Impact of COPD on management and outcome of patients admitted to the Coronary Care Unit

Abstract

The study was conducted on 100 consecutive patients admitted for more than 24 hours to the Coronary Care Unit in Rail Way Hospital in Cairo. The aim of this prospective study was to assess impact of COPD on the management and outcome of patients admitted to CCU. Diagnosis of COPD was based on clinical, and radiological assessment according to GOLD, 2014. The spirometric criteria and ABGs findings were included when available. The following results were obtained: 1. There was no statistically significant difference between COPD group and non-COPD group as regard to the comorbidities. 2. There was no statistically significant difference between COPD group and non-COPD group as regard to the cause of admission to CCU. 3. In the current study, 60% of COPD patients underwent PCI compared to 24% of non- COPD patients as them underwent PCI without stent and 36% underwent PCI with stent. Seven cases in the COPD group (28%) has changed the management plan due to the COPD condition, the change was delayed intervention. 4. There was statistically significant difference between COPD group and non-COPD group as regard to medication prescribed :  inhaledB2 agonist was prescribed in 1. 3 % of non COPD patients with their physician without significant indication and in 92. 2 % of COPD patients