Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)

53 Páginas.

Autores:: Ramírez Puentes, Ángela María
González García, Mauricio

Tipo de recurso:

Fecha de publicación:: 2013

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: spa

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dc.title.es_CO.fl_str_mv	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
title	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
spellingShingle	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia) Enfermedad crónica del sistema respiratorio -- Colombia Enfermedad crónica pulmonar -- Colombia Enfermedades pulmonares obstructivas -- Colombia Pulmones -- Enfermedades obstructivas -- Colombia
title_short	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
title_full	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
title_fullStr	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
title_full_unstemmed	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
title_sort	Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)
dc.creator.fl_str_mv	Ramírez Puentes, Ángela María González García, Mauricio
dc.contributor.advisor.none.fl_str_mv	Casas, Alejandro
dc.contributor.author.none.fl_str_mv	Ramírez Puentes, Ángela María González García, Mauricio
dc.subject.none.fl_str_mv	Enfermedad crónica del sistema respiratorio -- Colombia Enfermedad crónica pulmonar -- Colombia Enfermedades pulmonares obstructivas -- Colombia Pulmones -- Enfermedades obstructivas -- Colombia
topic	Enfermedad crónica del sistema respiratorio -- Colombia Enfermedad crónica pulmonar -- Colombia Enfermedades pulmonares obstructivas -- Colombia Pulmones -- Enfermedades obstructivas -- Colombia
description	53 Páginas.
publishDate	2013
dc.date.accessioned.none.fl_str_mv	2013-12-09T13:21:56Z
dc.date.available.none.fl_str_mv	2013-12-09T13:21:56Z
dc.date.created.none.fl_str_mv	2013
dc.date.issued.none.fl_str_mv	2013-12-09
dc.type.none.fl_str_mv	bachelorThesis
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dc.type.local.none.fl_str_mv	Tesis de especialización
dc.type.hasVersion.none.fl_str_mv	publishedVersion
dc.identifier.citation.none.fl_str_mv	Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Menezes AMB, Perez-Padilla R, Jardim JB. Chronic obstructive pulmonary disease in five Latin American cities. [The PLATINO study] a prevalence study. Lancet. 2005; 366: 1875-81. Sharafkhaneh A, Petersen NJ, Hong JY. Burden of COPD in a government health care system: a retrospective observational study using data from the US Veterans Affairs population. Int J of COPD. 2010; 5: 125-32. Mannino DM, Homa DM, Akinbami LJ. Chronic Obstructive Pulmonary Disease Surveillance - United States: 1971-2000. Respir Care. 2002; 47(10): 1184-99. Cote CG, Celli BR. Predictors of Mortality in Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2007; 28: 515-24. Toy EL, Gallaguer KF, Stanley E. The Economic Impact of Exacerbations of Chronic Obstructive Pulmonary Disease and Exacerbation Definition: A Review. COPD. 2010; 7(3): 214-28. Casas A, Troosters T, Garcia-Aymerich J. Integrated care prevents hospitalizations for exacerbations in COPD patients. Eur Respir J. 2006; 28: 123-30. Steuten LM, Lemmens KM, Nieboer AP. Identifying potentially cost effective chronic care programs for people with COPD. Int J of COPD. 2009; 4: 87-100. Gadoury A, Schwartzman K; Rouleau M. Self-management reduces both short- and long-term hospitalization in COPD. Eur Respir J. 2005; 26: 853-57. Bourbeau J. Preventing hospitalization for COPD exacerbations. Semin Respir Crit Care Med. 2010; 31(3): 313-20. Bahadori K, FitzGerald JM, Levy RD. Risk factors and outcomes associated with chronic obstructive pulmonary disease exacerbations requiring hospitalization. Can Respir J. 2009; 16(4): e43-e49. Rennard SI. Inflammation in COPD: a link to systemic comorbidities. European Respiratory Review. 2007; 16(105): 91-7. Sin DD, Anthonisen NR, Soriano JB. Mortality in COPD: Role of comorbidities. EurRespir J. 2006; 28(6): 1245-57. Renom F, Yáñez A, Garau M. Prognosis of COPD patients requiring frequent hospitalization: Role of airway infection. Respiratory Medicine. 