RT Journal Article
T1 Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.
A1 Pozo-Rodríguez, Francisco
A1 López-Campos, Jose Luis
A1 Alvarez-Martínez, Carlos J
A1 Castro-Acosta, Ady
A1 Agüero, Ramón
A1 Hueto, Javier
A1 Hernández-Hernández, Jesús
A1 Barrón, Manuel
A1 Abraira, Victor
A1 Forte, Anabel
A1 Sanchez Nieto, Juan Miguel
A1 Lopez-Gabaldón, Encarnación
A1 Cosío, Borja G
A1 Agustí, Alvar
K1 Auditoría Clínica
K1 Adhesión a Directriz
K1 Hospitalización
K1 Enfermedad Pulmonar Obstructiva Crónica
K1 Humanos
K1 Análisis Multivariante
K1 Guías de Práctica Clínica como Asunto
K1 Análisis de Regresión
K1 Teorema de Bayes
K1 España
AB BACKGROUNDSAUDIPOC 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 FINDINGSAn 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/SIGNIFICANCEThe 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.
PB Public Library of Science
YR 2012
FD 2012-07-31
LK http://hdl.handle.net/10668/850
UL http://hdl.handle.net/10668/850
LA en
NO 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
NO Journal Article; Research Support, Non-U.S. Gov't;
DS RISalud
RD Apr 18, 2025