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exacerbation epoc

Ingrid Solanes, Ignasi Bolíbar, Maria Antònia Llauger, Meritxell Peiro, Pepi Valverde, Mar Fraga, Casimira Medrano, Teresa Bigorra, Montserrat Freixas, Iskra Ligüerre, Maria Antònia Pou, Leandra Domínguez, Carles Valero, Judit Solà, Jordi Giner, Vicente Plaza
OBJECTIVE: To evaluate the effectiveness of two management programs on patients with chronic obstructive pulmonary disease (COPD). DESIGN: A study with a quasi-experimental design was used to evaluate the effectiveness of two interventions (I1, I2) for the care of patients with COPD after a mean follow-up of 31.2months. SETTING: Primary Care Centres in two Barcelona Health Areas and their referral hospitals. PARTICIPANTS: Patients with COPD selected by simple random sampling using any disease code corresponding to COPD...
March 2018: Atencion Primaria
Jesús Díez-Manglano, Jesús Recio Iglesias, José Manuel Varela Aguilar, Pere Almagro Mena, Gabriel Zubillaga Garmendia
BACKGROUND AND OBJECTIVE: To determine the effectiveness of a simple educational intervention to improve the management of cardiovascular comorbidities in patients hospitalized with an acute exacerbation of chronic obstructive pulmonary disease (COPD). MATERIAL AND METHODS: Multicenter study participated in by 26 hospital centers. A panel of experts elaborated a set of recommendations about diagnostic and therapeutic management of acute exacerbation of COPD and cardiovascular comorbidities (coronary artery disease, atrial fibrillation, heart failure and diabetes)...
September 20, 2017: Medicina Clínica
Jasper V Been, Johan P Mackenbach, Christopher Millett, Sanjay Basu, Aziz Sheikh
INTRODUCTION: Children experience considerable morbidity and mortality due to tobacco smoke exposure. Tobacco control policies may benefit child health by reducing this exposure. We aim to comprehensively assess the effects of the range of tobacco control policies advocated by the WHO on perinatal and child health. METHODS AND ANALYSIS: We will systematically search 19 electronic literature databases (from inception) for published studies, and the WHO International Clinical Trials Registry Platform for unpublished studies...
September 22, 2015: BMJ Open
Isabelle Peytremann-Bridevaux, Chantal Arditi, Grégoire Gex, Pierre-Olivier Bridevaux, Bernard Burnand
BACKGROUND: The burden of asthma on patients and healthcare systems is substantial. Interventions have been developed to overcome difficulties in asthma management. These include chronic disease management programmes, which are more than simple patient education, encompassing a set of coherent interventions that centre on the patients' needs, encouraging the co-ordination and integration of health services provided by a variety of healthcare professionals, and emphasising patient self-management as well as patient education...
2015: Cochrane Database of Systematic Reviews
Paul Brocklehurst, Juliet Price, Anne-Marie Glenny, Martin Tickle, Stephen Birch, Elizabeth Mertz, Jostein Grytten
BACKGROUND: Methods of remuneration have been linked with the professional behaviour of primary care physicians. In dentistry, this can be exacerbated as clinicians operate their practices as businesses and take the full financial risk of the provision of services. The main methods for remunerating primary care dentists include fee-for-service, fixed salary and capitation payments. The aim of this review was to determine the impact that these remuneration mechanisms have upon primary care dentists' behaviour...
2013: Cochrane Database of Systematic Reviews
A Arnedillo Muñoz
No abstract text is available yet for this article.
April 2013: Semergen
A Arnedillo Muñoz
No abstract text is available yet for this article.
April 2013: Semergen
A Arnedillo Muñoz
No abstract text is available yet for this article.
January 2013: Semergen
A Arnedillo Muñoz
No abstract text is available yet for this article.
March 2013: Semergen
Marc Miravitlles, Juan José Soler-Cataluña, Myriam Calle, Jesús Molina, Pere Almagro, José Antonio Quintano, Juan Antonio Trigueros, Pascual Piñera, Adolfo Simón, Juan Antonio Riesco, Julio Ancochea, Joan B Soriano
After the development of the COPD Strategy of the National Health Service in Spain, all scientific societies, patient organisations, and central and regional governments formed a partnership to enhance care and research in COPD. At the same time, the Spanish Society of Pneumology and Thoracic Surgery (SEPAR) took the initiative to convene the various scientific societies involved in the National COPD Strategy and invited them to participate in the development of the new Spanish guidelines for COPD (Guía Española de la EPOC; GesEPOC)...
