Outcomes following acute exacerbation of severe chronic obstructive lung disease. The SUPPORT investigators (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments)

摘要: In order to describe the outcomes of patients hospitalized with an acute exacerbation severe chronic obstructive pulmonary disease (COPD) and determine relationship between patient characteristics length survival, we studied a prospective cohort 1,016 adult from five hospitals who were admitted COPD PaCO2 50 mm Hg or more. Patient physiology determined. Outcomes evaluated over 6 mo period. Although only 11% died during index hospital stay, 60-d, 180-d, 1-yr, 2-yr mortality was high (20%, 33%, 43%, 49%, respectively). The median cost stay $7,100 ($4,100 $16,000; interquartile range). 9 d (5 15 d). After discharge, 446 readmitted 754 times in next mo. At mo, 26% both alive able report good, very excellent quality life. Survival time wa...