2010; 104: 840-48. Jadwiga A, Wedzicha, Donaldson G. Exacerbations of Chronic Obstructive Pulmonary Disease. Respir Care. 2003; 48(12): 1204-13 kessler R, Faller M, Fourgaut G. Predictive Factors of Hospitalization for Acute Exacerbation in a Series of 64 Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 1999; 159: 158-64. Garcia-Aymerich J, Monsó E, Marrades R. Risk Factors for Hospitalization for a Chronic Obstructive Pulmonary Disease Exacerbation. EFRAM STUDY. Am J Respir Crit Care Med. 2001; 164: 1002-7. Bahadori K, FitzGerald JM. Risk factors of hospitalization and readmission of patients with COPD exacerbation – systematic review. International Journal of COPD. 2007; 2(3): 241-51. Young RP, Hopkin R, Eaton TE. Forced expiratory volume in one second: not just a lung function test but a marker of premature death from all causes. Eur Respir J. 2007; 30: 616-22. . Anzueto A, Leimer I, Kesten S. Impact of frequency of COPD exacerbations on pulmonary function, health status and clinical Outcomes. International Journal of COPD. 2009; 4: 245-51. Soler JJ, Martínez MA, Román P. Eficacia de un programa específico para pacientes con EPOC que presentan frecuentes agudizaciones. Arch Bronconeumol. 2006; 42: 501-8. Spencer S, Calverley PMA, Burge PS. Impact of preventing exacerbations on deterioration of health status in COPD. Eur Respir J. 2004; 23: 698-702. Hernández MT, Montemayor T, Ortega F. Results of a Home-Based Training Program for Patients with COPD. CHEST. 2000; 118: 106-14. Hill NS. Pulmonary Rehabilitation. Proc Am Thorac Soc. 2006; 3: 66-74. Kuzma AM, Meli Y, Meldrum C. Multidisciplinary Care of the Patient with Chronic Obstructive Pulmonary Disease. Proc Am Thorac Soc. 2008; 5: 567–71. . Bourbeau J, Julien M, Maltais F. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003; 163: 585-91. Mularski RA, Asch SM, Shrank WH, Kerr EA, Setodji CM, Adams JL.The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processes. CHEST. 2006; 130: 1844-50. Adams S, Smith PK, Allan PF. Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management. Arch Intern Med. 2007; 167: 551-61. Wagner EG, Austin BT, Davis C. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001; 20 (6): 64-78. Haggerty MC, Stockdale-Woolley R, Nair S. Respi-care: an innovative home care program for the patient with chronic obstructive pulmonary disease. CHEST. 1991; 100: 607-12. Poole PJ, Chase B, Frankel A. Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology. 2001; 6: 37-42. Farkas J, Kosnik M, Flezar M. Self-Rated Health Predicts Acute Exacerbations and Hospitalizations in Patients with COPD. CHEST. 2010; 138(2): 323-30. Puente-Maestu L, Sánz ML, Sánz P. Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD. Lung. 2003; 181: 67–78. Sharma G, Kuo YF, Freeman JL. Outpatient Follow-up Visit and 30-Day Emergency Department Visit and Readmission in Patients Hospitalized for Chronic Obstructive Pulmonary Disease. Arch Intern Med. 2010; 170(18): 1664-70.
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identifier_str_mv	Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Menezes AMB, Perez-Padilla R, Jardim JB. Chronic obstructive pulmonary disease in five Latin American cities. [The PLATINO study] a prevalence study. Lancet. 2005; 366: 1875-81. Sharafkhaneh A, Petersen NJ, Hong JY. Burden of COPD in a government health care system: a retrospective observational study using data from the US Veterans Affairs population. Int J of COPD. 2010; 5: 125-32. Mannino DM, Homa DM, Akinbami LJ. Chronic Obstructive Pulmonary Disease Surveillance - United States: 1971-2000. Respir Care. 2002; 47(10): 1184-99. Cote CG, Celli BR. Predictors of Mortality in Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2007; 28: 515-24. Toy EL, Gallaguer KF, Stanley E. The Economic Impact of Exacerbations of Chronic Obstructive Pulmonary Disease and Exacerbation Definition: A Review. COPD. 2010; 7(3): 214-28. Casas A, Troosters T, Garcia-Aymerich J. Integrated care prevents hospitalizations for exacerbations in COPD patients. Eur Respir J. 2006; 28: 123-30. Steuten LM, Lemmens KM, Nieboer AP. Identifying potentially cost effective chronic care programs for people with COPD. Int J of COPD. 2009; 4: 87-100. Gadoury A, Schwartzman K; Rouleau M. Self-management reduces both short- and long-term hospitalization in COPD. Eur Respir J. 2005; 26: 853-57. Bourbeau J. Preventing hospitalization for COPD exacerbations. Semin Respir Crit Care Med. 2010; 31(3): 313-20. Bahadori K, FitzGerald JM, Levy RD. Risk factors and outcomes associated with chronic obstructive pulmonary disease exacerbations requiring hospitalization. Can Respir J. 2009; 16(4): e43-e49. Rennard SI. Inflammation in COPD: a link to systemic comorbidities. European Respiratory Review. 