KHẢO SÁT MỘT SỐ YẾU TỐ TIÊN LƯỢNG NẶNG ĐỢT CẤP BỆNH PHỔI TẮC NGHẼN MẠN TÍNH NHẬP VIỆN TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Chronic obstructive pulmonary disease remains a major health challenge for globalmedicine because of the popularity, the cost of treating large and high mortality rates. Objectives: To determine the rate and to evaluate some risk factors for the severity of acute exacerbation of Chronic Obstructive Pulmonary disease at Can Tho Central General Hospital. Materials and methods: Descriptive cross-sectional study with analytics on 90 patients in acute exacerbation of Chronic Obstructive Pulmonary Disease. Results: The rate of the severity of acute exacerbation of Chronic Obstructive Pulmonary disease at 72 hours after admission is 31.1%. Risk factors of severe disease at 72 hours after admission: Pulse≥110 times/minute (OR=2.97); SpO2<88% (OR=8.55); contraction of accessory respiratory muscles (OR=9.48); pale (OR=12.73); PaCO2>45mmHg (OR=2.83); GOLD severity of airflow limitation; comorbidities (OR=2.716). Conclusions: The rate of the severity of acute exacerbation of Chronic Obstructive Pulmonary disease at 72 hours after admission is 31.1%. Pulse≥110 times/minute, SpO2<88%, contraction of accessory respiratory muscles, pale, PaCO2>45mmHg, GOLD severity of airflow limitation, comorbidities are risk factors of severe exacerbations at 72 hours after admission.