Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/97242
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Balcells, Eva | - |
dc.contributor.author | Gimeno Santos, Elena | - |
dc.contributor.author | Batlle, Jordi de | - |
dc.contributor.author | Ramon, Maria Antonia | - |
dc.contributor.author | Rodríguez, Esther | - |
dc.contributor.author | Benet, Marta | - |
dc.contributor.author | Farrero, Eva | - |
dc.contributor.author | Ferrer Monreal, Antonio | - |
dc.contributor.author | Guerra, Stefano | - |
dc.contributor.author | Ferrer, Jaume | - |
dc.contributor.author | Sauleda, Jaume | - |
dc.contributor.author | Barberà i Mir, Joan Albert | - |
dc.contributor.author | Agustí García-Navarro, Àlvar | - |
dc.contributor.author | Rodríguez-Roisin, Robert | - |
dc.contributor.author | Gea Guiral, Joaquim | - |
dc.contributor.author | Antó i Boqué, Josep Maria | - |
dc.contributor.author | García Aymerich, Judith | - |
dc.contributor.author | PAC-COPD Study Group | - |
dc.date.accessioned | 2016-04-11T11:46:40Z | - |
dc.date.available | 2016-04-11T11:46:40Z | - |
dc.date.issued | 2015-01-17 | - |
dc.identifier.issn | 1471-2466 | - |
dc.identifier.uri | http://hdl.handle.net/2445/97242 | - |
dc.description.abstract | Background Under-diagnosis of COPD is an important unmet medical need. We investigated the characteristics and prognosis of hospitalised patients with undiagnosed COPD. Methods The PAC-COPD cohort included 342 COPD patients hospitalised for the first time for an exacerbation of COPD (2004-2006). Patients were extensively characterised using sociodemographic, clinical and functional variables, and the cohort was followed-up through 2008. We defined "undiagnosed COPD" by the absence of any self-reported respiratory disease and regular use of any pharmacological respiratory treatment. Results Undiagnosed COPD was present in 34% of patients. They were younger (mean age 66 vs. 68 years, p = 0.03), reported fewer symptoms (mMRC dyspnoea score, 2.1 vs. 2.6, p < 0.01), and had a better health status (SGRQ total score, 29 vs. 40, p < 0.01), milder airflow limitation (FEV1% ref., 59% vs. 49%, p < 0.01), and fewer comorbidities (two or more, 40% vs. 56%, p < 0.01) when compared with patients with an established COPD diagnosis. Three months after hospital discharge, 16% of the undiagnosed COPD patients had stopped smoking (vs. 5%, p = 0.019). During follow-up, annual hospitalisation rates were lower in undiagnosed COPD patients (0.14 vs. 0.25, p < 0.01); however, this difference disappeared after adjustment for severity. Mortality was similar in both groups. Conclusions Undiagnosed COPD patients have less severe disease and lower risk of re-hospitalisation when compared with hospitalised patients with known COPD. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: http://dx.doi.org/10.1186/1471-2466-15-4 | - |
dc.relation.ispartof | BMC Pulmonary Medicine, 2015, vol. 15, p. 4 | - |
dc.relation.uri | http://dx.doi.org/10.1186/1471-2466-15-4 | - |
dc.rights | cc-by (c) Balcells, E. et al., 2015 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Malalties pulmonars obstructives cròniques | - |
dc.subject.classification | Assistència hospitalària | - |
dc.subject.classification | Estudi de casos | - |
dc.subject.classification | Epidemiologia | - |
dc.subject.other | Chronic obstructive pulmonary diseases | - |
dc.subject.other | Hospital care | - |
dc.subject.other | Case studies | - |
dc.subject.other | Epidemiology | - |
dc.title | Characterisation and prognosis of undiagnosed chronic obstructive pulmonary disease patients at their first hospitalisation | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 658546 | - |
dc.date.updated | 2016-04-11T11:46:45Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 25595204 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
658546.pdf | 635.29 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License