Exact(2)
"It's more an exacerbation of an already existing vulnerability".
In other words, for millions of poor people, Hurricane Sandy wasn't a new storm, but more an exacerbation of existing tumult.
Similar(58)
For half of the Canadian admissions it was a new problem (54%), and in the Nordic sample it was more often an exacerbation of an old problem (39%), or both a new and an old problem (21%).
Our study also confirmed that patients with more severe airflow limitation and higher hospitalisation rates in the previous year are more likely to report an exacerbation [ 9, 22].
This study also suggested that patients with ACO were more likely to experience an exacerbation or have a history of exacerbations than patients with COPD alone.
6 Patients who have enough confidence in their ability to successfully respond to certain events, such as at the time of an exacerbation, can more easily modify and maintain the desired behaviour.
In a more severe exacerbation duration of seven to fourteen days was more common.
13 18 However, HTS use during an exacerbation may be potentially more harmful by causing more bronchospasm or haemoptysis.
In multivariable logistic regression, we found that the best predictor of one or more or two or more exacerbations during 1-year follow-up was an exacerbation the year before baseline, OR 9.2 and OR 8.9, respectively.
In that analysis, the presence of two or more exacerbations in the previous year was shown to strongly predict the occurrence of an exacerbation in the coming year.
Even if it should be considered that this higher cost was calculated in a sample of older (mean age: 76 years), poorly controlled patients with on average more exacerbations (more than three exacerbations per patient per year vs 1.5 exacerbations per patient per year of the present study), this study confirms the crucial importance of the hospitalization cost, especially in severe COPD patients.
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