Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/850
Title: Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.
Authors: Pozo-Rodríguez, Francisco
López-Campos, Jose Luis
Alvarez-Martínez, Carlos J
Castro-Acosta, Ady
Agüero, Ramón
Hueto, Javier
Hernández-Hernández, Jesús
Barrón, Manuel
Abraira, Victor
Forte, Anabel
Sanchez Nieto, Juan Miguel
Lopez-Gabaldón, Encarnación
Cosío, Borja G
Agustí, Alvar
metadata.dc.contributor.authoraffiliation: [Pozo-Rodríguez,F; Álvarez-Martínez,CJ; Castro-Acosta,A] Instituto de Investigación, Hospital 12 de Octubre, Madrid Spain. [Pozo-Rodríguez,F; López-Campos,JL; Castro-Acosta,A; Cosío,BG; Agustí,A] Centre for Biomedical Research on Respiratory Diseases (CIBERES). Instituto de Salud Carlos III, Madrid,Spain. [López-Campos,JL] Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío, Seville, Spain. [Agüero,J] Hospital Universitario Marqués de Valdecilla, Santander, Spain. [Hueto,J] Complejo Hospitalario de Navarra, Pamplona, Spain. [Hernández-Hernández,J] Hospital Nuestra Sra. de Sonsoles, Ávila, Spain. [Barrón,M] Complejo Hospitalario San Millán, Logroño, Spain. [Abraira,V] Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain. Centre for Biomedical Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. [Forte,A] Department of Statistics and Operational Research, Universidad de Castellón, Castellón, Spain. [Sanchez Nieto,JM] Hospital Universitario Morales Meseguer, Murcia, Spain. [Lopez-Gabaldón,E] Hospital Virgen de la Salud, Toledo, Spain. [Cosío,BJ] Hospital Universitario Son Espases, Balearic Island, Spain. [Agustí,A] Instituto del Tórax, Hospital Clínic, Barcelona, Spain.
metadata.dc.contributor.group: AUDIPOC Study Group
Keywords: Auditoría Clínica;Adhesión a Directriz;Hospitalización;Enfermedad Pulmonar Obstructiva Crónica;Humanos;Análisis Multivariante;Guías de Práctica Clínica como Asunto;Análisis de Regresión;Teorema de Bayes;España
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Assurance, Health Care::Clinical Audit
Medical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Guideline Adherence
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Hospitalization
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Hospitals
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance::Multivariate Analysis
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality Assurance, Health Care::Guidelines as Topic::Practice Guidelines as Topic
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Regression Analysis
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem
Issue Date: 31-Jul-2012
Publisher: Public Library of Science
Citation: Pozo-Rodríguez F, López-Campos JL, Alvarez-Martínez CJ, Castro-Acosta A, Agüero R, Hueto J, et al. Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study. PLoS ONE; 7(7):e42156
Abstract: BACKGROUNDS AUDIPOC is a nationwide clinical audit that describes the characteristics, interventions and outcomes of patients admitted to Spanish hospitals because of an exacerbation of chronic obstructive pulmonary disease (ECOPD), assessing the compliance of these parameters with current international guidelines. The present study describes hospital resources, hospital factors related to case recruitment variability, patients' characteristics, and adherence to guidelines. METHODOLOGY/PRINCIPAL FINDINGS An organisational database was completed by all participant hospitals recording resources and organisation. Over an 8-week period 11,564 consecutive ECOPD admissions to 129 Spanish hospitals covering 70% of the Spanish population were prospectively identified. At hospital discharge, 5,178 patients (45% of eligible) were finally included, and thus constituted the audited population. Audited patients were reassessed 90 days after admission for survival and readmission rates. A wide variability was observed in relation to most variables, hospital adherence to guidelines, and readmissions and death. Median inpatient mortality was 5% (across-hospital range 0-35%). Among discharged patients, 37% required readmission (0-62%) and 6.5% died (0-35%). The overall mortality rate was 11.6% (0-50%). Hospital size and complexity and aspects related to hospital COPD awareness were significantly associated with case recruitment. Clinical management most often complied with diagnosis and treatment recommendations but rarely (<50%) addressed guidance on healthy life-styles. CONCLUSIONS/SIGNIFICANCE The AUDIPOC study highlights the large across-hospital variability in resources and organization of hospitals, patient characteristics, process of care, and outcomes. The study also identifies resources and organizational characteristics associated with the admission of COPD cases, as well as aspects of daily clinical care amenable to improvement.
Description: Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/850
metadata.dc.relation.publisherversion: http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0042156
metadata.dc.identifier.doi: 10.1371/journal.pone.0042156
ISSN: 1932-6203 (Online)
Appears in Collections:01- Artículos - Hospital Virgen del Rocío
01- Artículos - IBIS. Instituto de Biomedicina de Sevilla

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