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PLoS One. 2015 Jul 27;10(7):e0134004. doi: 10.1371/journal.pone.0134004. eCollection 2015.

The Effect of Incidental Consolidation on Management and Outcomes in COPD Exacerbations: Data from the European COPD Audit.

Collaborators (896)

Roberts CM, Hartl S, Lopez-Campos JL, Pozo-Rodríguez F, López-Campos JL, Castro-Acosta A, Abraira-Santos V, López-Quilez A, Dorado J, Burghuber O, Kohansal R, Janssens W, Heinen V, Miculinic N, Puretic H, Tzanakis N, Kosmas EN, Jones CF, Chorostowska-Wynimko J, Sowula G, McCormack S, McDonell T, Mihaltan F, Bogdan MA, Munteanu I, Solovic I, Tkacova R, Pozo-Rodríguez F, Ancochea J, Stolz D, Polatli M, Şen E, Bucknall C, Welham S, Routh C, Haan M, Zarelli M, Lechat E, Buckingham RJ, Joos G, Roberts C, Hartl S, Lopez-Campos JL, Pozo-Rodríguez F, López-Campos JL, Castro-Acosta A, Abraira-Santos V, López-Quilez A, Dorado J, Burghuber O, Kohansal R, Janssens W, Heinen V, Miculinic N, Puretic H, Tzanakis N, Kosmas EN, McCormack S, McDonell T, Farrugia-Jones C, Chorostowska-Wynimko J, Mihaltan F, Bogdan MA, Munteanu I, Solovic I, Tkacova R, Pozo-Rodríguez F, Ancochea J, Stolz D, Polatli M, Şen E, Bucknall C, Welham S, Routh C, Haan M, Zarelli M, Lechat E, Buckingham RJ, Joos G, Nassri S, Mitrovits N, Schindler O, Stöckl C, Auer W, Bilek J, Koch L, Jaritz T, Kössler M, Kaufmann E, Riedler M, Brehm E, Zillinger S, Wimberger F, Krejci D, Schmid J, Weiß G, Schirnhofer L, Lamprecht B, Schuller G, Stetina-Zauner H, Großruck C, Heindl B, Dörfler D, Werner I, Kropfmüller A, Fichtenberg A, Vesely E, Feist A, Lindemeier A, Firlinger I, Ay L, Stockenhuber F, Heinrich WH, Luschnig P, Hoffmann H, Mähring M, Schneider G, Thausing W, Schaflinger E, Stadler H, Walch H, Kuschnig M, Bruckmann G, Spernol R, Lingg A, Haller R, Drexel H, Buchberger W, Lechleitner P, Bazzanella J, Sandbichler P, Gattringer K, Aufmesser W, Schwamberger K, Ladurner G, Lenzhofer R, Betzler W, Krauter A, Thalhammer F, Schöppl J, Ecker J, Marberger F, Macher J, Oberhammer E, Berger M, Bartl G, Thoma J, Klaushofer K, Erich F, Bonelli J, Böhmer F, Bratusch-Marrain P, Hintringer W, Eichberger G, Schneider A, Weissinger M, Strasser R, Lunglmayr G, Pidlich J, Janssens W, Heinen V, Fremault A, Colinet B, Derom E, Daenen M, Tits G, Van Damme V, Ninane V, Liistro G, Butenda D, Duchatelet P, Kleis S, Ramaut M, Fievet F, Lamont J, Demedts I, Carron K, Bertrand P, De Saedeleer B, Quaden C, Laurent K, Schildermans R, Rogiers P, Peché R, Lauwers D, Dufresne V, Brancaleone P, Vander Stappen M, Marchand E, Janssens B, Bogaerts P, Tokić T, Zadro-Bahnik M, Jalušić-Glunčić T, Glad L, Miše K, Svalina-Grmuša J, Stjepanović G, Trkeš V, Sinovčić-Kolanović S, Čulina Ž, Petrović G, Škrinjarić-Cincar S, Hajduk M, Radmilović L, Bulat-Kardum L, Barković I, Horvat M, Škvorc I, Miculinić N, Puretić H, Tzanakis N, Giannarakis G, Papadogiannis G, Siafakas NM, Robina N, Bakakos P, Gennimata S, Palamidas T, Emmanouil F, Kaltsakas G, Alchanatis M, Papageorgiou V, Poulakis N, Lamprakis H, Vlastos F, Andritsou M, Dumitrou S, Kosmas N, Bastas A, Tsoukalas G, Hillas G, Sagris K, Veldekis D, Toumbis M, Zervas E, Gaga M, Kouranos V, Anagnostopoulou N, Perlikos F, Vasilopoulos N, Tsikrika M, Diamantea F, Polychronopoulos V, Vartzioti O, Michailidis S, Srekensleger I, Loukidis S, Papiris S, Kolokytha S, Vasilakopoulos T, Papadopoulos A, Bartziokas K, Haniotou K, Karetsi E, Gourgoulianis K, Froudarakis M, Tzouvelekis A, Zaragoulidis P, Bouros D, Crisofakis G, Kallergis K, Mpousmpoukilia V, Pataka A, Argyropouloy-Paraka P, Spyratos