Original Article
Clinical Audit of Patients Admitted to Hospital in Spain due to Exacerbation of COPD (AUDIPOC Study): Method and Organisation
Auditoría clínica de los pacientes hospitalizados por exacerbación de EPOC en España (estudio AUDIPOC): método y organización del trabajo
Francisco Pozo-Rodrígueza,b,
, Carlos José Álvareza, Ady Castro-Acostab, Carlos Melero Morenoa, Alberto Capelasteguic, Cristobal Estebanc, Carmen Hernández Carcerenyd, José Luis López-Campose, José Luís Izquierdo Alonsof, Antonio López Quílezg, Alvar Agustíd,b, Grupo AUDIPOC España 1
Corresponding author
a Neumología, Hospital 12 de Octubre, Madrid, Spain
b Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain
c Neumología, Hospital de Galdakao, Vizcaya, Spain
d Unidad Atención Integrada Hospital Clínic, Institut del Tòrax, Hospital Clínic, Barcelona, Spain
e Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Sevilla, Spain
f Neumología, Hospital Universitario de Guadalajara, Guadalajara, Spain
g Departamento de Estadística e Investigación Operativa, Universidad de Valencia, Valencia, Spain
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=> "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Auditoría clínica de los pacientes hospitalizados por exacerbación de EPOC en España (estudio AUDIPOC): método y organización del trabajo" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-15" "fechaAceptado" => "2010-04-15" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec156070" "palabras" => array:5 [ 0 => "COPD" 1 => "COPD exacerbations" 2 => "Clinical audit" 3 => "Mortality" 4 => "Readmissions" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156069" "palabras" => array:5 [ 0 => "EPOC" 1 => "Exacerbaciones EPOC" 2 => "Auditoría clínica" 3 => "Mortalidad" 4 => "Reingresos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">There is little information regarding the clinical management of hospital inpatients diagnosed with exacerbation of Chronic Obstructive Pulmonary Disease (COPD). AUDIPOC is a clinical audit dealing with the clinical management of COPD in Spain.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To examine the adequacy and validity of the instruments used to measure the variables proposed by AUDIPOC Spain (Preliminary Study) and to verify the viability of AUDIPOC in a complex environment with hospitals of different sizes, resources, and organizational layout (Pilot Study).</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The Preliminary Study took place in 4 hospitals and studied 213 cases. The Pilot Study took place in 30 hospitals of 6 Autonomous Communities (i.e. Regions) and studied 1203 cases.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results of both studies contributed to the improvement of the design, methods and organisation of the AUDIPOC work. Some of the improvements include better training of those responsible at a hospital level, a new classification of hospitals, the incorporation of new variables and the creation of a Panel for the Coordination and Management of the Project.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The AUDIPOC study is viable. It aims to recruit 10 000 patients across 142 hospitals from all the Regions of Spain.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">IAntecedentes</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Existe poca información sobre el manejo clínico de pacientes ingresados en hospitales públicos españoles con un diagnóstico de exacerbación de enfermedad pulmonar obstructiva crónica. AUDIPOC es una auditoría clínica sobre el manejo de exacerbación de EPOC en España.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Validar la adecuación y validez de los instrumentos de medición de las variables propuestas en AUDIPOC España (estudio preliminar) y verificar su viabilidad en un medio complejo con hospitales de tamaño, recursos y organización diferentes (estudio piloto).</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El estudio preliminar se realizó en 4 hospitales y 213 casos. El estudio piloto en 30 hospitales de 6 comunidades autónomas y 1.203 casos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Los resultados de ambos estudios contribuyeron a mejorar el diseño y los métodos y organización del estudio AUDIPOC, incluyendo un mejor entrenamiento de los responsables hospitalarios, una nueva clasificación de hospitales, la incorporación de nuevas variables y la creación de una oficina de coordinación y gestión del proyecto.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">El estudio AUDIPOC es viable y prevé reclutar 10.000 pacientes en 142 hospitales de todas las Comunidades Autónomas.</p>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara">The names of the authors from the Grupo AUDIPOC España are detailed in Attachment 1.</p>" "identificador" => "fn0005" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 2 | 9 |
