Factors Affecting an Acute Exacerbation among COPD Patients in the Emergency Room, Lamphun Hospital
Keywords:
Emergency unit, Chronic obstructive pulmonary disease, Acute exacerbationAbstract
Background: The number of the chronic obstructive pulmonary disease (COPD) patients who needed retreatment because of the acute exacerbation in Lamphun Province was increased every year. In 2018, the average rate of the acute exacerbation was 1.46. It was increased for 1.52 times in 2019. The fatality rate was 6.57 percent among the COPD patients who were 60 years or older.Objectives: To study the prevalence and the factors affecting the acute exacerbation among the COPD patients in the emergency room.Method: This study was a cross-sectional descriptive study using the AECOPD records. The samples were 60 COPD patients from 1st September 2020 to 30th November 2020. The demographic data, the factors of the health behaviors, the severity of the disease, the family factors and the community factors were recorded.Results: The prevalence of AECOPD in the emergency room was 5.33 percent. Most of the patients had the acute exacerbation and the factors according to GOLD criteria (p = 0.000). The patients who were smoking (p = 0.010) and using home oxygen (p = 0.009) had the relationships with the acute exacerbation among the COPD patients. The patients with the severity level at Level D had the chances of having the acute exacerbation requiring the treatment in the emergency room.Conclusion: The prevalence of AECOPD was 5.33 percent. The severity of the disease was at Level D. There were chances of the acute exacerbation requiring the treatment in the emergency room.
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