Abstract：
INTRODUCTION:EPOCONSUL is the first national audit to analyze medical care for COPD in pulmonology departments in Spain. The main objective was to perform a retrospective analysis to determine the distribution of GesEPOC 2017 COPD risk levels and to evaluate clinical activity according to the new recommendations. MATERIAL AND METHODS:This is a cross-sectional clinical audit in which consecutive COPD cases were recruited over one year. The study evaluated risk and clinical phenotype according to GesEPOC 2017, and their correlation with the clinical interventions employed. RESULTS:The most common risk category was high risk (79.8% versus 20.2%; p < 0.001), characterized by a higher level of severity on BODE and BODEx indexes, and a higher comorbidity burden. The most common phenotype was non-exacerbator. The most commonly used treatment in low-risk patients was bronchodilator monotherapy (34.8%) and triple therapy in high-risk patients (53.7%). High risk was most frequently characterized by phenotype (57.6% versus 52%; p = 0.014) and pulmonary function test results: lung volume (47.7% versus 35.8%; p < 0.001), lung diffusion (51.4% versus 42.1%; p < 0.001) and walk test (37.8% versus 15.8%; p < 0.001). CONCLUSIONS:Most patients treated in pulmonology departments were high-risk and non-exacerbator phenotype. Clinical interventions differed according to risk level and mainly followed GesEPOC recommendations, although there is significant room for improvement.
journal_name
Arch Bronconeumoljournal_title
Archivos de bronconeumologiaauthors
Calle Rubio M,Rodríguez Hermosa JL,Soler-Cataluña JJ,López-Campos JL,Alcazar Navarrete B,Soriano JB,Rodríguez Gónzalez-Moro JM,Fuentes Ferrer ME,Miravitlles M,y el Grupo Epoconsul.doi
10.1016/j.arbres.2017.11.015subject
Has Abstractpub_date
2018-05-01 00:00:00pages
270-279issue
5eissn
0300-2896issn
1579-2129pii
S0300-2896(17)30437-4journal_volume
54pub_type
杂志文章abstract：INTRODUCTION:Pulse transit time (PTT) is the time that a pulse wave takes to travel between two different arterial points, and may be useful in estimating blood pressure. This noninvasive technique, which does not add any cost to the procedure, offers the advantage of avoiding 'arousals' during sleep measurement as occ...
journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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abstract：OBJECTIVE:To compare the effects of a simple home pulmonary rehabilitation program and an intensive hospital-based program in terms of the exercise tolerance and health-related quality of life (HRQL) of patients with severe chronic obstructive pulmonary disease (COPD). PATIENTS AND METHODS:Patients in this prospective...
journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究,随机对照试验
doi：
更新日期：2008-10-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,评审
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journal_title：Archivos de bronconeumologia
pub_type： 临床试验,杂志文章
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更新日期：2000-04-01 00:00:00
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journal_title：Archivos de bronconeumologia
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pub_type： 杂志文章,评审
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journal_title：Archivos de bronconeumologia
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pub_type： 杂志文章,实务指引
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更新日期：2008-11-01 00:00:00
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journal_title：Archivos de bronconeumologia
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