| 2024 October | 32 | 14 | 46 |
| 2024 September | 22 | 23 | 45 |
| 2024 August | 51 | 39 | 90 |
| 2024 July | 28 | 22 | 50 |
| 2024 June | 34 | 31 | 65 |
| 2024 May | 54 | 32 | 86 |
| 2024 April | 17 | 23 | 40 |
| 2024 March | 20 | 13 | 33 |
| 2024 February | 23 | 19 | 42 |
| 2023 March | 3 | 6 | 9 |
| 2023 February | 26 | 22 | 48 |
| 2023 January | 15 | 41 | 56 |
| 2022 December | 28 | 29 | 57 |
| 2022 November | 22 | 16 | 38 |
| 2022 October | 23 | 33 | 56 |
| 2022 September | 16 | 35 | 51 |
| 2022 August | 19 | 35 | 54 |
| 2022 July | 18 | 37 | 55 |
| 2022 June | 16 | 30 | 46 |
| 2022 May | 25 | 30 | 55 |
| 2022 April | 22 | 35 | 57 |
| 2022 March | 17 | 33 | 50 |
| 2022 February | 22 | 25 | 47 |
| 2022 January | 14 | 36 | 50 |
| 2021 December | 21 | 51 | 72 |
| 2021 November | 23 | 58 | 81 |
| 2021 October | 20 | 53 | 73 |
| 2021 September | 23 | 57 | 80 |
| 2021 August | 9 | 33 | 42 |
| 2021 July | 12 | 34 | 46 |
| 2021 June | 16 | 33 | 49 |
| 2021 May | 16 | 26 | 42 |
| 2021 April | 22 | 84 | 106 |
| 2021 March | 17 | 21 | 38 |
| 2021 February | 18 | 25 | 43 |
| 2021 January | 10 | 24 | 34 |
| 2020 December | 8 | 15 | 23 |
| 2020 November | 8 | 18 | 26 |
| 2020 October | 11 | 13 | 24 |
| 2020 September | 7 | 2 | 9 |
| 2020 August | 10 | 16 | 26 |
| 2020 July | 14 | 16 | 30 |
| 2020 June | 7 | 7 | 14 |
| 2020 May | 22 | 13 | 35 |
| 2020 April | 20 | 18 | 38 |
| 2020 March | 15 | 16 | 31 |
| 2020 February | 14 | 21 | 35 |
| 2020 January | 13 | 20 | 33 |
| 2019 December | 16 | 18 | 34 |
| 2019 November | 11 | 16 | 27 |
| 2019 October | 5 | 9 | 14 |
| 2019 September | 13 | 11 | 24 |
| 2019 August | 18 | 15 | 33 |
| 2019 July | 10 | 20 | 30 |
| 2019 June | 8 | 4 | 12 |
| 2019 May | 19 | 24 | 43 |
| 2019 April | 15 | 22 | 37 |
| 2019 March | 15 | 30 | 45 |
| 2019 February | 11 | 14 | 25 |
| 2019 January | 11 | 12 | 23 |
| 2018 December | 15 | 14 | 29 |
| 2018 November | 14 | 19 | 33 |
| 2018 October | 20 | 18 | 38 |
| 2018 September | 10 | 9 | 19 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 4 | 8 | 12 |
| 2018 March | 9 | 4 | 13 |
| 2018 February | 5 | 6 | 11 |
| 2018 January | 6 | 4 | 10 |
| 2017 December | 13 | 11 | 24 |
| 2017 November | 3 | 10 | 13 |
| 2017 October | 9 | 9 | 18 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 8 | 12 | 20 |
| 2017 July | 11 | 11 | 22 |
| 2017 June | 7 | 14 | 21 |
| 2017 May | 6 | 6 | 12 |
| 2017 April | 6 | 4 | 10 |
| 2017 March | 3 | 18 | 21 |
| 2017 February | 5 | 2 | 7 |
| 2017 January | 4 | 6 | 10 |
| 2016 December | 5 | 4 | 9 |
| 2016 November | 12 | 11 | 23 |
| 2016 October | 20 | 15 | 35 |
| 2016 September | 9 | 10 | 19 |
| 2016 August | 8 | 6 | 14 |
| 2016 July | 9 | 6 | 15 |
| 2016 June | 2 | 0 | 2 |
| 2016 May | 1 | 0 | 1 |
| 2016 April | 1 | 0 | 1 |
| 2016 March | 9 | 0 | 9 |
| 2016 February | 6 | 0 | 6 |
| 2016 January | 7 | 0 | 7 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 97 | 6 | 103 |
| 2015 September | 135 | 10 | 145 |
| 2015 August | 107 | 5 | 112 |
| 2015 July | 146 | 11 | 157 |
| 2015 June | 156 | 7 | 163 |
| 2015 May | 157 | 16 | 173 |
| 2015 April | 93 | 7 | 100 |
| 2015 March | 97 | 6 | 103 |
| 2015 February | 116 | 8 | 124 |
| 2015 January | 126 | 6 | 132 |
| 2014 December | 113 | 9 | 122 |
| 2014 November | 137 | 5 | 142 |
| 2014 October | 175 | 12 | 187 |
| 2014 September | 139 | 17 | 156 |
| 2014 August | 150 | 14 | 164 |
| 2014 July | 132 | 20 | 152 |
| 2014 June | 114 | 13 | 127 |
| 2014 May | 167 | 15 | 182 |
| 2014 April | 104 | 17 | 121 |
| 2014 March | 87 | 16 | 103 |
| 2014 February | 76 | 13 | 89 |
| 2014 January | 41 | 23 | 64 |
| 2013 December | 88 | 12 | 100 |
| 2013 November | 78 | 6 | 84 |
| 2013 October | 59 | 7 | 66 |
| 2013 September | 77 | 11 | 88 |
| 2013 August | 71 | 6 | 77 |
| 2013 July | 76 | 10 | 86 |
| 2013 June | 67 | 8 | 75 |
| 2013 May | 58 | 1 | 59 |
| 2013 April | 46 | 4 | 50 |
| 2013 March | 14 | 2 | 16 |
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