Accès ouvert déclaré
2023
article
Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both
Ernesto Crisafulli, Giulia Sartori, Alice Vianello, Fabiana Busti, Alessandro Nobili, Domenico Girelli, Pier Mannuccio Mannucci, Giorgio Sesti, Antonello Pietrangelo, Francesco Perticone, Salvatore Corrao, Alessandra Marengoni, Mauro Tettamanti, Luca Pasina, Francesco Violi, Carlotta Franchi, Alessio Novella, Gabriella Miglio, Alessia Antonella Galbussera, Ilaria Ardoino, Domenico Prisco, Elena Silvestri, Giacomo Emmi, Alessandra Bettiol, Irene Mattioli, Gianni Biolo, Michela Zanetti, Giacomo Bartelloni, Michele Zaccari, Massimiliano Chiuch, M. Vanoli, Giulia Grignani, E.A. Pulixi, Matteo Pirro, Graziana Lupattelli, Vanessa Bianconi, Riccardo Alcidi, Alessia Giotta, Massimo R. Mannarino, Giacomo Marchi, Mario Barbagallo, Ligia J. Domínguez, Vincenza Beneduce, Federica Cacioppo, Giuseppe Natoli, Salvatore Mularo, Massimo Raspanti, Christiano Argano, Federica Cavallaro, Marco Zoli, Maria Laura Matacena, Giuseppe Orio, Eleonora Magnolfi, Giovanni Serafini, Angelo Simili, Mattia Brunori, Ilaria Lazzari, Maria Domenica Cappellini, Giovanna Fabio, Margherita Migone De Amicis, Giacomo De Luca, Natalia Scaramellini, Valeria Di Stefano, Simona Leoni, Sonia Seghezzi, Alessandra Danuta Di Mauro, Diletta Maira, Marta Mancarella, Tiziano Lucchi, Paolo Rossi, Marta Clerici, Giulia Bonini, Federica Conti, Silvia Prolo, Maddalena Fabrizi, Miriana Martelengo, Giulia Vigani, Paola Nicolini, Antonio Di Sabatino, Emanuela Miceli, Marco VincenzoLenti, Martina Pisati, Lavinia Pitotti, Donatella Padula, Valentina Antoci, Ginevra Cambiè, Roberto Pontremoli, Valentina Beccati, Giovanna Leoncini, Jacopo Alberto, Federico Cattaneo, Luigi Anastasio, Lucia Sofia, Maria Carbone, Francesco Cipollone, Maria Teresa Guagnano, Ilaria Rossi, Emanuele Valeriani, Damiani D’Ardes, Lucia Esposito, Simona Sestili, E Angelucci, Gerardo Mancuso, Daniela Calipari, Mosè Bartone, Giuseppe Delitala, Maria Berria, Alessandro Delitala, Maurizio Muscaritoli, Alessio Molfino, Enrico Petrillo, Antonella Giorgi, Christian Gracin, Giovanni Imbimbo, Giuseppe Zuccalà, Gabriella D’Aurizio, Giuseppe Romanelli, Andrea Volpini, Daniela Lucente, Francesca Manzoni, Annalisa Pirozzi, Alberto Zucchelli, Antonio Picardi, Umberto Vespasiani‐Gentilucci, Paolo Gallo, Chiara Dell’Unto, Giuseppe Bellelli, Maurizio Corsi, Cesare Antonucci, Chiara Sidoli, Giulia Principato, Alessandra Bonfanti, Hajnalka Szabó, Paolo Mazzola, Andrea Piazzoli, Franco Arturi, Elena Succurro, Bruno Tassone, Federica Giofrè, Maria Antonietta Bleve, Antonio Brucato, Teresa Falco, Enrica Negro, Martino Brenna, Lucia Trotta, Giovanni Lorenzo Squintani, Maria Luisa Randi, Fabrizio Fabris, Irene Bertozzi, Giulia Bogoni, Maria Victoria Rabuini, Tancredi Prandini, F. Ratti, Chiara Zurlo, Lorenzo Cerruti, Elisabetta Cosi, Roberto Manfredini, Benedetta Boari, Alfredo De Giorgi, Ruana Tiseo, Giulia Marta Viglione, Caterina Savriè, Giuseppe Paolisso, Maria Rosaria Rizzo, Claudia Catalano, Irene Di Meo, Claudio Borghi, Enrico Strocchi, Eugenia Ianniello, Mario Soldati, Silvia Schiavone, Alessio Bragagni, F. Leoni, Valeria De Sando, Sara Scarduelli, Michela Cammarosano, Ilenia Pareo, Carlo Sabbà, Patrizia Suppressa, Giovanni Michele De Vincenzo, Alessio Comitangelo, Emanuele Amoruso, Carlo Custodero, Giuseppe Lo Re, Andrea Schilardi, Francesca Loparco, Luigi Fenoglio, Andrea Falcetta, Alessia Valentina Giraudo, Salvatore D’Aniano, Anna Ludovica Fracanzani, Silvia Tiraboschi, Annalisa Cespiati, Giovanna Oberti, Giordano Sigon, Felice Cinque, Flora Peyvandi, Giulia Colombo, Pasquale Agosti, Erica Pagliaro, Eleonora Semproni, Canetta Ciro, Valter Monzani, Valeria Savojardo, Giuliana Ceriani, Christian Folli, Francesco Salerno, Giada Pallini, Fabrizio Montecucco, Luciano Ottonello, Lara Caserza, Giulia Vischi, Salam Kassem, Luca Liberale, Nicola Lucio