Validity of criteria for hospital admission in exacerbations of COPD
Summary Aims To validate a previously developed set of explicit criteria for the appropriateness of hospital admission among these patients using the RAND/UCLA Appropriateness Methodology (RAM). Methods We conducted a prospective cohort study of patients experiencing symptoms of COPD exacerbation se...
Gespeichert in:
| Veröffentlicht in: | International journal of clinical practice (Esher) 2014-07, Vol.68 (7), p.820-829 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 829 |
|---|---|
| container_issue | 7 |
| container_start_page | 820 |
| container_title | International journal of clinical practice (Esher) |
| container_volume | 68 |
| creator | Garcia-Gutierrez, S. Quintana, J. M. Bilbao, A. Unzurrunzaga, A. Esteban, C. Baré, M. Girón Moreno, R. M. Pulido, E. Rivas, P. |
| description | Summary
Aims
To validate a previously developed set of explicit criteria for the appropriateness of hospital admission among these patients using the RAND/UCLA Appropriateness Methodology (RAM).
Methods
We conducted a prospective cohort study of patients experiencing symptoms of COPD exacerbation seen in the emergency departments (ED) of 16 hospitals belonging to the Spanish National Health Service. Sociodemographic and clinical variables needed to assess appropriateness were recorded. Main outcomes were mortality, severe COPD evolution, complications at follow up, and three patient‐reported measures: dyspnoea level, capacity for physical activity and perceived health status.
Results
Appropriately admitted patients were more likely to die (6.70% vs. 2.68%, p = 0.0102) than inappropriately admitted patients, and were more likely to develop severe evolution (27.09% vs. 6.08%, p |
| doi_str_mv | 10.1111/ijcp.12397 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1551022524</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3336822191</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4317-f5f9f144a0642fc91f46b8f90cfebcbc365d167467cf218574c0650022f452433</originalsourceid><addsrcrecordid>eNp9kEtLAzEUhYMoPqobf4AMuBFhNDfPzlJbHxWxXfjCTcikCaZOOzWZYvvvTa26cOHd3HvhO4fDQWgf8AmkOfUjMz0BQgu5hrZBMpIDYbCebiraOccUttBOjCOMCedtvIm2CMdSkgJvo-6jrvzQN4usdpkJvrHB68zVIXut49Q3usr0cOxj9PUk85PMzrWxodRN-uNS0-kPurtow-kq2r3v3UIPlxf3nev8tn_V65zd5oZRkLnjrnDAmMaCEWcKcEyUbVdg42xpSkMFH4KQTEjjCLS5ZAYLnlITxzhhlLbQ0cp3Gur3mY2NSsmMrSo9sfUsKuAcEr1kW-jwDzqqZ2GS0iWKClEIEEWijleUCXWMwTo1DX6sw0IBVstu1bJb9dVtgg--LWfl2A5_0Z8yEwAr4MNXdvGPlerddAY_pvlK42Nj578aHd6UkFRy9XR3pZ7ooFs8nz-qF_oJTfyQ8A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1536696169</pqid></control><display><type>article</type><title>Validity of criteria for hospital admission in exacerbations of COPD</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Garcia-Gutierrez, S. ; Quintana, J. M. ; Bilbao, A. ; Unzurrunzaga, A. ; Esteban, C. ; Baré, M. ; Girón Moreno, R. M. ; Pulido, E. ; Rivas, P.</creator><creatorcontrib>Garcia-Gutierrez, S. ; Quintana, J. M. ; Bilbao, A. ; Unzurrunzaga, A. ; Esteban, C. ; Baré, M. ; Girón Moreno, R. M. ; Pulido, E. ; Rivas, P. ; IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group ; IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</creatorcontrib><description>Summary
Aims
To validate a previously developed set of explicit criteria for the appropriateness of hospital admission among these patients using the RAND/UCLA Appropriateness Methodology (RAM).
Methods
We conducted a prospective cohort study of patients experiencing symptoms of COPD exacerbation seen in the emergency departments (ED) of 16 hospitals belonging to the Spanish National Health Service. Sociodemographic and clinical variables needed to assess appropriateness were recorded. Main outcomes were mortality, severe COPD evolution, complications at follow up, and three patient‐reported measures: dyspnoea level, capacity for physical activity and perceived health status.
