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- Title
Original Article. Chronic obstructive pulmonary disease severity is associated with severe pneumonia.
- Authors
Jung Seop Eom; Won Jun Song; Hongseok Yoo; Byeong-Ho Jeong; Ho Yun Lee; Won-Jung Koh; Kyeongman Jeon; Hye Yun Park
- Abstract
CONTEXT: Chronic obstructive pulmonary disease (COPD) is a heterogeneous disorder, and various aspects of COPD may be associated with the severity of pneumonia in such patients. AIMS: We examined the risk factors associated with severe pneumonia in a COPD population. METHODS: We performed a retrospective observational study using a prospectively collected database of pneumonia patients who were admitted to our hospital through emergency department between 2008 and 2012. Patients with hospital-acquired pneumonia and those with an immunocompromised status were excluded. RESULTS: Of 148 pneumonia patients with COPD for whom chest computed tomography (CT) scans were available, 106 (71.6%) and 42 (28.4%) were classified as non-severe and severe pneumonia, respectively. Multivariate logistic regression analysis revealed that the severity of airflow limitation [odds ratio (OR), 2.751; 95% confidence interval (CI), 1.074-7.050; P = 0.035] and the presence of emphysema on a chest CT scan (OR, 3.366; 95% CI, 1.104-10.265; P = 0.033) were independently associated with severe pneumonia in patients with COPD. CONCLUSIONS: The severity of COPD including the airflow limitation grade and the presence of pulmonary emphysema were independently associated with the development of severe pneumonia.
- Subjects
CHI-squared test; COMPUTED tomography; STATISTICAL correlation; PULMONARY emphysema; FISHER exact test; OBSTRUCTIVE lung diseases; SCIENTIFIC observation; PNEUMONIA; PULMONARY function tests; MULTIPLE regression analysis; RETROSPECTIVE studies; SEVERITY of illness index; DATA analysis software; MANN Whitney U Test
- Publication
Annals of Thoracic Medicine, 2015, Vol 10, Issue 2, p105
- ISSN
1817-1737
- Publication type
Article
- DOI
10.4103/1817-1737.151441