Características epidemiológicas de las exacerbaciones por EPOC y asma en un hospital general
The epidemiology of COPD and asthma exacerbations in a general hospital
I. Otero González
, M. Blanco Aparicio, C. Montero Martínez, P. Valiño López, H. Verea Hernando
Corresponding author
ioteromed@hotmail.com
Correspondencia: Dra. I. Otero González. Servicio de Neumoloxia. Hospital Juan Canalejo. Xubias de arriba, 84. 15006 A Coruña
Correspondencia: Dra. I. Otero González. Servicio de Neumoloxia. Hospital Juan Canalejo. Xubias de arriba, 84. 15006 A Coruña
Servicio de Neumología. Hospital Juan Canalejo. A Coruña
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Verea Hernando" "autores" => array:5 [ 0 => array:4 [ "nombre" => "I." "apellidos" => "Otero González" "email" => array:1 [ 0 => "ioteromed@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Blanco Aparicio" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Montero Martínez" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Valiño López" ] 4 => array:2 [ "nombre" => "H." "apellidos" => "Verea Hernando" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología. Hospital Juan Canalejo. A Coruña" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dra. I. Otero González. Servicio de Neumoloxia. Hospital Juan Canalejo. Xubias de arriba, 84. 15006 A Coruña" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The epidemiology of COPD and asthma exacerbations in a general hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-10-16" "fechaAceptado" => "2002-02-05" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190578" "palabras" => array:3 [ 0 => "Asma" 1 => "EPOC" 2 => "Exacerbaciones" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190577" "palabras" => array:3 [ 0 => "Asthma" 1 => "COPD" 2 => "Exacerbation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio retrospectivo para conocer las ca-racterísticas clínicas y epidemiológicas de los pacientes que acudieron al servicio de urgencias del hospital con exacerbaciones de asma y enfermedad pulmonar obstructiva crónica (EPOC) durante los años 1993 y 1994. El análisis se realizó mediante revisión de las historias clínicas de los pacientes atendidos durante estos 2 años de acuerdo con un protocolo de estudio previamente establecido</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Identificamos 1.592 exacerbaciones en 1.209 pacientes asmáticos, lo que representa el 0,9% del total de urgencias atendidas, y una media ± desviación estándar de 2,2 ± 1,6 (límites, 0–9) de exacerbaciones diarias. Las agudizaciones de EPOC fueron 2.106 en 1.208 pacientes, lo que significa el 1,2% del total de urgencias, y una media diaria de 2,9 (límites, 0–12) casos. La edad media de los pacientes con asma fue de 51,2 (límites, 14–93) años, y la de los que padecían EPOC, de 70,3 (límites, 29–96). Con respecto al sexo, entre los asmáticos el 69,8% eran mujeres y el 30,1%, varones, mientras que entre los pacientes con EPOC el 91,4% eran varones. La tasa de reing resos por asma fue del 3,4% y para la EPOC, del 4,8%. Precisaron internamiento hospitalario el 26,7% de los asmáticos y el 49,4% de las agudizaciones de EPOC. El 22,6% de los pacientes con asma y el 41,6% de los que padecían EPOC acudieron al hospital entre las 0:00 y las 8:00 h</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tanto en el caso del asma como en el de la EPOC, en los meses invernales se registró una