| [Compliance of prescriptions for chronic obstructive pulmonary disease patients given upon hospital discharge]. | |
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MedLine Citation:
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PMID: 20537931 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Measure the degree of compliance of prescriptions given to Chronic Obstructive Pulmonary Disorder (COPD) patients upon hospital discharge by comparing them to international recommendations. Identify factors that influence the degree of compliance. Evaluate the effect of that degree of compliance on the number of COPD exacerbations. METHOD: Retrospective observational study. We selected all episodes identified as COPD in a tertiary hospital during 2006. By consulting the clinical history database, we accessed the hospital discharge report and calculated the treatment's degree of proximity to the recommendations issued in the Global Initiative for Chronic Obstructive Lung Disease (GOLD). For each episode, we calculated the number of exacerbations in the six following months. Descriptive, bivariate statistical analysis. RESULTS: We obtained 365 episodes. The mean degree of compliance was 82% (SD=15.9). The patient's age and the severity of the disease did not influence the degree of compliance. We observed an inverse correlation between the hospital stay and the degree of compliance (p=0.026). Discharge reports issued by the Pneumonology Department had a significantly higher degree of compliance (p<0.001). No statistically significant relationship was found between the degree of compliance and the number of exacerbations. CONCLUSIONS: The degree of compliance is high according to the GOLD recommendations. The Pneumology Department had the highest degree of compliance, and a higher degree of compliance was related to a shorter hospital stay. The treatment compliance had no effect on the number of exacerbations of the disease. |
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Authors:
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B García Robredo; M A Calleja Hernández; M I Luque Vega; R Ubago Pérez; M J Faus Dáder |
Publication Detail:
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Type: English Abstract; Journal Article Date: 2010-05-26 |
Journal Detail:
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Title: Farmacia hospitalaria : órgano oficial de expresión científica de la Sociedad Española de Farmacia Hospitalaria Volume: 34 ISSN: 1130-6343 ISO Abbreviation: Farm Hosp Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440679 Medline TA: Farm Hosp Country: Spain |
Other Details:
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Languages: spa Pagination: 188-93 Citation Subset: IM |
Copyright Information:
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Copyright © 2009 SEFH. Published by Elsevier Espana. All rights reserved. |
Affiliation:
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Servicio de Farmacia, Hospital Universitario Virgen de las Nieves, Granada, España. beafir@hotmail.com |
Vernacular Title:
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Adecuación de la prescripción al alta hospitalaria en pacientes con enfermedad pulmonar obstructiva crónica. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use Disease Progression Emergency Service, Hospital / utilization Expectorants / therapeutic use Guideline Adherence / statistics & numerical data* Hospital Departments Hospital Records Humans Length of Stay Patient Discharge* Practice Guidelines as Topic Pulmonary Disease, Chronic Obstructive / drug therapy*, epidemiology Pulmonary Medicine Retrospective Studies Sampling Studies Spain |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones; 0/Expectorants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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