D, Zarogoulidis K, Konoglou M, Fouka E, Galanis N, Spyropoulos G, Tsara V, Karkoylis K, Spiropoulos K, Konstantinidis T, Konstantopoulos S, Gavriilidou A, Kakoura M, Hainis E, Hainis K, Amanetopoulou S, Mathioudakis G, Oikonomidis P, Papas K, Mpachlitzanakis N, Krietsepi V, Daoukakis M, Psathakis K, Tsintiris K, Argiana E, Lamprini T, Henry M, Bowen B, Mc Swiney E, Cormican L, Bolger K, Al Alawi M, Kerr S, Cuddihy M, Quinn P, Power J, Connell CO, Kamal I, Sheikh S, Moloney E, O'Connor T, O'Connor B, McDonnell T, Mitchell P, O'Driscoll MF, Ryan S, Keatings V, Murray S, Valizadeh N, Doherty L, Medina N, O'Donnell R, Nadarajan P, Korn B, Shelly S, Linnane S, Jones CF, Gerada E, Bigeni J, Kuca P, Targowska M, Czajkowska-Malinowska M, Dąbrowiecki P, Chciałowski A, Mokwa B, Kaczmarek M, Chamera-Janicka J, Kowalska E, Skucha W, Gacek M, Konior M, Sadzikowska A, Serafin-Bromblik J, Adamczyk-Bąk K, Kita K, Apiyo J, Jaszczołt L, Ziółkowska-Graca B, Kania A, Daniel D, Bunk R, Majewski S, Ciebiada M, Kostrzewska M, Torous M, Kamiński M, Bonikowska R, Neuman J, Chmielowicz B, Pawłowicz R, Kowal A, Kosacka M, Gostkowska-Malec A, Maksymiak M, Wyrwoł J, Małota R, Lutogniewska W, Sokołowski J, Helińska J, Wudarski P, Trawińska E, Zielonka T, Lesiński J, Konieczny Z, Piskorowska-Pliś A, Mihăescu T, Cristian C, Pop MC, Pop M, Jimborean G, Budin C, Tudorache V, Frăţila ZI, Nițu MF, Olteanu M, Arghir CO, Trenchea M, Frâncu O, Scridon EM, Nini G, Morariu IS, Alexandrescu SO, Alina M, Mihălțan F, Bogdan M, Croitoru A, Grigoriu L, Munteanu I, Solovic I, Tkacova R, Skyba I, Kocan I, Bonachera JC, Cortes MP, Navarrete BA, Sierra AF, de la Riva MA, Oliva RV, Utrera FH, Santervás JM, Cid FC, Campos JL, Navarro PP, Michavila IA, Hidalgo ZP, Romero F, Blanco I, Campos GS, Cuesta AG, Rueda C, Conde A, Galicia JC, Abenoza LA, Dronda SB, Barón AS, Borderias L, Muñoz HB, Martínez C, Clemente MG, Sandoval AP, González FJ, Martínez AQ, Navascues FÁ, Montes MV, Pascual TP, García AC, de Astorza Á, Pons S, Irigaray MR, Cons MJ, Piqueras BG, Díaz RC, Alonso M, Pitti R, González LE, Velázquez A, Balbín RA, Diago CA, Bolado BA, Murguiondo MZ, Pérez MG, Porcar NS, Valls S, Lázaro NR, Giral JG, Pedreny R, Pascual S, Olivé IG, Martínez C, Hervas R, González ER, Melechon ET, Guirado ÁB, Sanz MG, Lopez DL, Portela EB, Obradors LL, Monso E, Gort LS, Esteban L, Estarriol MH, Puyal MJ, Herrero JM, López ME, Gonzalez RV, Gabaldón EL, La Puerta JQ, Carvajal RH, Zapata GF, San José IG, Aranda YU, Rodríguez BC, Frances JF, Robles EG, Gallego JP, Gil JC, Hernández JR, Muñoz JE, Trigueras GE, Candial JL, Cancelo IR, García RG, Disdier C, Macías E, Sanabria J, Peñaloza A, Matías Fdel C, de Saracho JO, Cancelo P, Jorge MÁ, Carrascosa MI, Dorronsoro S, Tomás L, Marín P, Antoñana JM, Egurrola M, Esteban C, Camino J, Palacin SC, Royo JI, Salinas B, Iturbe I, Temprano M, Arce JA, Lara JA, Torrado JA, Ortiz EM, Barroso LC, Miranda JA, Badarán E, Jiménez MJ, Guisado AG, Gonzalez MT, de Vinuesa GG, Corbacho MD, Ayude JG, Villar AF, Represas CR, Botana MI, Velázquez PM, Lamelas IP, Martínez MS, Medrano MM, Martínez CR, Mascareño Mdel C, Campano F, Álvarez C, González VP, Trigo GR, García EZ, Somiedo Mdel V, Yamamoto S, de Tejada JA, Calvo GS, Púnter RM, Viña AL, Aguilar M, de Molina RM, Clemente PM, Alonso AT, Falcones MV, Aranda SS, García MG, Martínez MP, Barba GP, Pelícano S, Fernández J, Jareño J, Tellez SC, Zabaleta RM, Prieto MT, Moragues MA, Andres P, Lin D, Río FG, Ruiz-Cobos MA, Jimenez BA, Espinosa ÁC, Delgado Ede S, Rodríguez JM, Garcia JE, Lobato SD, Rodríguez EP, Chinarro BJ, Buendia