Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care

11 páginas

Autores:: Alí, Abraham
Giraldo Cadavid, Luis Fernando
Karpf, Elizabeth
Quintero, Luz Adriana
Aguirre, Carlos Eduardo
Rincón, Emily
Vejarano, Alma Irina
Perlaza, Ivonne
Torres Duque, Carlos A.
Casas, Alejandro

Tipo de recurso:

Fecha de publicación:: 2019

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

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spelling	Alí, AbrahamGiraldo Cadavid, Luis FernandoKarpf, ElizabethQuintero, Luz AdrianaAguirre, Carlos EduardoRincón, EmilyVejarano, Alma IrinaPerlaza, IvonneTorres Duque, Carlos A.Casas, Alejandro9/4/2020 11:042020-09-04T16:04:06Z2019-05-220120-4157http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-41572019000400748http://hdl.handle.net/10818/4319710.7705/biomedica.481511 páginasIntroduction: Exacerbations of chronic obstructive pulmonary disease (COPD) have a huge impact on lung function, quality of life and mortality of patients. Emergency Department visits and hospitalizations due to exacerbations cause a significant economic burden on the health system. Objective: To describe the differences in the number of emergency visits and hospitalizations due to exacerbations of COPD among patients included in two models of care of the same institution. Materials and methods: A historical cohort study in which COPD patients who are users of two models of care were included: COPD integrated care program (CICP) and general consultation of pulmonology (GCP). The first model, unlike the second one, offers additional educational activities, 24/7 telephone service, and priority consultations. The number of emergency visits and hospitalizations due to COPD exacerbations in patients who had completed at least one year of follow-up was evaluated. The multivariable Poisson regression model was used for calculating the incidence rate (IR) and the incidence rate ratio (IRR) with an adjustment for confounding factors. Results: We included 316 COPD patients (166 from the CICP and 150 from the GCP). During the year of follow-up, the CICP patients had 50% fewer emergency visits and hospitalizations than patients from the GCP (IRR=0.50, 95%CI: 0.29-0.87, p=0.014). Conclusions: COPD patients in the CICP had fewer emergency visits and hospitalizations due to exacerbations. Prospective clinical studies are required to confirm the results and to evaluate the factors that contribute to the differences.Frecuencia de visitas al departamento de emergencias y hospitalizaciones debido a exacerbaciones de la enfermedad pulmonar obstructiva crónica en pacientes incluidos en dos modelos de atenciónapplication/pdfengBiomédicaBiomédica 2019, vol.39, n.4, pp.748-758Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaPulmonary diseasChronic obstructiveSymptom flare upEmergenciesHospitalizationProgram evaluationCohort studiesFrequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of carearticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/43197/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/43197/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD5310818/43197oai:intellectum.unisabana.edu.co:10818/431972022-05-10 05:20:29.643Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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
dc.title.es_CO.fl_str_mv	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
title	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
spellingShingle	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care Pulmonary diseas Chronic obstructive Symptom flare up Emergencies Hospitalization Program evaluation Cohort studies
title_short	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
title_full	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
title_fullStr	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
title_full_unstemmed	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
title_sort	Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care
dc.creator.fl_str_mv	Alí, Abraham Giraldo Cadavid, Luis Fernando Karpf, Elizabeth Quintero, Luz Adriana Aguirre, Carlos Eduardo Rincón, Emily Vejarano, Alma Irina Perlaza, Ivonne Torres Duque, Carlos A. Casas, Alejandro
dc.contributor.author.none.fl_str_mv	Alí, Abraham Giraldo Cadavid, Luis Fernando Karpf, Elizabeth Quintero, Luz Adriana Aguirre, Carlos Eduardo Rincón, Emily Vejarano, Alma Irina Perlaza, Ivonne Torres Duque, Carlos A. Casas, Alejandro
dc.subject.es_CO.fl_str_mv	Pulmonary diseas Chronic obstructive Symptom flare up Emergencies Hospitalization Program evaluation Cohort studies
topic	Pulmonary diseas Chronic obstructive Symptom flare up Emergencies Hospitalization Program evaluation Cohort studies
description	11 páginas
publishDate	2019
dc.date.issued.none.fl_str_mv	2019-05-22
dc.date.available.none.fl_str_mv	2020-09-04T16:04:06Z
dc.date.accessioned.none.fl_str_mv	9/4/2020 11:04
dc.type.en.fl_str_mv	article
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dc.identifier.issn.none.fl_str_mv	0120-4157
dc.identifier.other.none.fl_str_mv	http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-41572019000400748
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/10818/43197
dc.identifier.doi.none.fl_str_mv	10.7705/biomedica.4815
identifier_str_mv	0120-4157 10.7705/biomedica.4815
url	http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-41572019000400748 http://hdl.handle.net/10818/43197
dc.language.iso.es_CO.fl_str_mv	eng
language	eng
dc.relation.ispartofseries.none.fl_str_mv	Biomédica 2019, vol.39, n.4, pp.748-758
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
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rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
dc.format.es_CO.fl_str_mv	application/pdf
dc.publisher.es_CO.fl_str_mv	Biomédica
dc.source.es_CO.fl_str_mv	Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana
institution	Universidad de la Sabana
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Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care

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