Polycythemia Is a Risk Factor for Mortality in COPD Patients With Pulmonary Embolism

CHEST Journal ◽  
2016 ◽  
Vol 149 (4) ◽  
pp. A530
Author(s):  
Lu Guo ◽  
Li Jiang ◽  
Yun Gao ◽  
Rong Ju ◽  
Jeffrey Curtis ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Risk Factor ◽  
Copd Patients

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

2021 ◽  
Vol 6 (1) ◽  
pp. 1285-1290
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha
Keyword(s):  
Risk Factor ◽  
Teaching Hospital ◽  
College Teaching ◽  
Pulmonary Diseases ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Early Assessment ◽  
Medical College ◽  
Copd Patients ◽  
Chronic Obstructive Pulmonary Diseases

Introduction: Anxiety and Depression is a common comorbidity in chronic obstructive pulmonary disease patients. Impaired lung function is a risk factor for depression In COPD patients, reduced recreational activities and social Isolation is a major risk factor resulting in anxiety and depression.  Objective: The objective of this study is to evaluate the prevalence of Anxiety and Depression among the COPD patients at Pulmonology unit of Nobel Medical College Teaching Hospital.  Methodology: A hospital based cross- sectional research design was used for the study. A total of 185 patients with previously diagnosed COPD. Data were collected by using a face to face interview technique in patients to evaluate anxiety and depression using Nepali version of Hospital Anxiety and Depression Scale questionnaire at Nobel Medical College Teaching Hospital, Biratnagar, Nepal from May to August 2020. Data analysis were done by descriptive and inferential statistics.  Results: A total of 185 patients participated in the study, 157 patients (84.9%) had anxiety, 107 patients (57.8%) had depression and 102 patients (55.1%) had both anxiety and depression. There was statistically significant association of anxiety and depression in COPD patients with age, religion, occupation, smoking status, duration of illness, history of previous hospitalization, number of hospitalization in previous year, type of family, domiciliary oxygen therapy.  Conclusion: The study concluded that anxiety and depression had been most prevalent in COPD patients. Therefore health personnel working in the Pulmonology unit should be aware the early assessment and treatment of anxiety and depression of chronic obstructive pulmonary diseases patients. 

Prevalence Of Pulmonary Embolism In COPD Patients Hospitalized For An Unexplained Wheezing COPD Exacerbation

2012 ◽  
Author(s):  
Claire Andrejak ◽  
Claire Poulet ◽  
Estelle Hoguet ◽  
Eline Magois ◽  
Marine Gosset ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Copd Exacerbation ◽  
Copd Patients

Abstract P673: The Obesity Paradox in Patients Hospitalized for Ischemic Stroke

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Genaro Velazquez ◽  
Hafeez Shaka ◽  
Hernan G. Marcos-Abdala ◽  
Emmanuel Akuna
Keyword(s):  
Pulmonary Embolism ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Respiratory Failure ◽  
Hospital Mortality ◽  
Odds Ratio ◽  
Mechanical Thrombectomy ◽  
Length Of Hospital Stay ◽  
Obesity Paradox ◽  
Secondary Outcomes

Introduction: Even though Obesity, as measured by BMI > 30.00 kg/m 2 , is a established risk factor for ASCVD, it hasn’t been proven as a risk factor for adverse outcomes in patients with diagnosis of ischemic stroke. Our study sought to compare outcomes for ischemic stroke hospitalizations in patients with and without Obesity. Methods: A retrospective cohort study was conducted using the Nationwide Inpatient Sample from 2016 and 2017. About 71,473,874who had ischemic stroke as primary diagnosis were enrolled and further stratified based on the presence or absence of Obesity as secondary diagnosis using ICD-10 codes. The primary outcome was inpatient mortality and secondary outcomes included length of hospital stay, treatment with mechanical thrombectomy, treatment with tPA, and complications like respiratory failure requiring intubation, pulmonary embolism (PE), DVT, NSTEMI and sepsis. Multivariate regression analysis was done to adjust for confounders. Results: The in-hospital mortality for patients with ischemic stroke was 42 145 overall. Compared with patients without obesity, patients with Obesity had a lower odds of in- hospital mortality (aOR 0.85, 95% CI 0.79-0.93, p<0.001) when adjusted for patient and hospital characteristics. We found that patients with ischemic stroke and obesity had decreased length of hospital stay and higher odds ratio of treatment with mechanical thrombectomy, treatment with tPA, and higher odds ratio of complications like respiratory failure requiring intubation and pulmonary embolism (PE). No significant difference in other secondary outcomes (DVT, NSTEMI and sepsis). Conclusion: There is convincing evidence supporting the existence of the “obesity paradox” in patients with ischemic stroke. Several stroke-associated mechanisms, like autonomous nervous activation and pro-inflammatory cytokine release in addition to other factors like impaired feeding and inactivity cause accelerated tissue degradation and overall weight loss. It is thought that obese patients with better metabolic reserve may be less affected from this unfavorable metabolic dysregulation as compared to underweight patients. Nevertheless, further studies are needed in order to identify factors responsible for this paradox.

Cigarette smoke alters the EZH2/DAB2IP expression in bronchial epithelial cells. A risk factor for lung cancer in COPD patients

2016 ◽  
Author(s):  
Giulia Anzalone ◽  
Giuseppe Arcoleo ◽  
Angela Marina Montalbano ◽  
Rosalia Gagliardo ◽  
Fabio Bucchieri ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Risk Factor ◽  
Epithelial Cells ◽  
Cigarette Smoke ◽  
Bronchial Epithelial Cells ◽  
Bronchial Epithelial ◽  
Copd Patients

Is OSA an important risk factor for metabolic dysregulation in obese COPD patients

2018 ◽  
Author(s):  
Silke Weber ◽  
Flavio Danilo Pissulin ◽  
Ricardo Beneti ◽  
Francis Lopes Pacagnelli
Keyword(s):  
Risk Factor ◽  
Important Risk Factor ◽  
Metabolic Dysregulation ◽  
Copd Patients

W365 PREECLAMPSIA AS A RISK FACTOR FOR POSTNATAL PULMONARY EMBOLISM

2012 ◽  
Vol 119 ◽  
pp. S823-S823
Author(s):  
A.-S. Ducloy-Bouthors ◽  
B. Wibaut ◽  
N. Trillot ◽  
V. Houfflin-Debarge ◽  
P. Deruelle ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Risk Factor

High Preoperative Glucose and Not Just Diabetes is an Independent Risk Factor For Pulmonary Embolism

2008 ◽  
Vol 23 (2) ◽  
pp. 323-324
Author(s):  
Luis Pulido ◽  
Javad Parvizi ◽  
Boris Mraovic ◽  
Jeffrey I. Joseph ◽  
Zvi Grunwald ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Risk Factor ◽  
Independent Risk Factor
Sign in / Sign up

Export Citation Format

Share Document