Analysis of calls to emergency medical care by patients with chronic obstructive pulmonary disease in St. Petersburg during the period from 2015 to 2023
https://doi.org/10.24884/2072-6716-2025-26-3-23-29
Abstract
The purpose of the study. Вased on the results of a retrospective analysis of data on 48.406 emergency medical services (EMS) visits to 25.735 patients with chronic obstructive pulmonary disease (COPD) in St. Petersburg (SPb) during the period from 2015 to 2023, to obtain a medical and social characteristic of this group of patients. Objectives of the study. Тo give an overall assessment of the effectiveness of the EMS provided to this group of patients at site, to study the level of interhospital mortality among patients with COPD who were admitted to the city hospitals. The results of the study. The average age of patients with COPD who applied for EMS was 63.0±17.92. There were no significant differences in the sex and age in this group of patients. The number of EMS visits to patients with COPD and the absolute number of patients treated decreased significantly during the COVID‑19 pandemic and began to recover again after its completion. A positive result of treatment by the EMS brigades at the site was achieved only in 38.6% of cases. 21.737 (37%) patients were evacuated to the hospital from their apartments. The intrahospital mortality rate in this group of patients was 39.2%. Conclusion. Providing EMS to patients with COPD exacerbation is a complex medical and social task that is currently not fully solved in SPb. Efforts are required to overcome the existing difficulties.
Supporting agencies: the study had no sponsorship
About the Authors
A. L. Ershov
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
Ershov Andrey Lvovich
St. Petersburg
A. I. Makhnovsky
North-Western State Medical University named after I. I. Mechnikov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine; Institute of Experimental Medicine
Russian Federation
Russian Federation
Andrey I. Makhnovsky
St. Petersburg
K. N. Zvonik
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Konstantin N. Zvonik
St. Petersburg
A. G. Miroshnichenko
North-Western State Medical University named after I. I. Mechnikov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine; Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Aleksander G. Miroshnichenko
St. Petersburg
References
1. Park J.E., Zhang L., Ho Y. F. et al. Modeling the Health and Economic Burden of Chronic Obstructive Pulmonary Disease in China From 2020 to 2039: A Simulation Study // Value Health Reg. Issues. 2022. Nov; Vol. 32: 8–16. doi: 10.1016/j.vhri.2022.06.002.
2. GBD 2019 Chronic Respiratory Diseases Collaborators. Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019 // EClinicalMedicine. 2023. May; Vol. 59. Р. 101936. doi: 10.1016/j.eclinm.2023.101936.
3. Chen S., Kuhn M., Prettner K. et al. The global economic burden of chronic obstructive pulmonary disease for 204 countries and territories in 2020–50: a health-augmented macroeconomic modelling study // Lancet Glob. Health. 2023. Vol. 11, No. 8: e1183 e1193. doi: 10.1016/S2214-109X(23)00217-6.
4. Agustí A., Celli B.R., Criner G.J. et al. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary // Eur. Respir. J. 2023. Apr 1; Vol. 61, No. 4. Р. 2300239. doi: 10.1183/13993003.00239-2023.
5. Park M.B., Lee T.S., Lee J.H., Lee J. Most patients with COPD are unaware of their health threats and are not diagnosed: a national-level study using pulmonary function test // Sci. Rep. 2023. Apr 11; Vol. 13, No. 1. Р. 5893. doi: 10.1038/s41598-023-32485-9.
6. Raluy-Callado M., Lambrelli D., MacLachlan S., Khalid J.M. Epidemiology, severity, and treatment of chronic obstructive pulmonary disease in the United Kingdom by GOLD 2013 // Int. J. Chron. Obstruct Pulmon Dis. 2015. May 13; Vol. 10. Р. 925–937. doi: 10.2147/COPD.S82064.
7. Lawless M., Burgess M., Bourke S. Impact of COVID 19 on Hospital Admissions for COPD Exacerbation: Lessons for Future Care // Medicina (Kaunas). 2022. Jan 1; Vol. 58, No. 1. Р. 66. doi: 10.3390/medicina58010066.
8. Andreen N., Westin J., Vanfleteren L.E.G.W. Hospital Admission Rates in Patients with COPD Throughout the COVID 19 Pandemic // Int. J. Chron. Obstruct. Pulmon Dis. 2023. Aug 17; Vol. 18. Р. 1763–1772. doi: 10.2147/COPD.S409452.
9. Park S.C., Kim D.W., Park E.C. et al. Mortality of patients with chronic obstructive pulmonary disease: a nationwide populationbased cohort study // Korean J. Intern. Med. 2019. Vol. 34, No 6. P. 1272–1278. doi: 10.3904/kjim.2017.428.
Review
For citations:
Ershov A.L., Makhnovsky A.I., Zvonik K.N., Miroshnichenko A.G. Analysis of calls to emergency medical care by patients with chronic obstructive pulmonary disease in St. Petersburg during the period from 2015 to 2023. EMERGENCY MEDICAL CARE. 2025;26(3):23-29. (In Russ.) https://doi.org/10.24884/2072-6716-2025-26-3-23-29
Views:
14
Email this article 