The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure

Anemia increases mortality in patients with chronic obstructive pulmonary disease (COPD), but its effects on mortality and survival time for different levels of airflow limitation severity are unclear. Our goal was to investigate the effects of anemia on survival time and mortality in COPD patients...

Full description

Bibliographic Details
Main Authors: Emel Cireli, Aydan Mertoğlu
Format: Article
Language:English
Published: PAGEPress Publications 2022-08-01
Series:Monaldi Archives for Chest Disease
Subjects:
Online Access:https://www.monaldi-archives.org/index.php/macd/article/view/2254
_version_ 1811341235276742656
author Emel Cireli
Aydan Mertoğlu
author_facet Emel Cireli
Aydan Mertoğlu
author_sort Emel Cireli
collection DOAJ
description Anemia increases mortality in patients with chronic obstructive pulmonary disease (COPD), but its effects on mortality and survival time for different levels of airflow limitation severity are unclear. Our goal was to investigate the effects of anemia on survival time and mortality in COPD patients with varying degrees of airflow limitation. We looked at 300 consecutive COPD patients in the past. Their demographic information, Charlson comorbidity index, previous early (30 days) and late (>30 days) hospitalizations, blood counts, and post-bronchodilator spirometric values were all recorded. They were contacted by phone to check on their vital status, and their mortality rates were calculated. Anemic patients had a mean overall survival time of 31.9 2.8 months and normal patients had a mean overall survival time of 41.7 2.1 months (p=0.001). Their 1-year and 2-year mortality rates are higher. Age, Charlson comorbidity index, BMI, FEV1%, anemia, MCV, hemoglobin, serum creatinin, and early and late hospitalizations all had an impact on mortality. BMI, anemia, and FEV1% remained risk factors for death. Anemic group 2 patients had a higher mortality rate than groups 3 and 4. Anemic patients in groups 2 and 4 had shorter survival times. Anemic COPD patients have higher 1-year and 2-year mortality rates. Mortality is affected by age, Charlson comorbidity index, BMI, FEV1%, anemia, MCV, hemoglobin, serum creatinin, and early and late hospitalizations. BMI, anemia, and FEV1% remained risk factors for death. Anemic group 2 patients have a higher mortality rate than groups 3 and 4. Anemic patients in groups 2 and 4 have shorter survival times.
first_indexed 2024-04-13T18:53:32Z
format Article
id doaj.art-5096f7f2fb07420a968b0be2f9ec1c4c
institution Directory Open Access Journal
issn 1122-0643
2532-5264
language English
last_indexed 2024-04-13T18:53:32Z
publishDate 2022-08-01
publisher PAGEPress Publications
record_format Article
series Monaldi Archives for Chest Disease
spelling doaj.art-5096f7f2fb07420a968b0be2f9ec1c4c2022-12-22T02:34:20ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642022-08-0110.4081/monaldi.2022.2254The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failureEmel Cireli0Aydan Mertoğlu1Health Sciences University Dr. Suat Seren Chest Diseases, Chest Surgery Training and Research Hospital, IzmirHealth Sciences University Dr. Suat Seren Chest Diseases, Chest Surgery Training and Research Hospital, Izmir Anemia increases mortality in patients with chronic obstructive pulmonary disease (COPD), but its effects on mortality and survival time for different levels of airflow limitation severity are unclear. Our goal was to investigate the effects of anemia on survival time and mortality in COPD patients with varying degrees of airflow limitation. We looked at 300 consecutive COPD patients in the past. Their demographic information, Charlson comorbidity index, previous early (30 days) and late (>30 days) hospitalizations, blood counts, and post-bronchodilator spirometric values were all recorded. They were contacted by phone to check on their vital status, and their mortality rates were calculated. Anemic patients had a mean overall survival time of 31.9 2.8 months and normal patients had a mean overall survival time of 41.7 2.1 months (p=0.001). Their 1-year and 2-year mortality rates are higher. Age, Charlson comorbidity index, BMI, FEV1%, anemia, MCV, hemoglobin, serum creatinin, and early and late hospitalizations all had an impact on mortality. BMI, anemia, and FEV1% remained risk factors for death. Anemic group 2 patients had a higher mortality rate than groups 3 and 4. Anemic patients in groups 2 and 4 had shorter survival times. Anemic COPD patients have higher 1-year and 2-year mortality rates. Mortality is affected by age, Charlson comorbidity index, BMI, FEV1%, anemia, MCV, hemoglobin, serum creatinin, and early and late hospitalizations. BMI, anemia, and FEV1% remained risk factors for death. Anemic group 2 patients have a higher mortality rate than groups 3 and 4. Anemic patients in groups 2 and 4 have shorter survival times. https://www.monaldi-archives.org/index.php/macd/article/view/2254Chronic obstructivePulmonary diseaseanemiamortalitysurvival
spellingShingle Emel Cireli
Aydan Mertoğlu
The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
Monaldi Archives for Chest Disease
Chronic obstructive
Pulmonary disease
anemia
mortality
survival
title The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
title_full The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
title_fullStr The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
title_full_unstemmed The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
title_short The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure
title_sort impact of anemia on the mortality of copd patients hospitalized for acute exacerbation resulting in respiratory failure
topic Chronic obstructive
Pulmonary disease
anemia
mortality
survival
url https://www.monaldi-archives.org/index.php/macd/article/view/2254
work_keys_str_mv AT emelcireli theimpactofanemiaonthemortalityofcopdpatientshospitalizedforacuteexacerbationresultinginrespiratoryfailure
AT aydanmertoglu theimpactofanemiaonthemortalityofcopdpatientshospitalizedforacuteexacerbationresultinginrespiratoryfailure
AT emelcireli impactofanemiaonthemortalityofcopdpatientshospitalizedforacuteexacerbationresultinginrespiratoryfailure
AT aydanmertoglu impactofanemiaonthemortalityofcopdpatientshospitalizedforacuteexacerbationresultinginrespiratoryfailure