Table 4 Summary forms
From: Audit on the appropriateness of integrated COPD management: the “ALT-BPCO” project
First phase/second phase | ||||||||||
NUMBER OF CENTERS INVOLVED: | 29/29 | |||||||||
NUMBER OF PATIENTS ANALYZED IN EACH CENTER: | 50/50 | |||||||||
TOTAL PATIENTS ANALYZED: | 1,450/1,450 | |||||||||
NOTE: THE MEAN VALUES REPORTED BELOW REFER - UNLESS OTHERWISE INDICATED - TO THE PRESENCE OF THE PARAMETER EXPRESSED AS A PERCENTAGE OF THE TOTAL (IN PRACTICE EACH CENTER TRANSMITTED THE PERCENTAGE OF THE TOTAL OF ITS 50 PATIENTS AND THE RESULT REPORTED HERE REPRESENTS THE SUM OF THE PERCENTAGES OF ALL CENTERS). | ||||||||||
Mean% of COPD patients with record of a spirometry test performed less than 1 year ago | 87,31/91,52 | |||||||||
Mean% of patients reporting global spirometry | 30,75/45,81 | |||||||||
Mean% of patients with at least one global spirometry reported | 42,52/50,99 | |||||||||
Mean% of patients with reported record of functional severity staging | 81,82/91,45 | |||||||||
Mean n. of patients by level of severity (out of total patients of the 29 centers. | MILD | MODERATE | SEVERE | VERY SEVERE | NOT INDICATED | |||||
8,31/10,12 | 15,86/16,1 | 12,05/15,01 | 8,32/9,24 | 5,96/0 | ||||||
Mean% of patients with reported BMI data | 66,13/68,86 | |||||||||
Mean% of patients with reported presence of comorbidities | 74,58/88,79 | |||||||||
Mean% of patients with reported presence di dyspnea | 46,65/59,21 | |||||||||
Scale used for the assessment of Dyspnea (NOTE: number of centers per type of scale): | ||||||||||
MRC | 8/10 | |||||||||
VAS | 0/0 | |||||||||
BORG | 2/5 | |||||||||
OTHER | 1/0 | |||||||||
VAS + BORG | 6/2 | |||||||||
MRC + VAS + BORG | 3/3 | |||||||||
MRC + VAS | 1/1 | |||||||||
MRC + BORG | 3/7 | |||||||||
NO RESPONSE | 5/1 | |||||||||
Total | 29/29 | |||||||||
Mean% of patients with 6-min walking test reported | 30,96/37,55 | |||||||||
Mean% of patients with a SatO2 reported | 74,62/90,41 | |||||||||
Mean% of patients with a blood gases analysis reported | 40,96/53,1 | |||||||||
Mean% of patients with smoking status reported | 75,20/85,1 | |||||||||
Mean% of smoker patients treated with behavioral smoking cessation therapy | 9,79/14,1 | |||||||||
Mean% of patients with report of eventual exacerbations in the previous year | 47,89/63,59 | |||||||||
Mean n. of patients with n. exacerbations (out of total patients of the 29 centers). | 0 | 1 | 2 | 3 | MORE THAN 3 | NOT INDICATED | ||||
6,13/10,96 | 7,56/20,05 | 5,22/7,37 | 1,55/2,5 | 3,7/8,54 | 25,66/0 | |||||
Mean% of patients with exacerbations treated with antibiotic and systemic steroid | 45,03/62,26 | |||||||||
Mean% of patients on home oxygen therapy | 25,24/36,59 | |||||||||
Mean% of patients with hospital admissions for COPD reported in the preceding year | 28,67/44,9 | |||||||||
Mean n. of patients with n. admissions (out of the total patients of the 29 centers). | 0 | 1 | 2 | 3 | MORE THAN 3 | NOT INDICATED | ||||
6,37/12,76 | 4,11/10,8 | 2,05/5,98 | 0,76/4,72 | 1,03/15,16 | 35,68/0 | |||||
Mean% of patients with use of mechanical ventilation reported | 7,36/22,59 | |||||||||
Mean% of patients with report of a second hospital admission within a short delay (max 3 months) from the first | 7,62/9,48 | |||||||||
Mean% of patients with long-term respiratory therapy prescribed | 80,93/85,93 | |||||||||
Prescribed therapy (N. centers that indicated the specific therapy; N.B. most Specialists/Centers indicated more than one therapy) | ||||||||||
SABA AND/OR LAMA | LABA | ULTRA LABA | ULTRA LABA + LAMA | LAMA | LABA + LAMA | FIXED COMBINATIONS LABA + ICS | XANTHINE | PDE4 INHIBITORS | OTHER THERAPY | NO THERAPY INDICATED |
10/11 | 11/21 | 14/20 | 18/20 | 20/25 | 13/17 | 20/29 | 13/12 | 14/17 | 3/11 | 1/0 |
Mean% of patients with need for pulmonary rehabilitation (PR) recorded | 23,10/25,55 | |||||||||
Place where data sheet was carried out (n. centers per place of identification): | ||||||||||
HOME + DAY HOSPITAL | 1/0 | |||||||||
NO RESPONSE | 8/7 | |||||||||
DAY HOSPITAL | 4/4 | |||||||||
HOME | 4/7 | |||||||||
INPATIENT (IN NON-ACUTE WARD) | 5/6 | |||||||||
DAY HOSPITAL + INPATIENT (IN NON-ACUTE WARD) | 2/0 | |||||||||
OUTPATIENT | 5/5 | |||||||||