RT Journal Article
T1 Seasonal variability in clinical care of COPD outpatients: results from the Andalusian COPD audit
A1 López-Campos, Jose Luis
A1 Abad Arranz, Maria
A1 Calero-Acuña, Carmen
A1 Romero-Valero, Fernando
A1 Ayerbe-García, Ruth
A1 Hidalgo-Molina, Antonio
A1 Aguilar-Pérez-Grovas, Ricardo I
A1 García-Gil, Francisco
A1 Casas-Maldonado, Francisco
A1 Caballero-Ballesteros, Laura
A1 Sánchez-Palop, María
A1 Pérez-Tejero, Dolores
A1 Segado Soriano, Alejandro
A1 Calvo-Bonachera, Jose
A1 Hernández-Sierra, Bárbara
A1 Doménech, Adolfo
A1 Arroyo-Varela, Macarena
A1 González-Vargas, Francisco
A1 Cruz-Rueda, Juan J
K1 COPD
K1 Seasons
K1 Clinical practice
K1 Quality of care
K1 Modelos logísticos
K1 Nebulizadores y vaporizadores
K1 Oportunidad relativa
K1 Pacientes ambulatorios
K1 Satisfacción personal
K1 Enfermedad pulmonar obstructiva crónica
K1 Estudios retrospectivos
K1 Estaciones del año
K1 España
K1 Instituciones de atención ambulatoria
K1 Comorbilidad
K1 Intervalos de Confianza
K1 Volumen respiratorio forzado
AB 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.
PB Dove Medical Press
SN 1176-9106
YR 2017
FD 2017-03-03
LK http://hdl.handle.net/10668/2665
UL http://hdl.handle.net/10668/2665
LA en
NO 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.
DS RISalud
RD Apr 19, 2025