Results
Appropriately admitted patients were more likely to die (6.70% vs. 2.68%, p = 0.0102) than inappropriately admitted patients, and were more likely to develop severe evolution (27.09% vs. 6.08%, p < 0.0001) and complications (18.72% vs. 11.92%, p = 0.0244). Among discharged patients, no significant differences were observed in clinical outcomes. All patients exhibited worse dyspnoea and capacity for physical activity after exacerbation, but changes among appropriately admitted patients were less than among appropriately discharged patients.
Conclusion
Our appropriateness criteria identified patients in worse condition at ED arrival who were more likely to benefit from admission in terms of mortality and COPD evolution.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.12397</identifier><identifier>PMID: 25077290</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Chronic obstructive pulmonary disease ; Cohort Studies ; Female ; Health Status ; Hospitalization ; Humans ; Male ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - mortality ; Pulmonary Disease, Chronic Obstructive - therapy</subject><ispartof>International journal of clinical practice (Esher), 2014-07, Vol.68 (7), p.820-829</ispartof><rights>2014 John Wiley & Sons Ltd</rights><rights>Copyright © 2014 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4317-f5f9f144a0642fc91f46b8f90cfebcbc365d167467cf218574c0650022f452433</citedby><cites>FETCH-LOGICAL-c4317-f5f9f144a0642fc91f46b8f90cfebcbc365d167467cf218574c0650022f452433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.12397$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.12397$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25077290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcia-Gutierrez, S.</creatorcontrib><creatorcontrib>Quintana, J. M.</creatorcontrib><creatorcontrib>Bilbao, A.</creatorcontrib><creatorcontrib>Unzurrunzaga, A.</creatorcontrib><creatorcontrib>Esteban, C.</creatorcontrib><creatorcontrib>Baré, M.</creatorcontrib><creatorcontrib>Girón Moreno, R. M.</creatorcontrib><creatorcontrib>Pulido, E.</creatorcontrib><creatorcontrib>Rivas, P.</creatorcontrib><creatorcontrib>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</creatorcontrib><creatorcontrib>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</creatorcontrib><title>Validity of criteria for hospital admission in exacerbations of COPD</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
Aims
To validate a previously developed set of explicit criteria for the appropriateness of hospital admission among these patients using the RAND/UCLA Appropriateness Methodology (RAM).
Methods
We conducted a prospective cohort study of patients experiencing symptoms of COPD exacerbation seen in the emergency departments (ED) of 16 hospitals belonging to the Spanish National Health Service. Sociodemographic and clinical variables needed to assess appropriateness were recorded. Main outcomes were mortality, severe COPD evolution, complications at follow up, and three patient‐reported measures: dyspnoea level, capacity for physical activity and perceived health status.
Results
Appropriately admitted patients were more likely to die (6.70% vs. 2.68%, p = 0.0102) than inappropriately admitted patients, and were more likely to develop severe evolution (27.09% vs. 6.08%, p < 0.0001) and complications (18.72% vs. 11.92%, p = 0.0244). Among discharged patients, no significant differences were observed in clinical outcomes. All patients exhibited worse dyspnoea and capacity for physical activity after exacerbation, but changes among appropriately admitted patients were less than among appropriately discharged patients.
Conclusion
Our appropriateness criteria identified patients in worse condition at ED arrival who were more likely to benefit from admission in terms of mortality and COPD evolution.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Health Status</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - mortality</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMoPqobf4AMuBFhNDfPzlJbHxWxXfjCTcikCaZOOzWZYvvvTa26cOHd3HvhO4fDQWgf8AmkOfUjMz0BQgu5hrZBMpIDYbCebiraOccUttBOjCOMCedtvIm2CMdSkgJvo-6jrvzQN4usdpkJvrHB68zVIXut49Q3usr0cOxj9PUk85PMzrWxodRN-uNS0-kPurtow-kq2r3v3UIPlxf3nev8tn_V65zd5oZRkLnjrnDAmMaCEWcKcEyUbVdg42xpSkMFH4KQTEjjCLS5ZAYLnlITxzhhlLbQ0cp3Gur3mY2NSsmMrSo9sfUsKuAcEr1kW-jwDzqqZ2GS0iWKClEIEEWijleUCXWMwTo1DX6sw0IBVstu1bJb9dVtgg--LWfl2A5_0Z8yEwAr4MNXdvGPlerddAY_pvlK42Nj578aHd6UkFRy9XR3pZ7ooFs8nz-qF_oJTfyQ8A</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Garcia-Gutierrez, S.</creator><creator>Quintana, J. M.</creator><creator>Bilbao, A.</creator><creator>Unzurrunzaga, A.</creator><creator>Esteban, C.</creator><creator>Baré, M.</creator><creator>Girón Moreno, R. M.</creator><creator>Pulido, E.