Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2665
Título : Seasonal variability in clinical care of COPD outpatients: results from the Andalusian COPD audit
Autor : López-Campos, Jose Luis
Abad Arranz, Maria
Calero-Acuña, Carmen
Romero-Valero, Fernando
Ayerbe-García, Ruth
Hidalgo-Molina, Antonio
Aguilar-Pérez-Grovas, Ricardo I
García-Gil, Francisco
Casas-Maldonado, Francisco
Caballero-Ballesteros, Laura
Sánchez-Palop, María
Pérez-Tejero, Dolores
Segado Soriano, Alejandro
Calvo-Bonachera, Jose
Hernández-Sierra, Bárbara
Doménech, Adolfo
Arroyo-Varela, Macarena
González-Vargas, Francisco
Cruz-Rueda, Juan J
Filiación: [López-Campos,JL; Abad Arranz,M; Calero-Acuña,C] Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Seville. [López-Campos,JL; Calero-Acuña,C] CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid. [Romero-Valero,F; Hidalgo-Molina,A] Sección de Neumología, Hospital Puerta del Mar, Cádiz. [Ayerbe-García,R; Aguilar-Pérez-Grovas,RI] Servicio de Neumología, Hospital Juan Ramón Jiménez, Huelva. [García-Gil,F; Caballero-Ballesteros,L] Servicio de Neumología, Hospital Universitario Reina Sofía, Córdoba. [Casas-Maldonado,F; Sánchez-Palop,M] Servicio de Neumología, Hospital Universitario San Cecilio, Granada. [Pérez-Tejero,D; Segado Soriano,A] Sección de Neumología, Hospital Infanta Margarita, Cabra, Córdoba. [Calvo-Bonachera,J; Hernández-Sierra,B] Servicio de Neumología, Hospital Torrecárdenas, Almería. [Doménech,A; Arroyo-Varela,M] Servicio de Neumología, Hospital Regional Universitario de Málaga, Málaga. [González-Vargas,F; Cruz-Rueda, JJ] Servicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Palabras clave : COPD
Seasons
Clinical practice
Quality of care
Modelos logísticos
Nebulizadores y vaporizadores
Oportunidad relativa
Pacientes ambulatorios
Satisfacción personal
Enfermedad pulmonar obstructiva crónica
Estudios retrospectivos
Estaciones del año
España
Instituciones de atención ambulatoria
Comorbilidad
Intervalos de Confianza
Volumen respiratorio forzado
MeSH: Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Ambulatory Care Facilities
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Comorbidity
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Confidence Intervals
Medical Subject Headings::Phenomena and Processes::Circulatory and Respiratory Physiological Phenomena::Respiratory Physiological Phenomena::Pulmonary Ventilation::Forced Expiratory Volume
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Models, Statistical::Logistic Models
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Equipment and Supplies::Nebulizers and Vaporizers
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Probability::Odds Ratio
Medical Subject Headings::Persons::Persons::Patients::Outpatients
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Personal Satisfaction
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies
Medical Subject Headings::Phenomena and Processes::Physical Phenomena::Time::Periodicity::Seasons
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Fecha de publicación : 3-Mar-2017
Editorial : Dove Medical Press
Cita Bibliográfica: López-Campos JL, Abad Arranz M, Calero-Acuña C, Romero-Valero F, Ayerbe-García R, Hidalgo-Molina A, et al. Seasonal variability in clinical care of COPD outpatients: results from the Andalusian COPD audit. Int J Chron Obstruct Pulmon Dis. 2017;12:785-792.
Abstract: OBJECTIVES: Clinical practice in chronic obstructive pulmonary disease (COPD) can be influenced by weather variability throughout the year. To explore the hypothesis of seasonal variability in clinical practice, the present study analyzes the results of the 2013-2014 Andalusian COPD audit with regard to changes in clinical practice according to the different seasons. METHODS: The Andalusian COPD audit was a pilot clinical project conducted from October 2013 to September 2014 in outpatient respiratory clinics of hospitals in Andalusia, Spain (8 provinces with more than 8 million inhabitants) with retrospective data gathering. For the present analysis, astronomical seasons in the Northern Hemisphere were used as reference. Bivariate associations between the different COPD guidelines and the clinical practice changes over the seasons were explored by using binomial multivariate logistic regression analysis with age, sex, Charlson comorbidity index, type of hospital, and COPD severity by forced expiratory volume in 1 second as covariates, and were expressed as odds ratio (OR) with 95% confidence intervals (CIs). RESULTS: The Andalusian COPD audit included 621 clinical records from 9 hospitals. After adjusting for covariates, only inhaler device satisfaction evaluation was found to significantly differ according to the seasons with an increase in winter (OR, 3.460; 95% CI, 1.469-8.151), spring (OR, 4.215; 95% CI, 1.814-9.793), and summer (OR, 3.371; 95% CI, 1.391-8.169) compared to that in autumn. The rest of the observed differences were not significant after adjusting for covariates. However, compliance with evaluating inhaler satisfaction was low. CONCLUSION: The various aspects of clinical practice for COPD care were found to be quite homogeneous throughout the year for the variables evaluated. Inhaler satisfaction evaluation, however, presented some significant variation during the year. Inhaler device satisfaction should be evaluated during all clinical visits throughout the year for improved COPD management.
URI: http://hdl.handle.net/10668/2665
Versión del editor : https://www.dovepress.com/seasonal-variability-in-clinical-care-of-copd-outpatients-results-from-peer-reviewed-article-COPD
DOI: 10.2147/COPD.S121885
ISSN : 1176-9106 (Print)
1178-2005 (Online)
Appears in Collections:01- Artículos - Complejo Hospitalario Torrecárdenas
01- Artículos - AGS Sur de Córdoba
01- Artículos - Complejo Hospitalario Universitario de Granada
01- Artículos - Hospital Reina Sofía
01- Artículos - Complejo Hospitalario Universitario de Huelva
01- Artículos - Hospital Puerta del Mar
01- Artículos - Hospital Virgen del Rocío
01- Artículos - IBIS. Instituto de Biomedicina de Sevilla
01- Artículos - Hospital Regional de Málaga

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