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

05 Aug 2021
Respiratory conditions
  • COPD
Type of resource
Abstract
Conference
Dublin 2021
Author(s)
Elena Aguayo Bandera, Multiprofesional Teaching Unit of Comunity and Family Atention "Distrito Atención Primaria Málaga-Guadalhorce". Servicio Andaluz de Salud. Málaga., Spain
Clinical Research Results 1. 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