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Canadian Respiratory Journal
Volume 2017, Article ID 3063510, 8 pages
Research Article

Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care

1Department of Respiratory Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
2Department of Emergency Medicine, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China
3Department of Physiology and Pathophysiology, Capital Medical University, Beijing, China
4Department of Public Health, Capital Medical University, Beijing, China

Correspondence should be addressed to Xiuhong Nie; moc.liamtoh@wxeingnohuix

Received 29 November 2016; Revised 20 February 2017; Accepted 27 April 2017; Published 25 May 2017

Academic Editor: Alice M. Turner

Copyright © 2017 Zhihong Feng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We aimed to investigate the efficacy of four severity-of-disease scoring systems in predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) requiring emergency care. Clinical data of patients with AECOPD who required emergency care were recorded over 2 years. APACHE II, SAPS II, SOFA, and MEDS scores were calculated from severity-of-disease indicators recorded at admission and compared between patients who died within 28 days of admission (death group; 46 patients) and those who did not (survival group; 336 patients). Compared to the survival group, the death group had a significantly higher GCS score, frequency of comorbidities including hypertension and heart failure, and age ( for all). With all four systems, scores of age, gender, renal inadequacy, hypertension, coronary heart disease, heart failure, arrhythmia, anemia, fracture leading to bedridden status, tumor, and the GCS were significantly higher in the death group than the survival group. The prediction efficacy of the APACHE II and SAPS II scores was 88.4%. The survival rates did not differ significantly between APACHE II and SAPS II (). Our results may guide triage for early identification of critically ill patients with AECOPD in the emergency department.