mayor afluencia. La correlación observada entre el número de exacerbaciones de asma y EPOC y los casos declarados de gripe en la comunidad para asma fue: r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,63 (p < 0,0001) y para EPOC, r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,83 (p < 0,0001)</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nuestros datos destacan la importante carga asistencial que representan las exacerbaciones por enfermedad obstructiva de la vía aérea como motivo de atención hospitalaria urgente y sugieren que las infecciones respiratorias comunitarias podrían ser la causa subyacente</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This retrospective study identified the clinical and epide-miological characteristics of patients coming to the emergency room of our hospital with exacerbated asthma or chronic obstructive pulmonary disease (COPD) in 1993 and 1994. We followed a previously established protocol to review the case histories of patients from both years</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The 1,592 exacerbations we identified in 1,209 asthmatics accounted for 0.9% of all emergency visits, with a mean of 2.2 ± 1.6 (0–9) visits daily. The 2,106 exacerbations of COPD in 1,208 patients accounted for 1.2% of all emergencies, with a mean 2.9 (1–12) visits per day. The mean age was 51.2 (14–93) years for asthmatics and 70.3 (29–96) years for COPD patients. Of asthmatics, 69.8% were women and 30.1% were men, whereas 91.4% of COPD patients were men. The readmission rate was 3.4% for asthmatics and 4.8% for COPD patients. The hospitalization rate was 26.7% for asthmatics and 49.4% for COPD exacerbation patients. The hospital saw 22.6% of asthma exacerbations between midnight and 8 a.m. and 41.6% of COPD exacerba-tions during the same time frame</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">For both diseases, more emergencies occurred in winter. Correlation between asthma and COPD and declared in-fluenza cases in the community were r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.63 (p < 0.001) for asthma and r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.83 (p < 0.0001) for COPD</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our findings underline the considerable emergency care burden generated by exacerbations of obstructive airway diseases and suggest that community acquired respiratory infections are usually the underlying cause</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:52 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 3 | 6 |
| 2024 October | 40 | 22 | 62 |
| 2024 September | 48 | 33 | 81 |
| 2024 August | 65 | 49 | 114 |
| 2024 July | 45 | 36 | 81 |
| 2024 June | 56 | 59 | 115 |
| 2024 May | 55 | 35 | 90 |
| 2024 April | 33 | 22 | 55 |
| 2024 March | 39 | 51 | 90 |
| 2024 February | 35 | 38 | 73 |
| 2024 January | 0 | 5 | 5 |
| 2023 December | 0 | 4 | 4 |
| 2023 November | 0 | 6 | 6 |
| 2023 October | 0 | 24 | 24 |
| 2023 September | 0 | 10 | 10 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 14 | 14 |
| 2023 June | 0 | 18 | 18 |
| 2023 May | 0 | 3 | 3 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 4 | 3 | 7 |
| 2023 February | 30 | 21 | 51 |
| 2023 January | 27 | 22 | 49 |
| 2022 December | 36 | 24 | 60 |
| 2022 November | 41 | 27 | 68 |
| 2022 October | 37 | 23 | 60 |
| 2022 September | 29 | 28 | 57 |
| 2022 August | 36 | 53 | 89 |