March 2013: Primary Care Respiratory Journal: Journal of the General Practice Airways Group
Jasper V Been, Ulugbek Nurmatov, Constant P van Schayck, Aziz Sheikh
INTRODUCTION: Second-hand smoke (SHS) exposure is estimated to kill 600 000 people worldwide annually. The WHO recommends that smoke-free indoor public environments are enforced through national legislation. Such regulations have been shown to reduce SHS exposure and, consequently, respiratory and cardiovascular morbidity. Evidence of particular health benefit in children is now emerging, including reductions in low birthweight deliveries, preterm birth and asthma exacerbations. We aim to comprehensively assess the impact of smoke-free legislation on fetal, infant and childhood outcomes...
2013: BMJ Open
Pedro Almagro, Francisco Javier Cabrera, Jesus Diez, Ramon Boixeda, M Belen Alonso Ortiz, Cristina Murio, Joan B Soriano
BACKGROUND: Comorbidities are frequent in patients hospitalized for COPD exacerbation, but little is known about their relation with short-term mortality and hospital readmissions. Our hypothesis is that the frequency and type of comorbidities impair the prognosis within 12 weeks after discharge. METHODS: A longitudinal, observational, multicenter study of patients hospitalized for a COPD exacerbation with spirometric confirmation was performed. Comorbidity information was collected using the Charlson index and a questionnaire that included other common conditions not included in this index...
November 2012: Chest
A Arnedillo Muñoz
No abstract text is available yet for this article.
November 2012: Semergen
A Arnedillo Muñoz
No abstract text is available yet for this article.
October 2012: Semergen
Juan Carlos Figueroa Casas, Eduardo Schiavi, Juan Antonio Mazzei, Ana María López, Edgardo Rhodius, Julián Ciruzzi, Martín Sívori
Since morbidity, mortality and socioeconomic costs from Chronic Obstructive Pulmonary Disease (COPD) are widely increasing, a group of respiratory medicine specialists was summoned by the AAMR to update basic knowledge on COPD and to issue recommendations for its prevention, diagnosis and treatment. The authors review the definition of COPD together with current knowledge on pathophysiology. Clinical presentation, functional evaluation and imaging are summarized. Early diagnosis through pulmonary function tests -mainly spirometry- and the role of smoking cessation are stressed...
2012: Medicina
A Arnedillo Muñoz
No abstract text is available yet for this article.
September 2012: Semergen
A Arnedillo Muñoz
No abstract text is available yet for this article.
September 2012: Semergen
P Almagro, F López, F J Cabrera, J Portillo, M Fernández-Ruiz, E Zubillaga, J Díez, P Román, J Murcia-Zaragoza, R Boixeda, C Murio, J B Soriano
BACKGROUNDS AND OBJECTIVES: The presence of associated diseases is very frequent in patients hospitalized due to exacerbation of COPD. We have studied the comorbidities of patients admitted due to the disease in the Spanish Internal Medicine Services and we have evaluated the variations in regards to a previous study (ECCO study) performed two years earlier. PATIENTS AND METHODS: A cross-sectional, multicenter and cohort study was performed. Patients hospitalized due to exacerbation of COPD in Spanish Internal Medicine Services were enrolled...
June 2012: Revista Clínica Española
P Almagro, A Sangil, J Custardoy, C San Román Terán, J C Martín Escudero, J Díez-Manglano
Chronic obstructive pulmonary disease (COPD) is one of the most prevalent diseases and a major cause of morbidity and mortality in Spain. Currently, COPD is considered a treatable disease with an inflammatory origin that is frequently associated with other diseases. The prevalence of comorbidity is clearly increased in patients with COPD, irrespective of other confounding variables such as smoking. Current treatments have been proven to slow the loss of lung function, decrease the number of exacerbations and improve health-related quality of life and survival...
April 2013: Revista Clínica Espanõla
Ramon Boixeda, Pedro Almagro, Jesús Díez, Juan Custardoy, Francisco López García, Carlos San Román Terán, Jesús Recio, Joan B Soriano
BACKGROUND AND OBJECTIVE: Hospitalizations for chronic obstructive pulmonary disease (COPD) occur mostly in elderly patients. We describe the characteristics and treatment of elderly patients hospitalized for COPD in Internal Medicine Services, compared with the younger age group. PATIENTS AND METHODS: Observational, prospective, multicenter study. We compared the differences between patients older than 80 years and the rest regarding comorbidity, severity of COPD, previous admissions, length of stay and treatment prescribed...
April 28, 2012: Medicina Clínica
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