Cause of Death in COPD Patients of a Referral Hospital.

Kim, Beom Jun; Hong, Sang Bum; Shim, Tae Sun; Lim, Chae Man; Lee, Sang Do; Koh, Younsuck; Kim, Woo Sung; Kim, Dong Soon; Kim, Won Dong; Oh, Yeon Mok

doi:2006.60.5.510

Tuberc Respir Dis > Volume 60(5); 2006 > Article

Original Article

Tuberculosis and Respiratory Diseases 2006;60(5):510-515.
DOI: https://doi.org/10.4046/trd.2006.60.5.510 Published online May 1, 2006.

Cause of Death in COPD Patients of a Referral Hospital.

Beom Jun Kim, Sang Bum Hong, Tae Sun Shim, Chae Man Lim, Sang Do Lee, Younsuck Koh, Woo Sung Kim, Dong Soon Kim, Won Dong Kim, Yeon Mok Oh

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ymoh55@amc.seoul.kr

Abstract

BACKGROUND
Although 17% of Korean adults over the age of 45 years have chronic obstructive pulmonary disease (COPD), there is only limited data on the cause of death in COPD patients in Korea. Therefore, this retrospective study was performed to examine the cause of death in COPD patients at a referral hospital in Korea. METHODS: The medical records of 28 deceased patients diagnosed as COPD in Asan Medical Center from January to December 2003 were reviewed patients had died in Asan Medical Center and 16 patients had died outside the hospital. The Korean National Statistical Office confirmed 88 deceased patients out of 1,078 patients diagnosed as COPD in Asan Medical Center in 2003. After excluding those with tuberculous destroyed lung, bronchiectasis, and lung cancer, 28 COPD patients were evaluated. RESULTS: The causes of death were pulmonary disease including pneumonia in 16 patients (57%), cardiac disease in 5 patients (18%), sudden death in 3 patients (11%), and other causes in 4 patients (14%). The cause of death was pulmonary disease in 83% (10 out of 12 patients) and 38% (6 out of 16 patients) of patients who died in Asan Medical Center and outside the center, respectively (P=0.05). The cause of death was pulmonary disease in 43% of patients with FEV1 more than 50 % of the predicted value and in 55% of patients with FEV1 less than 50 % of the predicted value (P=0.89). CONCLUSION: Pulmonary disease is the leading cause of death in COPD patients in Korea.

Key Words: COPD, Cause, Death

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