Management of Patients With Chronic Obstructive Pulmonary Disease in Granada: a Clinical Audit
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 2,280
- 主要终点
- To audit public healthcare for patients with COPD in primary care offices in Granada.
研究概览
简要总结
It is actually unknown how are the COPD clinical guidelines followed in primary care in Andalusia, specially for diagnosis and follow up of patients with this diseases. Detection of areas for improvement in COPD healthcare can be useful in order to implement improvement programs. This project is a clinical audit among primary care centres in Granada attending patients with COPD in the public health system
详细描述
The aim of this study is to audit the attention to people with COPD among primary care centres in Granada, as well as how clinical guidelines are followed and other recommendations. The study will comprise medical records from more than 3000 patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults (men or women) aged more than 40 years old
- •Diagnostic code in Andalusian clinical records (Diraya) in accordance with ICD-9 (Diagnostic codes 496, 492.8, 494.0, 491.20, 493.2)
- •Current of former smokers of at least 10 pack- years
- •Patient with a minimum follow up of 1 year, who have been assisted in a scheduled primary care appointment at inclusion date.
排除标准
- •Patients with a diagnostic code for COPD attended at primary care office, but without information related with COPD in the previous year.
- •Patients currently involved in any clinical trial or research study related with COPD.
- •Those patients excluded will be collected in an exclusion causes chart for each centre. These patients will not affect overall number of patients targeted for each centre.
结局指标
主要结局
To audit public healthcare for patients with COPD in primary care offices in Granada.
时间窗: 1 year
Number of patients with a diagnosis code for COPD among participants with auitable clinical records
次要结局
- To describe current available resources for COPD healthcare in the primary care level in Granada.(1 year)
- To evaluate the adherence to clinical guidelines for COPD(1 year)
- To describe the quality of care for COPD patients, focusing on determinants of variability(such as seasonality)(1 year)
- To describe clinical profile of patients with COPD attended at primary care offices in Granada(1 year)