| 2022 July | 31 | 31 | 62 |
| 2022 June | 28 | 22 | 50 |
| 2022 May | 39 | 39 | 78 |
| 2022 April | 41 | 33 | 74 |
| 2022 March | 40 | 40 | 80 |
| 2022 February | 34 | 27 | 61 |
| 2022 January | 37 | 55 | 92 |
| 2021 December | 17 | 45 | 62 |
| 2021 November | 35 | 47 | 82 |
| 2021 October | 60 | 53 | 113 |
| 2021 September | 46 | 48 | 94 |
| 2021 August | 29 | 45 | 74 |
| 2021 July | 31 | 34 | 65 |
| 2021 June | 28 | 35 | 63 |
| 2021 May | 22 | 25 | 47 |
| 2021 April | 28 | 90 | 118 |
| 2021 March | 33 | 39 | 72 |
| 2021 February | 36 | 17 | 53 |
| 2021 January | 28 | 18 | 46 |
| 2020 December | 23 | 22 | 45 |
| 2020 November | 17 | 15 | 32 |
| 2020 October | 18 | 22 | 40 |
| 2020 September | 23 | 7 | 30 |
| 2020 August | 42 | 27 | 69 |
| 2020 July | 40 | 37 | 77 |
| 2020 June | 23 | 16 | 39 |
| 2020 May | 34 | 16 | 50 |
| 2020 April | 29 | 10 | 39 |
| 2020 March | 20 | 21 | 41 |
| 2020 February | 31 | 26 | 57 |
| 2020 January | 33 | 31 | 64 |
| 2019 December | 28 | 36 | 64 |
| 2019 November | 20 | 22 | 42 |
| 2019 October | 28 | 23 | 51 |
| 2019 September | 20 | 38 | 58 |
| 2019 August | 25 | 19 | 44 |
| 2019 July | 28 | 34 | 62 |
| 2019 June | 21 | 36 | 57 |
| 2019 May | 29 | 68 | 97 |
| 2019 April | 26 | 71 | 97 |
| 2019 March | 23 | 56 | 79 |
| 2019 February | 13 | 23 | 36 |
| 2019 January | 13 | 20 | 33 |
| 2018 December | 18 | 29 | 47 |
| 2018 November | 24 | 18 | 42 |
| 2018 October | 33 | 13 | 46 |
| 2018 September | 26 | 14 | 40 |
| 2018 May | 4 | 2 | 6 |
| 2018 April | 6 | 15 | 21 |
| 2018 March | 4 | 9 | 13 |
| 2018 February | 8 | 13 | 21 |
| 2018 January | 9 | 7 | 16 |
| 2017 December | 7 | 9 | 16 |
| 2017 November | 4 | 9 | 13 |
| 2017 October | 12 | 8 | 20 |
| 2017 September | 3 | 16 | 19 |
| 2017 August | 8 | 11 | 19 |
| 2017 July | 14 | 9 | 23 |
| 2017 June | 15 | 27 | 42 |
| 2017 May | 9 | 7 | 16 |
| 2017 April | 7 | 7 | 14 |
| 2017 March | 6 | 13 | 19 |
| 2017 February | 5 | 10 | 15 |
| 2017 January | 6 | 12 | 18 |
| 2016 December | 16 | 21 | 37 |
| 2016 November | 19 | 22 | 41 |
| 2016 October | 25 | 30 | 55 |
| 2016 September | 22 | 15 | 37 |
| 2016 August | 17 | 7 | 24 |
| 2016 July | 22 | 6 | 28 |
| 2016 June | 20 | 9 | 29 |
| 2016 May | 22 | 4 | 26 |
| 2016 April | 6 | 2 | 8 |
| 2016 March | 11 | 4 | 15 |
| 2016 February | 10 | 3 | 13 |
| 2016 January | 26 | 20 | 46 |
| 2015 December | 29 | 20 | 49 |
| 2015 November | 43 | 8 | 51 |
| 2015 October | 93 | 1 | 94 |
| 2015 September | 81 | 0 | 81 |
| 2015 August | 84 | 0 | 84 |
| 2015 July | 64 | 0 | 64 |
| 2015 June | 54 | 0 | 54 |
| 2015 May | 91 | 0 | 91 |
| 2015 April | 82 | 0 | 82 |
| 2015 March | 88 | 0 | 88 |
| 2015 February | 54 | 0 | 54 |
| 2015 January | 55 | 0 | 55 |
| 2014 December | 46 | 0 | 46 |
| 2014 November | 75 | 0 | 75 |
| 2014 October | 84 | 0 | 84 |
| 2014 September | 66 | 0 | 66 |
| 2014 August | 59 | 0 | 59 |
| 2014 July | 62 | 0 | 62 |
| 2014 June | 58 | 0 | 58 |
| 2014 May | 73 | 0 | 73 |
| 2014 April | 73 | 0 | 73 |
| 2014 March | 84 | 0 | 84 |
| 2014 February | 67 | 0 | 67 |
| 2014 January | 65 | 0 | 65 |
| 2013 December | 74 | 0 | 74 |
| 2013 November | 58 | 0 | 58 |
| 2013 October | 64 | 0 | 64 |
| 2013 September | 93 | 0 | 93 |
| 2013 August | 79 | 0 | 79 |
| 2013 July | 67 | 0 | 67 |
| 2013 June | 55 | 0 | 55 |
| 2013 May | 58 | 0 | 58 |
| 2013 April | 47 | 0 | 47 |
| 2013 March | 21 | 0 | 21 |
| 2000 January | 3738 | 0 | 3738 |
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