</creator><creator>Rivas, P.</creator><general>Blackwell Publishing Ltd</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201407</creationdate><title>Validity of criteria for hospital admission in exacerbations of COPD</title><author>Garcia-Gutierrez, S. ; Quintana, J. M. ; Bilbao, A. ; Unzurrunzaga, A. ; Esteban, C. ; Baré, M. ; Girón Moreno, R. M. ; Pulido, E. ; Rivas, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4317-f5f9f144a0642fc91f46b8f90cfebcbc365d167467cf218574c0650022f452433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Health Status</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - mortality</topic><topic>Pulmonary Disease, Chronic Obstructive - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia-Gutierrez, S.</creatorcontrib><creatorcontrib>Quintana, J. M.</creatorcontrib><creatorcontrib>Bilbao, A.</creatorcontrib><creatorcontrib>Unzurrunzaga, A.</creatorcontrib><creatorcontrib>Esteban, C.</creatorcontrib><creatorcontrib>Baré, M.</creatorcontrib><creatorcontrib>Girón Moreno, R. M.</creatorcontrib><creatorcontrib>Pulido, E.</creatorcontrib><creatorcontrib>Rivas, P.</creatorcontrib><creatorcontrib>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</creatorcontrib><creatorcontrib>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia-Gutierrez, S.</au><au>Quintana, J. M.</au><au>Bilbao, A.</au><au>Unzurrunzaga, A.</au><au>Esteban, C.</au><au>Baré, M.</au><au>Girón Moreno, R. M.</au><au>Pulido, E.</au><au>Rivas, P.</au><aucorp>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</aucorp><aucorp>IRYSS-COPD Appropriateness Study (IRYSS-COPD) Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validity of criteria for hospital admission in exacerbations of COPD</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2014-07</date><risdate>2014</risdate><volume>68</volume><issue>7</issue><spage>820</spage><epage>829</epage><pages>820-829</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
Aims
To validate a previously developed set of explicit criteria for the appropriateness of hospital admission among these patients using the RAND/UCLA Appropriateness Methodology (RAM).
Methods
We conducted a prospective cohort study of patients experiencing symptoms of COPD exacerbation seen in the emergency departments (ED) of 16 hospitals belonging to the Spanish National Health Service. Sociodemographic and clinical variables needed to assess appropriateness were recorded. Main outcomes were mortality, severe COPD evolution, complications at follow up, and three patient‐reported measures: dyspnoea level, capacity for physical activity and perceived health status.
Results
Appropriately admitted patients were more likely to die (6.70% vs. 2.68%, p = 0.0102) than inappropriately admitted patients, and were more likely to develop severe evolution (27.09% vs. 6.08%, p < 0.0001) and complications (18.72% vs. 11.92%, p = 0.0244). Among discharged patients, no significant differences were observed in clinical outcomes. All patients exhibited worse dyspnoea and capacity for physical activity after exacerbation, but changes among appropriately admitted patients were less than among appropriately discharged patients.
Conclusion
Our appropriateness criteria identified patients in worse condition at ED arrival who were more likely to benefit from admission in terms of mortality and COPD evolution.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25077290</pmid><doi>10.1111/ijcp.12397</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1368-5031 |
| ispartof | International journal of clinical practice (Esher), 2014-07, Vol.68 (7), p.820-829 |
| issn | 1368-5031 1742-1241 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1551022524 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Aged Aged, 80 and over Chronic obstructive pulmonary disease Cohort Studies Female Health Status Hospitalization Humans Male Prospective Studies Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - mortality Pulmonary Disease, Chronic Obstructive - therapy |
| title | Validity of criteria for hospital admission in exacerbations of COPD |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T04%3A01%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Validity%20of%20criteria%20for%20hospital%20admission%20in%20exacerbations%20of%20COPD&rft.jtitle=International%20journal%20of%20clinical%20practice%20(Esher)&rft.au=Garcia-Gutierrez,%20S.&rft.aucorp=IRYSS-COPD%20Appropriateness%20Study%20(IRYSS-COPD)%20Group&rft.date=2014-07&rft.volume=68&rft.issue=7&rft.spage=820&rft.epage=829&rft.pages=820-829&rft.issn=1368-5031&rft.eissn=1742-1241&rft_id=info:doi/10.1111/ijcp.12397&rft_dat=%3Cproquest_cross%3E3336822191%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1536696169&rft_id=info:pmid/25077290&rfr_iscdi=true |