Clinical management of COPD in a real-world setting. A Big Data analysis

9 p.

Detalles Bibliográficos
Autores: Izquierdo Alonso, José Luis|||0000-0002-1671-2243, Morena Valles, Diego, González Fernández, Yolanda, Paredero Domínguez, José Manuel, Pérez, Bernardino, Graciani, Desiré, Gutiérrez, Matilde, González-Moro Rodríguez, José Miguel
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/60296
Acceso en línea:http://hdl.handle.net/10017/60296
https://dx.doi.org/10.1016/j.arbres.2019.12.025
Access Level:acceso abierto
Palabra clave:COPD
Big data
Diagnosis
Treatment
Medicina
Medicine
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spelling Clinical management of COPD in a real-world setting. A Big Data analysisIzquierdo Alonso, José Luis|||0000-0002-1671-2243Morena Valles, DiegoGonzález Fernández, YolandaParedero Domínguez, José ManuelPérez, BernardinoGraciani, DesiréGutiérrez, MatildeGonzález-Moro Rodríguez, José MiguelCOPDBig dataDiagnosisTreatmentMedicinaMedicine9 p.Objective: The aim of this study was to evaluate the quality of diagnosis and treatment of COPD using Big Data methodology on the Savana Manager 2.1 clinical platform. Materials and methods: A total of 59,369 patients with a diagnosis of COPD were included from a population of 1,219,749 adults over 40 years of age. Results: In total, 78% were men. Spirometry data were available for only 26,453 (43.5%) subjects. Disease severity was classified in 18,172 patients: 4396 mild, 7100 moderate, and 6676 severe, although only 27%, 34%, and 28%, respectively, presented obstructive spirometry. The clinical management of COPD is mainly the responsibility of the primary care and pulmonology departments, while internal medicine and, to a lesser extent, geriatrics also participate. Drug treatment was based on bronchodilators and inhaled corticosteroids (ICS). A marked decline in the use of long-acting beta-2 agonists (LABA) in monotherapy and a slight reduction in ICS/LABA combinations, associated with a long-acting anticholinergic (LAMA) in 74% of cases, were observed. All-cause in-hospital mortality among the overall population was 5.6% compared to 1% of the general population older than 40 years. In total, 35% were admitted to hospital, with an average stay of 6.6 days and an in-hospital mortality rate in this group of 10.74%. Discussion: This study identifies the main features of an unselected COPD population and the main errors made in the management of the disease.20212021-02-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10017/60296https://dx.doi.org/10.1016/j.arbres.2019.12.02532098727reponame:e_Buah Biblioteca Digital Universidad de Alcaláinstname:Universidad de Alcalá (UAH)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ebuah.uah.es:10017/602962026-06-18T11:13:07Z
dc.title.none.fl_str_mv Clinical management of COPD in a real-world setting. A Big Data analysis
title Clinical management of COPD in a real-world setting. A Big Data analysis
spellingShingle Clinical management of COPD in a real-world setting. A Big Data analysis
Izquierdo Alonso, José Luis|||0000-0002-1671-2243
COPD
Big data
Diagnosis
Treatment
Medicina
Medicine
title_short Clinical management of COPD in a real-world setting. A Big Data analysis
title_full Clinical management of COPD in a real-world setting. A Big Data analysis
title_fullStr Clinical management of COPD in a real-world setting. A Big Data analysis
title_full_unstemmed Clinical management of COPD in a real-world setting. A Big Data analysis
title_sort Clinical management of COPD in a real-world setting. A Big Data analysis
dc.creator.none.fl_str_mv Izquierdo Alonso, José Luis|||0000-0002-1671-2243
Morena Valles, Diego
González Fernández, Yolanda
Paredero Domínguez, José Manuel
Pérez, Bernardino
Graciani, Desiré
Gutiérrez, Matilde
González-Moro Rodríguez, José Miguel
author Izquierdo Alonso, José Luis|||0000-0002-1671-2243
author_facet Izquierdo Alonso, José Luis|||0000-0002-1671-2243
Morena Valles, Diego
González Fernández, Yolanda
Paredero Domínguez, José Manuel
Pérez, Bernardino
Graciani, Desiré
Gutiérrez, Matilde
González-Moro Rodríguez, José Miguel
author_role author
author2 Morena Valles, Diego
González Fernández, Yolanda
Paredero Domínguez, José Manuel
Pérez, Bernardino
Graciani, Desiré
Gutiérrez, Matilde
González-Moro Rodríguez, José Miguel
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COPD
Big data
Diagnosis
Treatment
Medicina
Medicine
topic COPD
Big data
Diagnosis
Treatment
Medicina
Medicine
description 9 p.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-02-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10017/60296
https://dx.doi.org/10.1016/j.arbres.2019.12.025
32098727
url http://hdl.handle.net/10017/60296
https://dx.doi.org/10.1016/j.arbres.2019.12.025
identifier_str_mv 32098727
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:e_Buah Biblioteca Digital Universidad de Alcalá
instname:Universidad de Alcalá (UAH)
instname_str Universidad de Alcalá (UAH)
reponame_str e_Buah Biblioteca Digital Universidad de Alcalá
collection e_Buah Biblioteca Digital Universidad de Alcalá
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