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dc.contributor.authorQuintana López, José María
dc.contributor.authorEsteban, Cristóbal
dc.contributor.authorBarrio Beraza, Irantzu
dc.contributor.authorGarcía Gutiérrez, Susana
dc.contributor.authorGonzález, Nerea
dc.contributor.authorArostegui Madariaga, Inmaculada ORCID
dc.contributor.authorLafuente Guerrero, Iratxe
dc.contributor.authorBaré Mañas, Marisa
dc.contributor.authorBlasco, Juan Antonio
dc.contributor.authorVidal, Silvia
dc.contributor.authorIRYSS-COPD Group
dc.date.accessioned2014-02-20T19:41:27Z
dc.date.available2014-02-20T19:41:27Z
dc.date.issued2011-11
dc.identifier.citationBMC Health Services Research 11 : (2011) // Article n. 322es
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10810/11599
dc.description.abstractBackground: Patients with chronic obstructive pulmonary disease (COPD) often experience exacerbations of the disease that require hospitalization. Current guidelines offer little guidance for identifying patients whose clinical situation is appropriate for admission to the hospital, and properly developed and validated severity scores for COPD exacerbations are lacking. To address these important gaps in clinical care, we created the IRYSS-COPD Appropriateness Study. Methods/Design: The RAND/UCLA Appropriateness Methodology was used to identify appropriate and inappropriate scenarios for hospital admission for patients experiencing COPD exacerbations. These scenarios were then applied to a prospective cohort of patients attending the emergency departments (ED) of 16 participating hospitals. Information was recorded during the time the patient was evaluated in the ED, at the time a decision was made to admit the patient to the hospital or discharge home, and during follow-up after admission or discharge home. While complete data were generally available at the time of ED admission, data were often missing at the time of decision making. Predefined assumptions were used to impute much of the missing data. Discussion: The IRYSS-COPD Appropriateness Study will validate the appropriateness criteria developed by the RAND/UCLA Appropriateness Methodology and thus better delineate the requirements for admission or discharge of patients experiencing exacerbations of COPD. The study will also provide a better understanding of the determinants of outcomes of COPD exacerbations, and evaluate the equity and variability in access and outcomes in these patients.es
dc.description.sponsorshipThis work was supported in part by grants from the Fondo de Investigacion Sanitaria (PI 061010, PI061017, PI06714, PI060326, PI060664); Department of Health of the Basque Country, Department of Education, Universities and Research of the Basque Government (UE09+/62); the Research Committee of the Hospital Galdakao; and the thematic networks- Red IRYSS (Investigacion en Resultados y Servicios Sanitarios)- of the Instituto de Salud Carlos III (G03/220).es
dc.language.isoenges
dc.publisherBioMed Centrales
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.subjectobstructive pulmonary diseasees
dc.subjectquality of lifees
dc.subjectphysical activityes
dc.subjectexacerbationses
dc.subjectpredictorses
dc.subjectstandardses
dc.subjectdiagnosises
dc.subjectframeworkes
dc.subjecteuroqoles
dc.subjectburdenes
dc.titleThe IRYSS-COPD appropriateness study: objectives, methodology, and description of the prospective cohortes
dc.typeinfo:eu-repo/semantics/articlees
dc.rights.holder© 2011 Quintana et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.es
dc.relation.publisherversionhttp://www.biomedcentral.com/1472-6963/11/322es
dc.identifier.doi10.1186/1472-6963-11-322
dc.departamentoesMatemática Aplicada, Estadística e Investigación Operativaes_ES
dc.departamentoeuMatematika aplikatua eta estatistikaes_ES
dc.subject.categoriaHEALTH POLICY AND SERVICES


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