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首页> 外文期刊>Italian Journal of Medicine >Analysis of the characteristics of patients admitted to Internal Medicine wards for exacerbation of chronic obstructive pulmonary disease, and discharge phase optimization. The SDO-ARCA Project of the Scientific Society FADOI
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Analysis of the characteristics of patients admitted to Internal Medicine wards for exacerbation of chronic obstructive pulmonary disease, and discharge phase optimization. The SDO-ARCA Project of the Scientific Society FADOI

机译：慢性阻塞性肺疾病加剧患者患者特征分析及排放阶段优化。科学协会的SDO-ARCA项目FADOI

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The purpose of this study was to have a nationwide snapshot of the characteristics of patients hospitalized in Internal Medicine Units (IMUs) for exacerbation of chronic obstructive pulmonary disease (COPD), and to assess applicability and contents of a specific Hospital Discharge Form for the patient with exacerbation of COPD discharged from IMUs. This was a prospective study in 44 IMUs in Italy, enrolling patients hospitalized with a diagnosis of COPD exacerbation. Information concerning clinical characteristics of patients, and treatment for COPD at discharge was collected. Specific documents for monitoring of clinical conditions and adherence to therapies as well as a form including individual indications for clinical controls, instrumental tests, etc. were provided upon discharge. Four hundred and seventy-two patients were enrolled (68% male). According to GOLD classification 2015, patients with classes A to D were 12%, 27%, 31%, and 30%, respectively. Triple therapy was prescribed in 14% of GOLD A and 51% of GOLD D patients. Around 10% of patients for each GOLD class received no specific therapy. The vast majority of patients (85%) received instructions on the correct use of inhalers, and in most cases (85%), the quality of counseling was considered optimal/adequate. Indication for performing chest X-ray, spirometry, or blood gas analysis following discharge was addressed to 29%, 59% and 52.1% of patients, respectively. The follow-up sheet for COPD used in our study was shown as applicable. This highlighted the need for greater awareness and more standardized procedures within IMUs in the post-discharge phase.
机译：本研究的目的是在内科单位（IMUS）中具有全国性的患者特征，用于加剧慢性阻塞性肺病（COPD），并评估患者特定医院排放表格的适用性和含量随着从IMU排出的COPD的加剧。这是意大利44个IMU的前瞻性研究，注册住院患者的患者诊断为COPD加剧。收集了患者临床特征的信息，并收集了放电时对COPD的治疗。在放电时提供了监测临床条件和依从性的临床条件以及包括个体适应症的形式的具体文件，包括临床对照，仪器测试等的形式。注册了四百七十二名患者（68％的男性）。根据2015年的黄金分类，A级至D患者分别为12％，27％，31％和30％。三重疗法在14％的金A和51％的黄金D患者中规定。大约10％的患者为每种黄金课程没有任何特定的治疗。绝大多数患者（85％）接受了正确使用吸入器的说明，在大多数情况下（85％），咨询质量被认为是最佳的/充足的。在出院后进行胸部X射线，肺活量或血气分析的指示分别达到患者的29％，59％和52.1％。我们研究中使用的COPD的后续表显示为适用。这突出了在放电后阶段内对IMU内更大的意识和更标准化的程序的需要。

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