Liberato, Tiziana Tognin, Francesco Purrello, Antonino Di Pino, Salvatore Piro, Renzo Rozzini, Lina Falanga, Maria Pisciotta, Francesco Bellucci, Stefano Buffelli, Camillo Ferrandina, Francesca Mazzeo, Elena Spazzini, Giulia Cono, Giulia Cesaroni, Giuseppe Montrucchio, Paolo Peasso, Edoardo Favale, Cesare Poletto, Carl Margaria, Maura Sanino, Ludovica Perri, Luigina Guasti, Francesca Rotunno, Luana Castiglioni, Andrea Maria Maresca, Alessandro Squizzato, Leonardo Campiotti, Alessandra Agnese Grossi, Roberto Davide Diprizio, Francesco Dentali, Marco Bertolotti, Chiara Mussi, Giulia Lancellotti, Maria Vittoria Libbra, Matteo Galassi, Yasmine Grassi, Alessio Greco, Elena Bigi, Elisa Pellegrini, Laura Orlandi, Giulia Dondi, Lucia Carulli, Angela Sciacqua, Maria Perticone, Rosa Battaglia, Raffaele Maio, Aleandra Scozzafava, Valentino Condoleo, Tania Falbo, Lidia Colangelo, Marco Filice, Elvira Clausi, Vincenzo Stanghellini, Eugenio Ruggeri, Sara Del Vecchio, Ilaria Benzoni, Andrea Salvi, Roberto Leonardi, Giampaolo Damiani, Gianluca Moroncini, William Capeci, Massimo Mattioli, Giuseppe Pio Martino, Lorenzo Biondi, Pietro Pettinari, Monica Ormas, Emanuele Filippini, Devis Benfaremo, Roberto Romiti, Riccardo Ghio, Anna Dal Col, Salvatore Minisola, Luciano Colangelo, Mirella Cilli, Giancarlo Labbadia, Antonella Afeltra, Benedetta Marigliano, Maria Elena Pipita, Pietro Castellino, Luca Zanoli, Alfio Gennaro, Agostino Gaudio, Samuele Pignataro, Francesca Mete, Miriam Gino, Guido Moreo, Gloria Pina, Alberto Ballestrero, Fabio Ferrando, Roberta Gonella, Domenico Cerminara, Paolo Emanuele Levi-Setti, Chiara Traversa, Camilla Scarsi, Bruno Graziella, Stefano Baldassarre, Salvatore Fragapani, Gabriella Gruden, Franco Berti, Giuseppe Famularo, Patrizia Tarsitani, Roberto Castello, Michela Pasino, Marcello Maggio, Gian PaoloCeda, Simonetta Morganti, Andrea Artoni, Margherita Grossi, Stefano Del Giacco, Davide Firinu, Giulia Costanzo, Giacomo Argiolas, Giovanni Paoletti, Francesca Losa, Giuseppe Montalto, Anna Licata, Filippo Alessandro Montalto, Angelo Cascio Rizzo, Francesco Corica, Giorgio Basile, Antonino Catalano, Federica Bellone, Concetto Principato, Lorenzo Malatino, Benedetta Stancanelli, Valentina Terranova, Salvatore Di Marca, Rosario Di Quattro, Lara La Malfa, R. Caruso, Patrizia Mecocci, Carmelinda Ruggiero, Virginia Boccardi, Tiziana Meschi, Andrea Ticinesi, Antonio Nouvenne, Pietro Minuz, Luigi Fondrieschi, Giandomenico NigroImperiale, Sarah Morellini, Mario Pirisi, Gian Paolo Fra, Daniele Sola, Mattia Bellan, Roberto Quadri, Erica Larovere, Marco Novelli, Emilio Simeone, Rosa Scurti, Fabio Tolloso, Roberto Tarquini, Alice Valoriani, Silvia Dolenti, Giulia Vannini, Riccardo Volpi, Pietro Bocchi, Alessandro Vignali, Sergio Harari, Chiara Lonati, Federico Napoli, Italia Aiello, Teresa Salvatore, Lucio Monaco, Carmen Ricozzi, Alberto Pilotto, Ilaria Indiano, Federica Gandolfo, Franco Laghi‐Pasini, Pier LeopoldoCapecchi, Ranuccio Nuti, Roberto Valenti, Martina Ruvio, Silvia Cappelli, Alberto Palazzuoli, Mauro Bernardi, Silvia Li Bassi, Luca Santi, Giacomo Zaccherini, Vittorio Durante, Daniela Tirotta, Giovanna Eusebi, Marco Cattaneo, Maria Valentina Amoruso, Paola Fracasso, Cristina Fasolino, Moreno Tresoldi, Enrica Bozzolo, Sarah Damanti, Massimo Porta
17Citations signalées — pas une note de qualité
14Institutions déclarées
4Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND AND OBJECTIVE: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. METHODS: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. RESULTS: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). CONCLUSION: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both
- Date Crossref
- 11/02/2023
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Chronic Obstructive Pulmonary Disease (COPD) ResearchChronic Disease Management StrategiesHeart Failure Treatment and Management