Artigo

Patients admitted to the ICU for acute exacerbation of copd: two-year mortality and functional status

CLÁUDIA DA ROCHA CABRAL, JAQUELINE SANGIOGO HASS, MARA AMBROSINA DE OLIVEIRA VARGAS, ANA PAULA DA ROCHA FREITAS, ALESSANDRA HOFSTADLER DEIQUES FLEIG, ERIKA CRISTINE TREPTOW, MÁRCIA INÊS BOFF RIZZOTTO, CASSIANO TEIXEIRA, ROSELAINE PINHEIRO DE OLIVEIRA

Jornal Brasileiro de Pneumologia, v. 37, n. 3, p. 334-340, 2011.

Motivo: Produção Colaborador HMV

Área da saúde: Medicina Intensiva

Resumo: Objective: To assess ICU patients with COPD, in terms of in-hospital characteristics, two-year mortality and two-year functional status of survivors. Methods: A prospective cohort study involving patients with acute exacerbation of COPD admitted to the ICUs of two hospitals in the city of Porto Alegre, Brazil, between July of 2005 and July of 2006. At two years after discharge, survivors were interviewed by telephone in order to determine Karnofsky scores and scores on a scale regarding activities of daily living (ADL). Results: The sample comprised 231 patients. In-hospital mortality was 37.7%, and two-year post-discharge mortality was 30.3%. Of the 74 survivors, 66 were interviewed (89%). The mean age at ICU admission was 74 ? 10 years, and the mean Acute Physiology and Chronic Health Evaluation II score was 18 ? 7. Two or more comorbidities were present in 87.8% of the patients. Of the 66 interviewees, 57 (86.3%) lived at home, 58 (87.8%) were self-sufficient, 12 (18.1%) required oxygen therapy, and 4 (6.1%) still required ventilatory support. There was a significant reduction in the quality of life and autonomy of the survivors, as evidenced by the Karnofsky scores (85 ? 9 vs. 79 ? 11, p = 0.03) and ADL scale scores (29 ? 5 vs. 25 ? 7; p = 0.01), respectively. Conclusions: In this patient sample, two-year mortality was quite high. Although there was a noticeable reduction in the functional status of the survivors, they remained self-sufficient.

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