MJ, Mesas ÁA, Ruiz CM, Gutiérrez VL, Ballesteros MB, Vázquez JH, Mejías YA, Viteri SA, Ferreira A, Ruiz A, Losada C, Peces EA, Vázquez G, Flores J, Álvaro D, Ruíz-Rico NQ, Rojo RP, Mezquita MV, Navarrete O, Sánchez S, Perpina A, Alba P, Alvarado DM, Pina NC, Lucas JA, Rodríguez AL, Nieto JM, Mora RB, Martínez MC, Birlanga OM, Berlinches P, Bernal I, de Heredia JH, Mitgans JB, Rivas PC, Rodrígo JA, Astibia VM, Martínez IP, Serra PC, Moragon EM, Querol JM, Pellicer C, Vives EC, Español CS, Chust JN, Juan ÁC, Fernández-Fabrellas E, Santabasilisa A, Herrera S, Lera R, Miralles C, Orosa B, Sendra EN, Tortajada IL, González MC, Gómez PL, Garzón EL, Pitarch MD, Maneu LG, Royo MM, Llavador G, Martinez A, Rissi J, Bueso MJ, Barandun J, Borer H, Breitenbücher A, Jahn K, Brutsche M, Rüdiger J, Fiechter R, Geiser T, Grob M, Helfenstein E, Junker L, Karrer W, Brun P, Köhler E, Koltai E, Maurer M, Schilter D, Schneider T, Sigrist T, Solèr M, Thurnheer R, Stolz D, Polatlı M, Çilli A, Danacı F, Sarıoğlu N, Şen E, Sağlam L, Uçar EY, Uzaslan EK, Dilektaşlı AG, Coşkun AŞ, Gönlügür U, Hanta İ, Şenyiğit A, Tanrıkulu Ç, Sezgi C, Abakay A, Sayıner A, Gürgün A, Kırkıl G, Köktürk N, Balkan A, Kıyan E, Çırak AK, Tekgül S, Yıldız F, Ceyhan B, Naycı SA, Sercan E, Kuyucu T, Hazar A, Şahin F, Bahadır A, Çetinkaya E, Tor MM, Onyirioha T, Stanton A, Stewart A, Stone R, Chitakasha T, Stinchcombe S, Greatley L, Palissery V, Tuggey J, Husain A, Vancheeswaran R, Budd R, Mahdi H, Banerjee N, Hill H, Mukherjee D, Azher M, Curtin L, Thomas E, Lightowler T, O'Dwyer A, Curtis K, Metcalfe S, Kastelik J, Adeboyeku D, Lai D, Allen M, Campbell V, Hilton A, Absi G, Falconer G, Ponnuswamy A, Timon M, Ryan P, Fearby S, Lamonby V, Zinyengere T, Foden A, Callaghan K, Grover H, Hughes P, Khashkhusha R, Highcock M, Jones M, Manning J, Constantinos E, Maxwell D, Timon M, Parnell H, Rahman S, Houghton C, De Soyza T, Campbell J, Fennerty A, Buttery R, Simler N, Hodson M, Bakerly N, Sanganakal J, Varden C, McKeown E, Graham A, Douse J, Chalklin C, Greenslade S, Guyatt F, Hillier N, Robertson L, Webster S, Hussain SF, Lee S, Russell R, Fenton J, Mangwende K, Le Cheminant M, Win T, Coleman K, Gardiner K, Mankragod R, Haines S, O'Reilly S, Simpson J, Nadeem S, Bhattacharya M, Olive S, Hands G, Moody A, Weir D, Tennant R, Brij S, Meghjee S, Rafferty K, Johnson O, Pollington J, Rodger J, Courtiour S, Crowther S, Green B, Gompertz S, Davies H, Dent R, Gareeboo S, Moore-Haines K, Mukherjee S, Beckett P, Corne J, Bardsley P, Bowden L, McGlashan V, McGown A, Green R, Ong YC, Peacock C, Teo B, Elston W, Halpin D, Hurst J, Lawson R, Grove A, Somerville B, Baxter S, Miers A, Jackson M, Suntharalingam J, Burns G, Chaudri M, Thompson C, Hilton A, Bone M, Austin K, Bourne S, Norman P, Watson J, Wilkinson J, Ansari S, Powrie D, Calvert J, Swift C, Youzguin A, Simcock D, Paramothayan S, Parnell H, Varney V, Dimov D, Elkin S, Kearney S, Sklar H, Wood M, Dev D, Hardinge M, Benton I, Tariq S, Guhan A, Taylor M, Doolub G, Tippett V, Vernicos K, Morgan D, Hardcastle-Jones R, Kerrigan K, Leahy B, Davies L, Hafidz I, Trivedi A, Leitch N, Crooks S, Mann B, Laroche C, Smith S, Arshad E, Quantrill S, Crook S, Restrick L, Shaw A, Johnson S, O'Hickey S, Congleton J, Whittingham K, Everett C, Sherrington R, Kelly M, Marley AM, McCoubrey R, McManus T, Adu-Boateng L, Sinerton J, Anderson W, Hartung HJ, MacNee W, Bracher K, Noble D, Wood F, Bucknall C, Falconer A, Sword D, Watson S, Cotton M, Anderson D, Reid P, Sabit R, Skilton R, Vardill D, Sevenoaks M, Shabir G, Ragbetli MS, Shetty M, Llewellyn-Jones C.