2007; 16(105): 91-7. Sin DD, Anthonisen NR, Soriano JB. Mortality in COPD: Role of comorbidities. EurRespir J. 2006; 28(6): 1245-57. Renom F, Yáñez A, Garau M. Prognosis of COPD patients requiring frequent hospitalization: Role of airway infection. Respiratory Medicine. 2010; 104: 840-48. Jadwiga A, Wedzicha, Donaldson G. Exacerbations of Chronic Obstructive Pulmonary Disease. Respir Care. 2003; 48(12): 1204-13 kessler R, Faller M, Fourgaut G. Predictive Factors of Hospitalization for Acute Exacerbation in a Series of 64 Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 1999; 159: 158-64. Garcia-Aymerich J, Monsó E, Marrades R. Risk Factors for Hospitalization for a Chronic Obstructive Pulmonary Disease Exacerbation. EFRAM STUDY. Am J Respir Crit Care Med. 2001; 164: 1002-7. Bahadori K, FitzGerald JM. Risk factors of hospitalization and readmission of patients with COPD exacerbation – systematic review. International Journal of COPD. 2007; 2(3): 241-51. Young RP, Hopkin R, Eaton TE. Forced expiratory volume in one second: not just a lung function test but a marker of premature death from all causes. Eur Respir J. 2007; 30: 616-22. . Anzueto A, Leimer I, Kesten S. Impact of frequency of COPD exacerbations on pulmonary function, health status and clinical Outcomes. International Journal of COPD. 2009; 4: 245-51. Soler JJ, Martínez MA, Román P. Eficacia de un programa específico para pacientes con EPOC que presentan frecuentes agudizaciones. Arch Bronconeumol. 2006; 42: 501-8. Spencer S, Calverley PMA, Burge PS. Impact of preventing exacerbations on deterioration of health status in COPD. Eur Respir J. 2004; 23: 698-702. Hernández MT, Montemayor T, Ortega F. Results of a Home-Based Training Program for Patients with COPD. CHEST. 2000; 118: 106-14. Hill NS. Pulmonary Rehabilitation. Proc Am Thorac Soc. 2006; 3: 66-74. Kuzma AM, Meli Y, Meldrum C. Multidisciplinary Care of the Patient with Chronic Obstructive Pulmonary Disease. Proc Am Thorac Soc. 2008; 5: 567–71. . Bourbeau J, Julien M, Maltais F. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003; 163: 585-91. Mularski RA, Asch SM, Shrank WH, Kerr EA, Setodji CM, Adams JL.The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processes. CHEST. 2006; 130: 1844-50. Adams S, Smith PK, Allan PF. Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management. Arch Intern Med. 2007; 167: 551-61. Wagner EG, Austin BT, Davis C. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001; 20 (6): 64-78. Haggerty MC, Stockdale-Woolley R, Nair S. Respi-care: an innovative home care program for the patient with chronic obstructive pulmonary disease. CHEST. 1991; 100: 607-12. Poole PJ, Chase B, Frankel A. Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology. 2001; 6: 37-42. Farkas J, Kosnik M, Flezar M. Self-Rated Health Predicts Acute Exacerbations and Hospitalizations in Patients with COPD. CHEST. 2010; 138(2): 323-30. Puente-Maestu L, Sánz ML, Sánz P. Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD. Lung. 2003; 181: 67–78. Sharma G, Kuo YF, Freeman JL. Outpatient Follow-up Visit and 30-Day Emergency Department Visit and Readmission in Patients Hospitalized for Chronic Obstructive Pulmonary Disease. Arch Intern Med. 2010; 170(18): 1664-70. 256142 TE06106
