Parameter | No. (%) of patients | ||
---|---|---|---|
Low clinical probabilitya (N=163) | Intermediate clinical probabilityb (N=205) | Total (N=368) | |
Age ≥75 years | 63 (38.7) | 69 (33.7) | 132 (35.9) |
Sex | |||
Male | 124 (76.1) | 158 (77.1) | 282 (76.6) |
Female | 39 (23.9) | 47 (22.9) | 86 (23.4) |
Current smoker | 46 (28.2) | 72 (35.1) | 118 (32.1) |
Pack-years of smoking, mean (SD), no. | 58.2 (29.2) | 59.5 (25.8) | 59.0 (27.1) |
COPD exacerbations in the past 12 months, mean (SD), no. | 1.1 (1.6) | 1.5 (1.9) | 1.3 (1.8) |
Very severe COPD: <30% of the predicted normal FEV1 | 18 (11.0) | 37 (18.0) | 55 (14.9) |
Severe COPD: 30 to <50% of the predicted normal FEV1 | 70 (42.9) | 99 (48.3) | 169 (45.9) |
Moderate COPD: 50 to <80% of the predicted normal FEV1 | 56 (34.4) | 57 (27.8) | 113 (30.7) |
Mild COPD: ≥80% of the predicted normal FEV1 | 19 (11.7) | 12 (5.9) | 31 (8.4) |
Risk factors for VTE | |||
Immobilizationc | 1 (0.6) | 65 (31.7) | 66 (17.9) |
Cancerd | 6 (3.7) | 6 (2.9) | 12 (3.3) |
History of VTE | 0 (0) | 9 (4.4) | 9 (1.3) |
Surgerye | 0 (0) | 1 (0.5) | 1 (0.3) |
Obstructive sleep apnea | 36 (22.1) | 20 (9.8) | 56 (15.2) |
Congestive heart failure | 25 (15.3) | 23 (11.2) | 48 (13.0) |
Hormone therapy | 3 (1.8) | 2 (1.0) | 5 (1.4) |
Clinical symptoms and signs at presentation | |||
Dyspnea | 163 (100) | 203 (99.0) | 366 (99.5) |
Heart rate >100/min | 0 (0) | 127 (62.0) | 127 (34.5) |
Systolic blood pressure <100 mm Hg | 3 (1.8) | 8 (3.9) | 11 (16.2) |
Spo2 <90% (N=365) | 62 (38.3) | 83 (40.9) | 145 (39.7) |
Temperature ≥38°C | 0 (0) | 1 (0.5) | 1 (0.3) |
Increased sputum volume | 59 (36.2) | 69 (33.7) | 128 (34.8) |
Purulent sputum | 11 (6.7) | 13 (6.3) | 24 (6.5) |
Hemoptysis | 2 (1.2) | 1 (0.5) | 3 (0.8) |
Signs of DVT | 0 (0) | 0 (0) | 0 (0) |
Admission blood tests | |||
Creatinine >1.5 mg/dL | 4 (2.5) | 2 (1.0) | 6 (1.6) |
Hemoglobin, mean (SD), g/dL | 14.4 (1.9) | 14.1 (2.2) | 14.3 (2.1) |
Treatment for exacerbation | |||
Short-acting inhaled beta2-agonists | 159 (97.5) | 203 (99.0) | 362 (98.4) |
Short-acting inhaled anticholinergics | 163 (100) | 205 (100) | 368 (100) |
Systemic corticosteroids | 135 (82.8) | 165 (80.5) | 300 (81.5) |
Antibiotics | 113 (69.3) | 134 (65.4) | 247 (67.1) |
Pharmacological thromboprophylaxis (LMWH) | 163 (100) | 205 (100) | 368 (100) |