Seasonal variability in clinical care of COPD outpatients: results from the Andalusian COPD audit

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...

Full description

Saved in:

Bibliographic Details
Published in:	International journal of chronic obstructive pulmonary disease Vol. 12; pp. 785 - 792
Main Authors:	López-Campos, Jose Luis, Abad Arranz, Maria, Calero-Acuña, Carmen, Romero-Valero, Fernando, Ayerbe-García, Ruth, Hidalgo-Molina, Antonio, Aguilar-Pérez-Grovas, Ricardo I, García-Gil, Francisco, Casas-Maldonado, Francisco, Caballero-Ballesteros, Laura, Sánchez-Palop, María, Pérez-Tejero, Dolores, Segado Soriano, Alejandro, Calvo-Bonachera, Jose, Hernández-Sierra, Bárbara, Doménech, Adolfo, Arroyo-Varela, Macarena, González-Vargas, Francisco, Cruz-Rueda, Juan J
Format:	Journal Article
Language:	English
Published:	New Zealand Dove Medical Press Limited 01-01-2017 Dove Medical Press Ltd Dove Medical Press
Subjects:	Administration, Inhalation Aged Audits Bronchodilator Agents - administration & dosage Care and treatment Chi-Square Distribution Chronic obstructive lung disease Chronic obstructive pulmonary disease Clinical medicine clinical practice COPD Dyspnea Female Forced Expiratory Volume Hospitals Humans Inhalers Logistic Models Lung - drug effects Lung - physiopathology Male Medical Audit Medical care quality Medical research Middle Aged Multivariate Analysis Nebulizers and Vaporizers Odds Ratio Original Research Patient outcomes Patient Satisfaction Pilot Projects Process Assessment (Health Care) Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - drug therapy Pulmonary Disease, Chronic Obstructive - epidemiology Pulmonary Disease, Chronic Obstructive - physiopathology Quality Indicators, Health Care quality of care Quality standards Retrospective Studies Seasons Spain - epidemiology Time Factors Treatment Outcome Variables Variance analysis Spain clinical practice seasons quality of care COPD
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	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. 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). 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. 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1178-2005 1176-9106 1178-2005
DOI:	10.2147/COPD.S121885