Evolution of care quality for patients with Chronic Obstructive Pulmonary Disease (COPD) in a Health Center. (2019-2020)

Aim To describe the evolution and to improve care quality provided to patients with COPD in our Health Center (HC).2. Method Design: Longitudinal descriptive study. Internal audit. Scope: urban HS. Period: 2019-2020. Estimated population: 1084 COPD patients. Diagnosed patients: 479. Population and sample: Patients included in EPI-COPD. Selection criteria: Systematic random sampling. Sample size: 10% patients included. Variables: 12 quality indicators. Evaluation methods: Registered compliance with the criteria in digital medical records. Descriptive statistical analysis.3. Results Medical records data for 2019 and 2020 are submitted. Correct diagnosis: 97.9%. Annual spirometry: 37.5% to 6.3%. Annual evaluation of severity: 27.1% to 14.6%. COPD Assessment Test (CAT): 22.9% to 14.6%. Dyspnea: 33.3% to 16.7%. Smoking habit: 93.8% to 37.5%. Exacerbation: 45.8% to 33.3%. Exacerbation count/year: 12.5% ​​to 6.3%. Hospitalizations: 12.5% ​​to 89.6%. Interventions on tobacco: 6.3% to 10.4%. Flu vaccination: 79.2%.All patients had at least one spirometry. They presented some record of the following variables in that proportion: Severity 75%, CAT 64.6%, dyspnea 72.5%, tobacco record 93.8%, exacerbations 81.3%, annual exacerbations 87.5%, hospitalizations 89.6%, influenza vaccine 89.6%, pneumococcal vaccine 64.6 %, anti-smoking intervention 43.8%.4. Conclusion In general, records have worsened. Decreasing the number of spirometries in 2020 given the partial cessation of activity during the pandemic. Information on smoking has been lost due to a program update (Diraya). Tobacco interventions have quietly increased, possibly due to public funding for Champix. The hospitalization registry has improved due to its inclusion in the chronic follow-up program. Same flu vaccination rate.Discontinuity in the recording of COPD patient records, although at some point in the historical record there is a more complete control of the characteristics. Implementation Science/Service Development Research Ideas on Respiratory Conditions and Tobacco Dependency Abstract Declaration of Interest There is no financing or conflicts of interest. References and Clinical Trial Registry Information