Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende"
Introduction: chronic obstructive pulmonary disease (COPD) is a chronic inflammatory entity characterized by a partially reversible limitation of airflow. Its main risk factor is smoking and there are multiple factors associated with its high mortality. Objective: to identify the factors associate...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Ciencias Médicas de Guantánamo
2022-04-01
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| Series: | Revista Información Científica |
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| Online Access: | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3645 |
| _version_ | 1797725805583794176 |
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| author | Julio Hiram López-Castro Celia Martínez-González José de Jesús Rego-Hernández Hector Julio Piñera-Castro Adrian Saborit-Rodríguez |
| author_facet | Julio Hiram López-Castro Celia Martínez-González José de Jesús Rego-Hernández Hector Julio Piñera-Castro Adrian Saborit-Rodríguez |
| author_sort | Julio Hiram López-Castro |
| collection | DOAJ |
| description | Introduction: chronic obstructive pulmonary disease (COPD) is a chronic inflammatory entity characterized by a partially reversible limitation of airflow. Its main risk factor is smoking and there are multiple factors associated with its high mortality.
Objective: to identify the factors associated with death in COPD patients belonging to the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende”, in the period from January 1 to December 31, 2019.
Method: an analytical observational epidemiological study of cases and controls was carried out. The cases were deaths (n=34) with a diagnosis of COPD, and the controls were living patients (n=59) with this diagnosis confirmed at discharge. Demographic and clinical variables were considered. The variables were considered: age, sex, smoking, arterial hypertension, diabetes mellitus, cor pulmonale, cancer, degree of COPD, cause of hospitalization, site of hospitalization and need for invasive mechanical ventilation. Descriptive statistical methods, univariate and multivariate analysis were used to calculate risk, and logistic regression to assess confounding factors.
Results: there was a predominance of patients over 65 years of age, and females. The variables associated with death from COPD were: cancer comorbidity (OR: 5.1; 95% CI: 1.2-22.4; p=0.032) and need for invasive mechanical ventilation (OR: 6.5; CI 95%: 1.1-38.3; p=0.04).
Conclusions: cancer comorbidity and the need for invasive mechanical ventilation behave as risk factors for mortality in patients with COPD. |
| first_indexed | 2024-03-12T10:36:30Z |
| format | Article |
| id | doaj.art-4f0c13c7553a451ebdd56ada5b4cedd3 |
| institution | Directory Open Access Journal |
| issn | 1028-9933 |
| language | Spanish |
| last_indexed | 2024-03-12T10:36:30Z |
| publishDate | 2022-04-01 |
| publisher | Universidad de Ciencias Médicas de Guantánamo |
| record_format | Article |
| series | Revista Información Científica |
| spelling | doaj.art-4f0c13c7553a451ebdd56ada5b4cedd32023-09-02T08:36:49ZspaUniversidad de Ciencias Médicas de GuantánamoRevista Información Científica1028-99332022-04-011012e3645e36452305Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende"Julio Hiram López-Castro0Celia Martínez-González1José de Jesús Rego-Hernández2Hector Julio Piñera-Castro3Adrian Saborit-Rodríguez4Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Docente "Dr. Salvador Allende", La HabanaUniversidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Docente "Dr. Salvador Allende", La HabanaUniversidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Docente "Dr. Salvador Allende", La HabanaUniversidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas “Victoria de Girón”, La HabanaUniversidad de La Habana. Facultad de Comunicación, La HabanaIntroduction: chronic obstructive pulmonary disease (COPD) is a chronic inflammatory entity characterized by a partially reversible limitation of airflow. Its main risk factor is smoking and there are multiple factors associated with its high mortality. Objective: to identify the factors associated with death in COPD patients belonging to the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende”, in the period from January 1 to December 31, 2019. Method: an analytical observational epidemiological study of cases and controls was carried out. The cases were deaths (n=34) with a diagnosis of COPD, and the controls were living patients (n=59) with this diagnosis confirmed at discharge. Demographic and clinical variables were considered. The variables were considered: age, sex, smoking, arterial hypertension, diabetes mellitus, cor pulmonale, cancer, degree of COPD, cause of hospitalization, site of hospitalization and need for invasive mechanical ventilation. Descriptive statistical methods, univariate and multivariate analysis were used to calculate risk, and logistic regression to assess confounding factors. Results: there was a predominance of patients over 65 years of age, and females. The variables associated with death from COPD were: cancer comorbidity (OR: 5.1; 95% CI: 1.2-22.4; p=0.032) and need for invasive mechanical ventilation (OR: 6.5; CI 95%: 1.1-38.3; p=0.04). Conclusions: cancer comorbidity and the need for invasive mechanical ventilation behave as risk factors for mortality in patients with COPD.http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3645enfermedad pulmonar obstructiva crónicaepocmortalidadfactores de riesgocáncerventilación mecánica invasiva |
| spellingShingle | Julio Hiram López-Castro Celia Martínez-González José de Jesús Rego-Hernández Hector Julio Piñera-Castro Adrian Saborit-Rodríguez Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" Revista Información Científica enfermedad pulmonar obstructiva crónica epoc mortalidad factores de riesgo cáncer ventilación mecánica invasiva |
| title | Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" |
| title_full | Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" |
| title_fullStr | Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" |
| title_full_unstemmed | Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" |
| title_short | Causes associated with mortality from COPD in the Hospital Clínico Quirúrgico Docente “Dr. Salvador Allende" |
| title_sort | causes associated with mortality from copd in the hospital clinico quirurgico docente dr salvador allende |
| topic | enfermedad pulmonar obstructiva crónica epoc mortalidad factores de riesgo cáncer ventilación mecánica invasiva |
| url | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3645 |
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