Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/13074
Clinical Audit of COPD Patients Requiring Hospital Admissions in Spain: AUDIPOC Study
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ISSN: 1932-6203
WOS ID: 000307045600061
Scopus EID: 2-s2.0-84864460763
PMID: 22911875
Embase PUI: L365351883
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Pozo-Rodriguez, Francisco; Luis Lopez-Campos, Jose; Alvarez-Martinez, Carlos J.; Castro-Acosta, Ady; Agueero, Ramon; Hueto, Javier; Hernandez-Hernandez, Jesus; Barron, Manuel; Abraira, Victor; Forte, Anabel; Sanchez Nieto, Juan Miguel; Lopez-Gabaldon, Encarnacion; Cosio, Borja G

Publication date
2012-07-31Document type
research articleCitation
Pozo-Rodriguez F, Lopez-Campos Jl, Alvarez-Martinez CJ, Castro-Acosta A, Agueero R, Hueto J, et al. Clinical Audit of COPD Patients Requiring Hospital Admissions in Spain: AUDIPOC Study. PLoS One. 2012 Jul 31;7(7):e42156. Epub 2012 Jul 31.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.
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https://dx.doi.org/10.1371/journal.pone.0042156MeSH
HospitalizationMultivariate Analysis
Clinical Audit
Spain
Pulmonary Disease, Chronic Obstructive
Humans
Regression Analysis
Bayes Theorem
Guideline Adherence
Practice Guidelines as Topic
Hospitals
DeCS
Guías de Práctica Clínica como AsuntoEnfermedad Pulmonar Obstructiva Crónica
Humanos
Auditoría Clínica
Teorema de Bayes
Análisis Multivariante
Adhesión a Directriz
Hospitales
Hospitalización
Análisis de Regresión
España