Joan Escarrabill1, Elena Torrente2, Cristina Esquinas3, Carme Hernández4, Eduard Monsó5, Montserrat Freixas6, Pere Almagro7, Ricard Tresserras8. 1. Programa de Atención a los Pacientes con Enfermedades Crónicas «Barcelona Esquerra», Hospital Clínic, Barcelona, España; Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR), del Departamento de Salud, Generalitat de Catalunya, Barcelona y Observatorio de las Terapias Respiratorias, FORES; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC). Electronic address: ESCARRABILL@clinic.ub.es. 2. Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR), del Departamento de Salud, Generalitat de Catalunya, Barcelona y Observatorio de las Terapias Respiratorias, FORES; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC); Departamento de Salud, Generalitat de Catalunya, Barcelona, España. 3. Servicio de Neumología, Hospital Arnau de Vilanova y Hospital de Santa Maria, Lérida, España. 4. Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR), del Departamento de Salud, Generalitat de Catalunya, Barcelona y Observatorio de las Terapias Respiratorias, FORES; Unidad de Atención Integrada Dirección Médica y de Enfermería, Hospital Clínic, Barcelona, España. 5. Servicio de Neumología, Hospital Universitari del Parc Taulí, Sabadell Barcelona, España. 6. EAP Dreta de l'Eixample, Barcelona, España. 7. Servicio de Medicina Interna, Hospital Universitari Mútua de Terrassa, Terrassa Barcelona, España. 8. Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR), del Departamento de Salud, Generalitat de Catalunya, Barcelona y Observatorio de las Terapias Respiratorias, FORES; Departamento de Salud, Generalitat de Catalunya, Barcelona, España.
Abstract
UNLABELLED: Hospitalizations for acute exacerbation of COPD (AECOPD) generate high consumption of health resources, frequent readmissions and high mortality. The MAG -1 study aims to identify critical points to improve the care process of severe AECOPD requiring hospitalization. METHODS: Observational study, with review of clinical records of patients admitted to hospitals of the Catalan public network for AECOPD. The centers were classified into 3 groups according to the number of discharges/year. Demographic and descriptive data of the previous year, pharmacological treatment, care during hospitalization and discharge process and follow-up, mortality and readmission at 30 and 90 days were analyzed. RESULTS: A total of 910 patients (83% male) with a mean age of 74.3 (+10.1) years and a response rate of 70% were included. Smoking habit was determined in only 45% of cases, of which 9% were active smokers. In 31% of cases, no previous lung function data were available. Median hospital stay was 7 days (IQR 4-10), increasing according the complexity of the hospital. Mortality from admission to 90 days was 12.4% with a readmission rate of 49%. An inverse relationship between length of hospital stay and readmission within 90 days was observed. CONCLUSIONS: In a large number of medical records, smoking habit and lung function tests were not appropriately reported. Average hospital stay increases with the complexity of the hospital, but longer stays appear to be associated with lower mortality at follow-up.
UNLABELLED: Hospitalizations for acute exacerbation of COPD (AECOPD) generate high consumption of health resources, frequent readmissions and high mortality. The MAG -1 study aims to identify critical points to improve the care process of severe AECOPD requiring hospitalization. METHODS: Observational study, with review of clinical records of patients admitted to hospitals of the Catalan public network for AECOPD. The centers were classified into 3 groups according to the number of discharges/year. Demographic and descriptive data of the previous year, pharmacological treatment, care during hospitalization and discharge process and follow-up, mortality and readmission at 30 and 90 days were analyzed. RESULTS: A total of 910 patients (83% male) with a mean age of 74.3 (+10.1) years and a response rate of 70% were included. Smoking habit was determined in only 45% of cases, of which 9% were active smokers. In 31% of cases, no previous lung function data were available. Median hospital stay was 7 days (IQR 4-10), increasing according the complexity of the hospital. Mortality from admission to 90 days was 12.4% with a readmission rate of 49%. An inverse relationship between length of hospital stay and readmission within 90 days was observed. CONCLUSIONS: In a large number of medical records, smoking habit and lung function tests were not appropriately reported. Average hospital stay increases with the complexity of the hospital, but longer stays appear to be associated with lower mortality at follow-up.
Authors: Marc Miravitlles; Patricia García-Sidro; Alonso Fernández-Nistal; María Jesús Buendía; María José Espinosa de Los Monteros; Cristina Esquinas; Jesús Molina Journal: Int J Chron Obstruct Pulmon Dis Date: 2015-11-30
Authors: Maria Jose Abadias Medrano; Oriol Yuguero Torres; Ignasi Bardés Robles; Luis Fernando Casas-Méndez; Ferran Barbé; Jordi de Batlle Journal: Medicine (Baltimore) Date: 2018-08 Impact factor: 1.817
Authors: María José Bujalance-Zafra; Miguel Domínguez-Santaella; Antonio Baca-Osorio; Leovigildo Ginel-Mendoza; Francisco Jesús Fernández-Vargas; Rafael Poyato-Ramos Journal: Aten Primaria Date: 2016-09-28 Impact factor: 1.137
Authors: Joyce L Cousins; Richard Wood-Baker; Peter A B Wark; Ian A Yang; Peter G Gibson; Anastasia Hutchinson; Dimitar Sajkov; Sarah A Hiles; Sameh Samuel; Vanessa M McDonald Journal: ERJ Open Res Date: 2020-04-19