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慢性肺炎的临床控制和治疗影响:EPOCONSUL审计

Myriam Calle Rubio¹, Marc Miravitlles², Juan José Soler Cataluña^3,4

¹Pulmonology Department, Department of Medicine, Hospital Clínico San Carlos, School of Medicine, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), CIBER de Enfermedades Respiratorias (CIBERES), Universidad Complutense de Madrid, Madrid, Spain.

|January 9, 2025

概括

治疗惯性 (TI) 影响了超过一半的不受控制的慢性阻塞性肺病 (COPD) 患者. 当患者不同意他们的医生时,TI更常见.

科学领域:

肺部病理学肺部病理学
临床实践研究临床实践研究
医疗保健服务研究医疗服务研究

背景情况:

慢性阻塞性肺病 (COPD) 管理需要持续评估和治疗调整.
现实世界的临床实践可能会在实现最佳COPD控制方面带来挑战.
了解影响治疗决策的因素对于改善患者治疗结果至关重要.

研究的目的:

为了评估COPD患者的临床控制.
在随访期间评估治疗决策并确定与临床惯性相关的因素.
分析呼吸道诊所的现实临床实践.

主要方法:

在西班牙的COPD门诊护理的横截面审计 (EPOCONSUL 2021).
包括来自45家医院的4225名患者.
多变量逻辑回归用于分析临床控制和治疗惯性之间的关系.

主要成果:

49.1%的经过审计的COPD患者没有得到控制.
在68.4%的不受控制的患者中观察到治疗惯性 (TI).
与医生的评估不同意和较低的并发症负担与TI有关.

结论:

在不受控制的COPD患者中,治疗惯性很普遍.
患者和医生在疾病控制水平上的分歧增加了TI的可能性.
不太频繁的恶化可能与医生报告的良好控制和随后的TI有关.

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