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10.2147/COPD.S312493

http://scihub22266oqcxt.onion/10.2147/COPD.S312493
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34113088!8184145!34113088
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suck abstract from ncbi


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pmid34113088      Int+J+Chron+Obstruct+Pulmon+Dis 2021 ; 16 (ä): 1549-1554
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  • Characterization of COPD Admissions During the First COVID-19 Outbreak #MMPMID34113088
  • Cosio BG; Shafiek H; Toledo-Pons N; Iglesias A; Barcelo M; Represas-Represas C; Comeche L; Catalan P; Fernandez-Villar A; Lopez-Campos JL; Echave-Sustaeta J; Soler-Cataluna JJ
  • Int J Chron Obstruct Pulmon Dis 2021[]; 16 (ä): 1549-1554 PMID34113088show ga
  • PURPOSE: Exacerbations of COPD (ECOPD) are a frequent cause of hospitalization that seemed to ameliorate during the COVID outbreak. We aimed to evaluate the clinical characteristics of COPD-related hospital admissions and mortality in relation to the presence of COVID-19. PATIENTS AND METHODS: We conducted a case-control study of patients admitted in four teaching hospitals throughout Spain between March 15 and April 30, 2020. Hospital admissions of respiratory cause with and without PCR-proven SARS-CoV-2 infection in patients with COPD were evaluated. Baseline and episode-related clinical characteristics were analyzed. Logistic regression analysis was performed to evaluate the risk for mortality. RESULTS: During the study period, 2101 patients were admitted for respiratory worsening, 1200 (57.1%) with COVID-19. A total of 228 (10.8%) were admitted due to COPD worsening, of whom 52 (22.8%) tested positive for COVID-19. COPD patients with COVID-19, when compared to those without COVID-19, were more frequently males with better lung function (FEV(1) postbronchodilator 71% vs 46% respectively, p<0.001) and had higher mortality (44.9% vs 13.6% respectively, p<0.001) despite similar age, comorbidities, total days of hospitalization and admission to intensive care unit. COVID-19 and eosinopenia were the strongest risk factors for mortality in the multivariate analysis in the overall COPD population. Inhaled corticosteroid use was not associated to mortality. CONCLUSION: Hospitalizations for ECOPD without COVID-19 were more frequent than COPD with COVID-19 during the first outbreak, but the latter were associated with higher mortality and low eosinophil counts that warrant further analysis.
  • |*COVID-19[MESH]
  • |*Pulmonary Disease, Chronic Obstructive/diagnosis/epidemiology/therapy[MESH]
  • |Case-Control Studies[MESH]
  • |Disease Outbreaks[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |SARS-CoV-2[MESH]


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