Survival Models of Rieves et al for a Patient with Severe COPD and Acute Respiratory Failure

Purpose: To predict nonsurvival in a patient with severe COPD and acute respiratory failure using the models of Rieves et al.

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Evaluation

Are you evaluating a patient with severe COPD at the time of tracheal intubation for acute respiratory failure?

Yes

Serum albumin

FEV1

liters

Is a pulmonary infiltrate seen on the chest X-ray?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value of X

Probability for nonsurvival using X

Value of Y

Probability for nonsurvival using Y

Value of Z

Mortality risk ratio for nonsurvival with pulmonary infiltrate vs survival without an infiltrate

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Specialty

Pulmonology

Objective

risk factors
criteria for diagnosis
severity
prognosis
stage
complications

ICD-10

J42 - Unspecified chronic bronchitis
J43 - Emphysema
J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To predict nonsurvival in a patient with severe COPD and acute respiratory failure using the models of Rieves et al.

Specialty: Pulmonology

Objective: risk factors, criteria for diagnosis, severity, prognosis, stage, complications

ICD-10: J42, J43, J44,

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