Abstract

OBJECTIVE:

There is controversy regarding the significance of radiological consolidation in the context of COPD exacerbation (eCOPD). While some studies into eCOPD exclude these cases, consolidation is a common feature of eCOPD admissions in real practice. This study aims to address the question of whether consolidation in eCOPD is a distinct clinical phenotype with implications for management decisions and outcomes.

PATIENTS AND METHODS:

The European COPD Audit was carried out in 384 hospitals from 13 European countries between 2010 and 2011 to analyze guideline adherence in eCOPD. In this analysis, admissions were split according to the presence or not of consolidation on the admission chest radiograph. Groups were compared in terms of clinical and epidemiological features, existing treatment, clinical care utilized and mortality.

RESULTS:

14,111 cases were included comprising 2,714 (19.2%) with consolidation and 11,397 (80.8%) without. The risk of radiographic consolidation increased with age, female gender, cardiovascular diseases, having had two or more admissions in the previous year, and sputum color change. Previous treatment with inhaled steroids was not associated. Patients with radiographic consolidation were significantly more likely to receive antibiotics, oxygen and non-invasive ventilation during the admission and had a lower survival from admission to 90-day follow-up.

CONCLUSIONS:

Patients admitted for COPD exacerbation who have radiological consolidation have a more severe illness course, are treated more intensively by clinicians and have a poorer prognosis. We recommend that these patients be considered a distinct subset in COPD exacerbation.

PMID:
26214175
PMCID:
PMC4516303
DOI:
10.1371/journal.pone.0134004
[PubMed - indexed for MEDLINE]
Free PMC Article
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