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spelling	Casas, AlejandroRamírez Puentes, Ángela MaríaGonzález García, MauricioEspecialista en Neumología2013-12-09T13:21:56Z2013-12-09T13:21:56Z20132013-12-09Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.com Global Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.comGlobal Initiative for Chronic Obstructive Lung Disease [sede web]. Barcelona: Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. [Update 2010]. Disponible en: http://www.goldcopd.comMenezes AMB, Perez-Padilla R, Jardim JB. Chronic obstructive pulmonary disease in five Latin American cities. [The PLATINO study] a prevalence study. Lancet. 2005; 366: 1875-81.Sharafkhaneh A, Petersen NJ, Hong JY. Burden of COPD in a government health care system: a retrospective observational study using data from the US Veterans Affairs population. Int J of COPD. 2010; 5: 125-32.Mannino DM, Homa DM, Akinbami LJ. Chronic Obstructive Pulmonary Disease Surveillance - United States: 1971-2000. Respir Care. 2002; 47(10): 1184-99.Cote CG, Celli BR. Predictors of Mortality in Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2007; 28: 515-24.Toy EL, Gallaguer KF, Stanley E. The Economic Impact of Exacerbations of Chronic Obstructive Pulmonary Disease and Exacerbation Definition: A Review. COPD. 2010; 7(3): 214-28.Casas A, Troosters T, Garcia-Aymerich J. Integrated care prevents hospitalizations for exacerbations in COPD patients. Eur Respir J. 2006; 28: 123-30.Steuten LM, Lemmens KM, Nieboer AP. Identifying potentially cost effective chronic care programs for people with COPD. Int J of COPD. 2009; 4: 87-100.Gadoury A, Schwartzman K; Rouleau M. Self-management reduces both short- and long-term hospitalization in COPD. Eur Respir J. 2005; 26: 853-57.Bourbeau J. Preventing hospitalization for COPD exacerbations. Semin Respir Crit Care Med. 2010; 31(3): 313-20.Bahadori K, FitzGerald JM, Levy RD. Risk factors and outcomes associated with chronic obstructive pulmonary disease exacerbations requiring hospitalization. Can Respir J. 2009; 16(4): e43-e49.Rennard SI. Inflammation in COPD: a link to systemic comorbidities. European Respiratory Review. 2007; 16(105): 91-7.Sin DD, Anthonisen NR, Soriano JB. Mortality in COPD: Role of comorbidities. EurRespir J. 2006; 28(6): 1245-57.Renom F, Yáñez A, Garau M. Prognosis of COPD patients requiring frequent hospitalization: Role of airway infection. Respiratory Medicine. 2010; 104: 840-48.Jadwiga A, Wedzicha, Donaldson G. Exacerbations of Chronic Obstructive Pulmonary Disease. Respir Care. 2003; 48(12): 1204-13kessler R, Faller M, Fourgaut G. Predictive Factors of Hospitalization for Acute Exacerbation in a Series of 64 Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 1999; 159: 158-64.Garcia-Aymerich J, Monsó E, Marrades R. Risk Factors for Hospitalization for a Chronic Obstructive Pulmonary Disease Exacerbation. EFRAM STUDY. Am J Respir Crit Care Med. 2001; 164: 1002-7.Bahadori K, FitzGerald JM. Risk factors of hospitalization and readmission of patients with COPD exacerbation – systematic review. International Journal of COPD. 2007; 2(3): 241-51.Young RP, Hopkin R, Eaton TE. Forced expiratory volume in one second: not just a lung function test but a marker of premature death from all causes. Eur Respir J. 2007; 30: 616-22.. Anzueto A, Leimer I, Kesten S. Impact of frequency of COPD exacerbations on pulmonary function, health status and clinical Outcomes. International Journal of COPD. 2009; 4: 245-51.Soler JJ, Martínez MA, Román P. Eficacia de un programa específico para pacientes con EPOC que presentan frecuentes agudizaciones. Arch Bronconeumol. 2006; 42: 501-8.Spencer S, Calverley PMA, Burge PS. Impact of preventing exacerbations on deterioration of health status in COPD. Eur Respir J. 2004; 23: 698-702.Hernández MT, Montemayor T, Ortega F. Results of a Home-Based Training Program for Patients with COPD. CHEST. 2000; 118: 106-14.Hill NS. Pulmonary Rehabilitation. Proc Am Thorac Soc. 2006; 3: 66-74.Kuzma AM, Meli Y, Meldrum C. Multidisciplinary Care of the Patient with Chronic Obstructive Pulmonary Disease. Proc Am Thorac Soc. 2008; 5: 567–71.. Bourbeau J, Julien M, Maltais F. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003; 163: 585-91.Mularski RA, Asch SM, Shrank WH, Kerr EA, Setodji CM, Adams JL.The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processes. CHEST. 2006; 130: 1844-50.Adams S, Smith PK, Allan PF. Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management. Arch Intern Med. 2007; 167: 551-61.Wagner EG, Austin BT, Davis C. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001; 20 (6): 64-78.Haggerty MC, Stockdale-Woolley R, Nair S. Respi-care: an innovative home care program for the patient with chronic obstructive pulmonary disease. CHEST. 