Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital

COPD exacerbations: the impact of long versus short courses of oral corticosteroids on mortality and pneumonia: nationwide data on 67 000 patients with COPD followed for 12 months

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review


  1. High-pressure NIV for acute hypercapnic respiratory failure in COPD: improved survival in a retrospective cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. 'Reduced' HUNT model outperforms NLST and NELSON study criteria in predicting lung cancer in the Danish screening trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Ensuring basic competency in chest tube insertion using a simulated scenario: an international validation study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Pradeesh Sivapalan
  • Truls Sylvan Ingebrigtsen
  • Daniel Bech Rasmussen
  • Rikke Sørensen
  • Christian Madelaire Rasmussen
  • Camilla Bjørn Jensen
  • Kristine Højgaard Allin
  • Josefin Eklöf
  • Niels Seersholm
  • Joergen Vestbo
  • Jens-Ulrik Stæhr Jensen
Vis graf over relationer

Introduction: A large group of patients with chronic obstructive pulmonary disease (COPD) are exposed to an overload of oral corticosteroids (OCS) due to repeated exacerbations. This is associated with potential serious adverse effects. Therefore, we evaluated the impact of a recommended reduction of OCS duration in 2014 on the risk of pneumonia hospitalisation and all-cause mortality in patients with acute exacerbation of COPD (AECOPD).

Methods: This was a nationwide observational cohort study that was based on linked administrative registry data between 1 January 2010 and 31 October 2017. 10 152 outpatients with COPD (median age 70 years) treated with either a short (≤250 mg) or long course (>250 mg) of OCS for AECOPD were included in the study. Cox proportional hazards regression models were used to derive an estimation of multivariable adjusted HRs (aHRs) for pneumonia hospitalisation or all-cause mortality combined and pneumonia hospitalisation and all-cause mortality, separately.

Results: The long course of OCS treatment for AECOPD was associated with an increased 1-year risk of pneumonia hospitalisation or all-cause mortality (aHR 1.3, 95% CI 1.1 to 1.4; p<0.0001), pneumonia hospitalisation (aHR 1.2, 95% CI 1.0 to 1.3; p=0.0110) and all-cause mortality (aHR 1.8, 95% CI 1.5 to 2.2; p<0.0001) as compared with the short course of OCS treatment. These results were confirmed in several sensitivity analyses.

Conclusion: The change of recommendations from long courses to short courses of OCS for AECOPD in 2014 was strongly associated with a decrease in pneumonia admissions and all-cause mortality, in favour of short courses of OCS.

TidsskriftBMJ Open Respiratory Research
Udgave nummer1
Sider (fra-til)e000407
StatusUdgivet - 1 mar. 2019

ID: 57330244