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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