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dc.contributor.authorAlí, Abraham
dc.contributor.authorGiraldo Cadavid, Luis Fernando
dc.contributor.authorKarpf, Elizabeth
dc.contributor.authorQuintero, Luz Adriana
dc.contributor.authorAguirre, Carlos Eduardo
dc.contributor.authorRincón, Emily
dc.contributor.authorVejarano, Alma Irina
dc.contributor.authorPerlaza, Ivonne
dc.contributor.authorTorres Duque, Carlos A.
dc.contributor.authorCasas, Alejandro
dc.description11 páginases_CO
dc.description.abstractIntroduction: Exacerbations of chronic obstructive pulmonary disease (COPD) have a huge impact on lung function, quality of life and mortality of patients. Emergency Department visits and hospitalizations due to exacerbations cause a significant economic burden on the health system. Objective: To describe the differences in the number of emergency visits and hospitalizations due to exacerbations of COPD among patients included in two models of care of the same institution. Materials and methods: A historical cohort study in which COPD patients who are users of two models of care were included: COPD integrated care program (CICP) and general consultation of pulmonology (GCP). The first model, unlike the second one, offers additional educational activities, 24/7 telephone service, and priority consultations. The number of emergency visits and hospitalizations due to COPD exacerbations in patients who had completed at least one year of follow-up was evaluated. The multivariable Poisson regression model was used for calculating the incidence rate (IR) and the incidence rate ratio (IRR) with an adjustment for confounding factors. Results: We included 316 COPD patients (166 from the CICP and 150 from the GCP). During the year of follow-up, the CICP patients had 50% fewer emergency visits and hospitalizations than patients from the GCP (IRR=0.50, 95%CI: 0.29-0.87, p=0.014). Conclusions: COPD patients in the CICP had fewer emergency visits and hospitalizations due to exacerbations. Prospective clinical studies are required to confirm the results and to evaluate the factors that contribute to the differences.eng
dc.description.abstractFrecuencia de visitas al departamento de emergencias y hospitalizaciones debido a exacerbaciones de la enfermedad pulmonar obstructiva crónica en pacientes incluidos en dos modelos de atenciónspa
dc.relation.ispartofseriesBiomédica 2019, vol.39, n.4, pp.748-758
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.sourceinstname:Universidad de La Sabanaes_CO
dc.sourcereponame:Intellectum Repositorio Universidad de La Sabanaes_CO
dc.subjectPulmonary diseases_CO
dc.subjectChronic obstructivees_CO
dc.subjectSymptom flare upes_CO
dc.subjectProgram evaluationes_CO
dc.subjectCohort studieses_CO
dc.titleFrequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of carees_CO

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Attribution-NonCommercial-NoDerivatives 4.0 InternationalExcept where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International