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Stable copd management in relation to the GOLD: Experience at a university hospital

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dc.creatorDurán Palomino, Dianaspa
dc.creatorVargas Pinilla, Olga Ceciliaspa
dc.date.accessioned2020-05-26T00:04:52Z
dc.date.available2020-05-26T00:04:52Z
dc.date.created2008spa
dc.description.abstractIntroduction: This paper presents a prospective and descriptive study discussing the outpatient care plan in a public hospital in Bogotá for patients with stable COPD according with the GOLD recommendations. The paper presents as well the influence of factors such as education, pharmacological treatment, pulmonary rehabilitation and oxygen-therapy. A survey was carried out among patients, and the results were evaluated and validated by a group of experts; a personal data card for the review of clinical records was considered. Materials and methods: This is a three-phase study. On the first phase, selected patients from outpatient care visits were included with a primary diagnosis of COPD on the stable condition stage; these patients had no evident exacerbation in at least one month before the survey. Clinical records, demographic data (gender, age), previous control dates, required examinations, prescribed medicines, referral to pulmonary rehabilitation programs, exercises and domiciliary oxygen-therapy were recorded. On the second phase, the survey was carried out among 61 adult patients who met the inclusion criteria and the clinical record register. On the third phase, the analysis and interpretation of the results were carried out with a statistic processing of the information, which considers multivariate and univariate data analysis using the software SPSS version 11.5 for Windows. Results: The number of patients with COPD diagnosis studied during the research period of time in our hospital outpatient service was 69, however only 61 of them fulfilled all the inclusion criteria. Sixty-one patients were interviewed, average age, 73. Seventy percent were female. Fifty percent of the participants were from low schooling, social and economic segments of the population; 50% had no formal education and 93% were family dependent. The major risk factor reported (84%) was wood fire smoke, with an average exposure of more than 20 years (72%). Thirty percent considered that they had been educated about their disease by a physician, 47% used inhaled bronchodilators, 48% of whom had difficulties to obtain them. Although 56% of all patients were using home oxygen therapy, and 93% suffered some degree of dyspnea, only one patient had undergone pulmonary rehabilitation. Conclusions: Our study revealed that non pharmacological therapy and patient education do not meet GOLD recommendations at a Colombian public hospital; this is due, in part, to inadequacies of the public health system and accessibility to it, lack of clinical guidelines, scant medical referral and heavy patients load. It is necessary to implement an improvement plan that will enhance COPD patient treatment and expand heath care professionals participation in it. © 2008 Corporación Editora Médica del Valle.eng
dc.format.mimetypeapplication/pdf
dc.identifier.issn16579534
dc.identifier.issn01208322
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23727
dc.language.isoengspa
dc.relation.citationEndPage345
dc.relation.citationIssueNo. 4
dc.relation.citationStartPage328
dc.relation.citationTitleColombia Medica
dc.relation.citationVolumeVol. 39
dc.relation.ispartofColombia Medica, ISSN:16579534, 01208322, Vol.39, No.4 (2008); pp. 328-345spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-64549152547&partnerID=40&md5=751d01af7b31ee7f29098da5d72bbe17spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAntibiotic agentspa
dc.subject.keywordBronchodilating agentspa
dc.subject.keywordCorticosteroidspa
dc.subject.keywordMucolytic agentspa
dc.subject.keywordOxygenspa
dc.subject.keywordVaccinespa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordChronic obstructive lung diseasespa
dc.subject.keywordClinical trialspa
dc.subject.keywordColombiaspa
dc.subject.keywordDescriptive researchspa
dc.subject.keywordDyspneaspa
dc.subject.keywordEducational statusspa
dc.subject.keywordEnvironmental exposurespa
dc.subject.keywordExercisespa
dc.subject.keywordFemalespa
dc.subject.keywordHealth care accessspa
dc.subject.keywordHealth care availabilityspa
dc.subject.keywordHealth care needspa
dc.subject.keywordHealth care planningspa
dc.subject.keywordHealth care systemspa
dc.subject.keywordHealth surveyspa
dc.subject.keywordHome carespa
dc.subject.keywordHumanspa
dc.subject.keywordInterviewspa
dc.subject.keywordLung surgeryspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMultivariate analysisspa
dc.subject.keywordOutpatient carespa
dc.subject.keywordOxygen therapyspa
dc.subject.keywordPatient educationspa
dc.subject.keywordPatient referralspa
dc.subject.keywordPatient selectionspa
dc.subject.keywordPractice guidelinespa
dc.subject.keywordProspective studyspa
dc.subject.keywordPublic healthspa
dc.subject.keywordPublic hospitalspa
dc.subject.keywordPulmonary rehabilitationspa
dc.subject.keywordQuality of lifespa
dc.subject.keywordRisk factorspa
dc.subject.keywordSmokespa
dc.subject.keywordSocioeconomicsspa
dc.subject.keywordUnivariate analysisspa
dc.subject.keywordUniversity hospitalspa
dc.subject.keywordWood ashspa
dc.subject.keywordCopd managementspa
dc.subject.keywordGold recommendationsspa
dc.subject.keywordQuality of lifespa
dc.titleStable copd management in relation to the GOLD: Experience at a university hospitalspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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