Summary

Clinical characteristics and course in emergency department patients with chronic obstructive pulmonary disease and symptomatic acute venous thromboembolic disease: secondary analysis of the ESPHERIA registry

Carriel Mancilla J, Jiménez Hernández S, Martín-Sánchez FJ, Jiménez D, Fuentes Ferrer M, Ruiz-Artacho P

Affiliation of the authors

Servicio de Urgencias, Hospital General de Villalba, Madrid, Spain. Área de Urgencias, Hospital Clínic de Barcelona, Barcelona, Spain. Servicio de Urgencias, IdISSC, Hospital Clínico San Carlos, Madrid, Spain. Servicio de Neumología, Hospital Ramón y Cajal, Madrid, Spain. Departamento de Medicina, Universidad de Alcalá (IRYCIS), Alcalá de Henares, Madrid, Spain. Servicio de Medicina Preventiva, IdISSC, Hospital Clínico San Carlos, Madrid, Spain. Departamento de Medicina Interna, Clínica Universidad de Navarra, Madrid, Spain. Interdisciplinar Teragnosis and Radiosomics (INTRA) Research Group, Universidad de Navarra, Spain.

DOI

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Quote

Carriel Mancilla J, Jiménez Hernández S, Martín-Sánchez FJ, Jiménez D, Fuentes Ferrer M, Ruiz-Artacho P. Clinical characteristics and course in emergency department patients with chronic obstructive pulmonary disease and symptomatic acute venous thromboembolic disease: secondary analysis of the ESPHERIA registry. Emergencias. 2020;32:40-4

Summary

Objective.

To determine the impact of chronic obstructive pulmonary disease (COPD) on prognosis in patients diagnosed with venous thromboembolic disease (VTED) in Spanish emergency departments.

Methods.

Secondary analysis of data from the ESPHERIA (Spanish acronym for Risk Profile of Patients VTED Attended in Spanish Emergency Departments) registry.

Results.

A total of 801 patients, 71 (9%) with COPD, were included. Pulmonary thromboembolism was recorded in 77% of the patients with COPD (vs in 47.1% of patients without COPD; P<.001). Patients with COPD had evidence of right ventricular dysfunction on computed tomography angiography more often than other VTED patients (18.2% vs 13.1%; P<.001) and more often required ventilatory support (7% vs 0.5%; P<.001). VTED patients with COPD also had a higher rate of readmission or mortality at 180 days (hazard ratio, 1.52; 95% CI, 1.00–2.29; P = .048)] than patients without COPD.

Conclusions.

COPD affects the prognosis of patients diagnosed with VTED in Spanish emergency departments as evidenced by hospital readmission and mortality.

 

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Carriel Mancilla J, Fuentes Ferrer M, Jiménez D, Jiménez Hernández S, Martín-Sánchez FJ, Ruiz Artacho P

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