Diagnosis of COPD in hospitalised patients

Archivos de bronconeumología
Concha Pellicer Císcaren representación del Grupo EPOC de Sociedad Valenciana de Neumología

Abstract

To examine the quality of COPD diagnosis in hospitalised patients. Retrospective multicentre cross-sectional audit review of the clinical histories of patients discharged with a diagnosis of COPD. The diagnosis of COPD was considered correct (DxC) in cases where the combination of a bronchial obstruction (FEV1/FVC<70%) and smoking (>10 packets/year) could be documented. In the rest of the cases the diagnosis was considered deficient (DxD). A DxC in at least 60% of patients was required to be considered an acceptable quality health care diagnosis. Demographic data such as, smoking, spirometry, the specialist who discharged the patient (P: Pneumologist; MS: Medical Specialty; CS: Surgical Specialty), and health care level (hospital complexity; low (H1), intermediate (H2) and high (H3)). A total of 840 cases were analysed (718 males, 122 females); mean age (SD) 73 (10), from 10 hospitals (3 H1, 4 H2, 3 H3). A DxD was obtained in 597 (71.1%), due to either lack of spirometry (538, 64%) or smoking criteria (319, 38%), (P<0.001). Only two of the ten hospitals complied with the criteria of an acceptable quality health care diagnosis. Significant differences (P<0.0001) were seen on comparing DxC and DxD by health care level (DxC: 56.2%...Continue Reading

References

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Citations

Jan 1, 2011·Multidisciplinary Respiratory Medicine·Anna Maria MorettiCinzia Germinario
Nov 26, 2014·Annals of the American Thoracic Society·Tina ShahRosemarie Beckford
Nov 1, 2011·Archivos de bronconeumología·Maria Antònia Llauger RosellóGrup Emergent de Recerca en Malalties Respiratòries (Unitat de Suport a la Recerca de Barcelona-IDIAP Jordi Gol)
Apr 15, 2011·Archivos de bronconeumología·F Burgos
Apr 16, 2011·Archivos de bronconeumología·Héctor Verea-HernandoManuel Blanco-Ramos
Apr 26, 2011·Archivos de bronconeumología·Margarita Marín RoyoEPOC de la Sociedad Valenciana de Neumología (SVN)
Jun 18, 2010·Archivos de bronconeumología·Francisco Pozo-Rodríguezpor el Grupo AUDIPOC España
Jan 3, 2015·Archivos de bronconeumología·J J Soler-CataluñaM Carmen Aguar Benito
Apr 29, 2014·Atencion primaria·M Antònia Llaugeren nombre del grupo de trabajo de espirometría del Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR)
Jan 17, 2017·Chest·Huimin WuAnn E Medinger
Jul 4, 2015·Journal of Evaluation in Clinical Practice·Francisco Rivas-RuizGrupo IRYSS-COPD
Feb 27, 2020·Archivos de bronconeumología·José Luis IzquierdoJosé Miguel Rodríguez

Related Concepts

Choking
Bronchial Diseases
Prevalence Studies
Hospitalization
Medical Audit
Patient Discharge
Quality of Health Care
Retrospective Studies
Cigar smoker
Spirometry

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