1991; 100: 607-12.Poole PJ, Chase B, Frankel A. Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology. 2001; 6: 37-42.Farkas J, Kosnik M, Flezar M. Self-Rated Health Predicts Acute Exacerbations and Hospitalizations in Patients with COPD. CHEST. 2010; 138(2): 323-30.Puente-Maestu L, Sánz ML, Sánz P. Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD. Lung. 2003; 181: 67–78.Sharma G, Kuo YF, Freeman JL. Outpatient Follow-up Visit and 30-Day Emergency Department Visit and Readmission in Patients Hospitalized for Chronic Obstructive Pulmonary Disease. Arch Intern Med. 2010; 170(18): 1664-70.http://hdl.handle.net/10818/9000256142TE0610653 Páginas.Introducción: La EPOC (Enfermedad Pulmonar Obstructiva Crónica) es un grave problema de salud pública mundial. Las hospitalizaciones por exacerbación de la enfermedad son las que generan los mayores costos en salud. La creación de programas de manejo integral podría reducir el uso de recursos sanitarios. Métodos: Estudio de cohorte única, con un diseño de “antes-después” donde cada paciente es su propio control. Se estudiaron pacientes pertenecientes a AIREPOC con al menos una hospitalización de causa respiratoria el año anterior y que no habían participado en programas de rehabilitación pulmonar. La intervención se basó en a) evaluación inicial, b) educación en el autocuidado, c) fácil acceso telefónico, médico y de terapia respiratoria para un seguimiento y atención oportuna de exacerbaciones, y d) plan de cuidado personalizado. La frecuencia de hospitalizaciones, los días de estancia, el índice de disnea y el nivel de calidad de vida fueron comparados al ingreso al programa y al final del primer año en AIREPOC. Resultados: De los 204 pacientes seguidos el primer año de AIREPOC el 70.1% de los pacientes (143) no se hospitalizaron y el total de hospitalizaciones disminuyó un 66.6% (320 a 107). La estancia hospitalaria se redujo en un día pero sin significancia estadística. No se observaron cambios en la disnea medida con la escala del MRCm. La calidad de vida mejoró en todos los dominios del SGRQ, con una disminución en el dominio total de -5.3 u (p<0.001). Conclusión: Un programa de atención integral para la EPOC (AIREPOC), disminuye las hospitalizaciones de causa respiratoria y mejora la calidad de vida durante el primer año de seguimiento.spaUniversidad de La SabanaEspecialización en NeumologíaFacultad de MedicinaUniversidad de La SabanaIntellectum Repositorio Universidad de La SabanaEnfermedad crónica del sistema respiratorio -- ColombiaEnfermedad crónica pulmonar -- ColombiaEnfermedades pulmonares obstructivas -- ColombiaPulmones -- Enfermedades obstructivas -- ColombiaImpacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)bachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/access_right/c_abf2LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/9000/2/license.txtf52a2cfd4df262e08e9b300d62c85cabMD52Ángela María Ramírez Puentes (Carta).pdfÁngela María Ramírez Puentes (Carta).pdfapplication/pdf240922https://intellectum.unisabana.edu.co/bitstream/10818/9000/4/%c3%81ngela%20Mar%c3%ada%20Ram%c3%adrez%20Puentes%20%28Carta%29.pdf0b4268b5d6e335dfbb1198b4376b7ae3MD54ORIGINAL_ngela Mar_a Ram_rez Puentes FINAL.pdf_ngela Mar_a Ram_rez Puentes FINAL.pdfVer documento en PDFapplication/pdf727902https://intellectum.unisabana.edu.co/bitstream/10818/9000/1/_ngela%20Mar_a%20Ram_rez%20Puentes%20FINAL.pdffb2e03cdc01cecc0cea295ba5968163dMD51TEXT_ngela Mar_a Ram_rez Puentes FINAL.pdf.txt_ngela Mar_a Ram_rez Puentes FINAL.pdf.txtExtracted Texttext/plain53https://intellectum.unisabana.edu.co/bitstream/10818/9000/3/_ngela%20Mar_a%20Ram_rez%20Puentes%20FINAL.pdf.txtaccb00d73799fa7a685ea87468d8c283MD5310818/9000oai:intellectum.unisabana.edu.co:10818/90002019-06-28 15:25:30.751Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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

Impacto de un programa de atención integral del paciente con enfermedad pulmonar obstructiva crónica sobre la frecuencia de hospitalizaciones en una institución de cuarto nivel de la ciudad de Bogotá (Colombia)

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