P117 Comparison of indices of nutritional status in prediction of in-hospital mortality and early readmission of patients with acute exacerbations of COPD

摘要: Introduction and objectives In patients hospitalised with an acute exacerbation of COPD (AECOPD), low body mass index (BMI) predicts in-hospital death. The Malnutrition Universal Screening Tool (MUST) incorporates BMI patient-reported weight loss over the previous 6 months to provide overall assessment malnutrition risk. It mortality in elderly patients[1][1] but, our knowledge, prognostic value this tool AECOPD has not been previously reported. Methods We prospectively identified AECOPD. investigated ability BMI, self-reported MUST score predict 28-day readmission. <18.5 kgm−2 was considered underweight (World Health Organisation, 2004). Odds Ratios (OR) were calculated using normal <5%, 0 as reference values. Results 608 included; mean (SD) age 72.8 (10.2) years, 55.8% female, FEV1 (if performed within 2 years admission, n=398) 43.5 (18) % predicted. 61 (10%) died (6.9% those simple exacerbations, 16.5% exacerbations associated pneumonia). Of surviving discharge, 95 (17.4%) readmitted 28 days ([Abstract P117 Table 1][2]). In-hospital predicted by 10% early readmission (OR 3.90, 95% CI 2.09 7.28, p<0.001). A high risk (MUST ≥2) only measurement that significantly both 2.10, 1.18 3.74, p=0.011) hospital 1.71, 1.04 2.83, p=0.034). overweight range appeared be protective against 0.54, 0.29 0.99, p=0.046). Conclusion AECOPD, indices nutritional status are important predictors outcome. interest, different outcome measures (in-hospital death respectively). is potentially a useful predictor we suggest it should assessed routinely. View table: Abstract 1 Nutritional measurements their relationship outcome [1]: #ref-1 [2]: #T1