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

  • Marco Candela Medical Department, Hospital of Jesi and Area Vasta 2 ASUR Marche, Ancona, Italy.
  • Claudio Norbiato Department of Internal Medicine, Hospital Mauriziano, Torino, Italy.
  • Mauro Campanini Department of Internal Medicine, Hospital Maggiore della Carità, Novara, Italy.
  • Antonio Luca Brucato Department of Internal Medicine, Hospital Papa Giovanni XXIII, Bergamo/Department of Internal Medicine, Fatebenefratelli, Milan, Italy. https://orcid.org/0000-0002-7566-5600
  • Salvatore Di Simone Department of Internal Medicine, Hospital of Colleferro, Rome, Italy. https://orcid.org/0000-0002-9189-3320
  • Dario Manfellotto Department of Internal Medicine, Hospital Fatebenefratelli-AFaR, Isola Tiberina, Rome, Italy.
  • Francesco Dentali Internal Medicine, Hospital Circolo Macchi, Varese/Internal Medicine, Hospital of Luino, ASST-Sette Laghi, and University of Insubria, Varese, Italy. https://orcid.org/0000-0003-4195-7725
  • Antonio Sacchetta Department of Internal Medicine, Hospital of Conegliano Veneto, Treviso, Italy. https://orcid.org/0000-0003-2454-0581
  • Antonella Valerio | antonella.valerio@fadoi.org Research Department, FADOI Foundation, Milan, Italy. https://orcid.org/0000-0002-7190-4248
  • Andrea Fontanella Medical Department, Hospital Buon Consiglio-Fatebenefratelli, Naples, Italy. https://orcid.org/0000-0002-1279-8051

Abstract

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.

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Published
2020-09-18
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Original Articles
Keywords:
Chronic obstructive pulmonary disease (COPD), Internal Medicine, GOLD class, hospital discharge phase.
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How to Cite
Candela, M., Norbiato, C., Campanini, M., Brucato, A. L., Di Simone, S., Manfellotto, D., Dentali, F., Sacchetta, A., Valerio, A., & Fontanella, A. (2020). 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. Italian Journal of Medicine, 14(3), 156-161. https://doi.org/10.4081/itjm.2020.1321

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