Research Article

Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit

Table 1

Baseline characteristics of the study population.

ParametersTreatment failure group (n = 82)Treatment success group (n = 138) value

Age, years, median (IQR)78.5 (70, 83)76 (69, 82)0.227
Male74 (90.2)124 (89.9)1.000
Smoking status0.631
 Active smoker8 (9.8)20 (14.5)
 Ex-smoker65 (79.3)102 (73.9)
 Nonsmoker7 (8.5)10 (7.2)
GOLD classification0.506
 Stage I13 (15.9)30 (21.7)
 Stage II46 (56.1)76 (55.1)
 Stage III22 (26.8)28 (20.3)
 Stage IV1 (1.2)4 (2.9)
AECOPD in the previous year71 (86.6)108 (78.3)0.176
Admission for AECOPD in the previous year36 (43.9)39 (28.3)0.026
Intubation for AECOPD in the last 5 years26 (31.7)28 (20.3)0.082
Baseline treatment
 Long-term oxygen therapy13 (15.9)10 (7.2)0.074
 Inhaled anticholinergic74 (90.2)126 (90.9)0.982
 Short-acting beta-agonist78 (95.1)107 (77.5)0.001
 Long-acting beta-agonist76 (92.7)121 (87.7)0.345
 Inhaled corticosteroids76 (92.7)118 (85.5)0.168
 Theophylline52 (63.4)80 (58)0.513
 Continuous oral antibiotics8 (9.8)5 (3.6)0.078
Most frequent comorbidities
 Hypertension46 (56.1)62 (44.9)0.143
 Diabetic mellitus22 (26.8)17 (12.3)0.011
 Ischemic heart disease8 (9.8)12 (8.7)0.982
 Arrhythmias8 (9.8)5 (3.6)0.078

Notes. Data are presented as n (%) unless indicated otherwise. Values <0.05 are statistically significant. Abbreviations: IQR, interquartile range; AECOPD, acute exacerbation of chronic obstructive pulmonary disease.