Methods:
cross description. Results: The proportion of patients npECOPD accounted for
61.2%, pECOPD accounted for 38.8%. The disease was more in men (89.9%) than in
women (10.1%). Mean age: 71.75±9.64 was mainly seen in patients aged 60 years
and older, in which the age group over 70 years old accounted for the highest
rate (61.2%). The proportion of
patients regular treatment at home and having more than 2 exacerbations in the
pECOPD higher than the npECOPD group. Fever in pECOPD (64.8%) was more common
than in npECOPD group (8.2%). The results of chest X-ray showed that: pECOPD
encountered mainly bronchial images, opacity, cloudiness; the npECOPD group
only encountered bronchiectasis and alveolar lesions; lung increased
brightness; low diaphragm. Mean WBC and mean CRP values in the pECOPD were
higher than the npECOPD group. The mean hospital stay was: 8.68±3.66; 7-10 days
(56.1%), less than 7 days ( 23.4%,) from 10 days or more (20.2%). Drug
treatment in both groups of patients: The proportion of pECOPD patients using 2
antibiotics was higher than that of the npECOPD group (63.0% and 23.7%
respectively). Good treatment results in the npECOPD (89.4%) were higher than
in the pECOPD (72.2%). The treatment results were not good in the npCOPD
(10.6%) than in the pECOPD (28.7%).
Keyword(s): acute exacerbation of COPD, pneumonia, smoking.
Journal | Journal of Medicine and Pharmacy |
Issue number | 39 |
Publication status | Published - Dec-2021 |
ISBN | 2734-9209 |