Exacerbation in COPD:a web platform to evaluate, in real-life, COPD management in the Apulia Region (Italy)
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Le résumé fourni par la source
Introduction: the COPD exacerbations are associated with a high mortality rate, a faster decline in lung function, poor quality of life and increased health resource utilization. Aims and objectives: to evaluate COPD management in Apulia region. In this context, an “Exacerbation in COPD " study was performed in collaboration between pulmonology centers and the Regional Health Agency (AReS Puglia). Methods: an IT platform developed by the Interuniversity Consortium CINECA allowed pulmonologists the insertion of data via internet. The project lasted 18 months and involved 11 centers. Results: 764 patients were enrolled (16% female and 84% male), evenly distributed throughout the region. The platform allowed the classification of patients according to GOLD guidelines (Group A 22%, B 33.6%, C 5.9% D 38.4%), assess the presence and severity of exacerbations (19.9% had an exacerbation at the moment of the visit, respectively slight 13%, 37% mild and 49% severe) and evaluate the appropriateness of inhalation therapy at the time of the visit. We found that 49% of group A patients were following inappropriate therapy, with 14% already in ICS/LABA+LAMA; in group B, 34% of patients were following a triple combination therapy and 31% used ICS, in contrast with guidelines. Among group C patients, 41% resulted in triple combination therapy, while 22% of group D patients did not have a therapy or used a single drug. In conclusion, 47% of all patients evaluated had been following an inadequate therapy. Conclusion: the data provide an overview on the management of COPD in the Apulia region and represent a resource in order to improve appropriateness and reduce the waste of health resources.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Exacerbation in COPD:a web platform to evaluate, in real-life, COPD management in the Apulia Region (Italy)
- Date Crossref
- 01/09/2017
- Éditeur
- European Respiratory Society
- Type
- proceedings-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Foggia Department of Medical and Surgical Sciences pays non établi dans la noticeUniversité ou école supérieure
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University of Bari Aldo Moro Institute of Respiratory Disease pays non établi dans la noticeUniversité ou école supérieure
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Istituto Nazionale di Fisica Nucleare pays non établi dans la noticeStructure de recherche
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Ospedale Generale Regionale Francesco Miulli pays non établi dans la noticeÉtablissement de santé
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Agenzia Regionale Sanitaria della Puglia pays non établi dans la noticeOrganisme public
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Presidio Ospedaliero pays non établi dans la noticeÉtablissement de santé
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Presidio di pneumologia di Lecce pays non établi dans la noticeInstitution
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Unita` di Fisiopatologia Respiratoria pays non établi dans la noticeInstitution
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Reparto Pneumologia e Riabilitazione Respiratoria “A. Blasi” pays non établi dans la noticeInstitution
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Reparto Pneumologia e Riabilitazione Respiratoria "A. Blasi" pays non établi dans la noticeInstitution
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ARES Regional Health Agency pays non établi dans la noticeOrganisme public
Department of Medical and Surgical Sciences — University of Foggia, Institute of Respiratory Disease — University of Bari Aldo Moro et Istituto Nazionale di Fisica Nucleare, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.