Nutritional status and long-term mortality in hospitalised patients with chronic obstructive pulmonary disease (COPD).

作者: Runa Hallin , Gunnar Gudmundsson , Charlotte Suppli Ulrik , Markku M. Nieminen , Thorarinn Gislason

DOI: 10.1016/J.RMED.2007.04.009

关键词: Cause of deathMedicineDiabetes mellitusPhysical therapyWeight lossBody mass indexOverweightCOPDEpidemiologyInternal medicineUnderweight

摘要: Patients with chronic obstructive pulmonary disease (COPD) often have difficulties keeping their weight. The aim of this investigation was to study nutritional status in hospitalised Nordic COPD patients and investigate the association between long-term mortality patient group. In a multicentre conducted at four university hospitals (Reykjavik, Uppsala, Tampere Copenhagen) were investigated. Patient height, weight lung function recorded. Health assessed St. George's Hospital Respiratory Questionnaire. After 2 years, data obtained from national registers each country. Of 261 19% where underweight (BMI <20), 41% normal 20-25), 26% overweight 25-30) 14% obese. FEV(1) lowest highest group (p=0.001) whereas prevalence diabetes cardio-vascular co-morbidity went opposite direction. 49 (19%) had died within years. found among patients, related increased overall mortality. COPD-patients, remained significant after adjusting for possible confounders such as (hazard risk ratio (95% CI) 2.6 (1.3-5.2)). We conclude that are admission hospital higher dying next Further studies needed order show whether identifying treating loss depletion fat-free mass (FFM) is way forward improving prognosis patients.

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