Role of Scoring Systems as A Prognostic Factor in Patients Admitted in ICU with COPD and Respiratory Failure
Yousry El Saied Rizk, Tarek Samy Essawy, Basem Mofreh Aglan, Usama Abdelhay Afifi
Background and objectives:-. Chronic Obstructive Pulmonary Disease (COPD) represents an important public health challenge and is a major cause of chronic morbidity and mortality throughout the world .COPD is currently the fourth leading cause of death in the world but is projected to be the 3rd leading cause of death by 2022 More than 3 million people died of COPD in 2012 , the COPD burden is projected to increase in coming decades because of continued exposure to COPD risk factors and aging of the population.. This study aimed to use Scoring Systems (APATHE IV ,SAPS III ) to evaluation of cases of COPD and Respiratory failure admitted into intensive care unit (ICU), in Benha University Hospital and Benha Teaching Hospital, for management to prevent further complication and the outcome.Methods:This was Prospective , Randomised , Analytic Study was conducted over aperiod from January 2017 to December 2017 including Patients suffering from COPD exacerbation admitted to the ICU of Benha University Hospital and Benha Teaching HospitalResults: A total number of 100 patients suffering from COPD exacerbation and Respiratory Failure were admitted to the ICU. 70patients were cured showing 70% of the study while 30 patients died showing 30% of the study Conclusion: the present study proved that COPD exacerbation and Respiratory Failure is an existing problem in our ICUs related to many etiological and risk factors. It showed Using SAPSIII score more acurate than APATCHE IV score when applay on COPD patients admitted in ICU. But using tow scores most acurate.
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