Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project

被引:4
作者
Godtfredsen, Nina Skavlan [1 ]
Grann, Ove [2 ]
Larsen, Hanne Bormann [3 ]
Sorensen, Tina Brandt [4 ]
Lavesen, Marie [5 ]
Pors, Birthe [6 ]
Dalsgaard, Lone Sander [3 ]
Kristiansen, Luise Cederkvist [7 ]
Andersen, Klaus Kaae [7 ]
Dollerup, Jens [8 ]
机构
[1] Bispebjerg Hosp, Dept Resp Med, DK-2400 Copenhagen NV, Denmark
[2] Hlth Care Ctr Aalborg, Aalborg, Denmark
[3] Boehringer Ingelheim GmbH & Co KG, Copenhagen, Denmark
[4] Regionshosp Horsens, Dept Pulm Med, Horsens, Denmark
[5] Hillerod Hosp, Dept Resp & Infect Dis, Hillerod, Denmark
[6] Municipal Horsens, Horsens, Denmark
[7] Tech Univ Denmark, Sect Stat, Dept Informat & Math Modelling, DK-2800 Lyngby, Denmark
[8] Pfizer, Ballerup, Denmark
关键词
COPD; data registry; municipality; quality assurance; rehabilitation; GENERAL-POPULATION; FOLLOW-UP; COMMUNITY; MANAGEMENT; SMOKING; TRIAL;
D O I
10.1111/j.1752-699X.2011.00272.x
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives: To assess the feasibility of introducing a nationwide web-based tool for data recording and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods: Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62 health-care centres have been invited to participate. We present summary statistics and correlation analyses of the 1699 patients who have been enrolled so far. Results: Thirty-three municipalities are currently engaged in the KOALA project. Descriptive analyses reveal that 33% of the patients do not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions of rehabilitation in the community. Statistical analyses show that COPD-level and grade of dyspnoea are positively correlated and expose significant correlations between both COPD-level and dyspnoea and 6 minutes walking distance (6MWD), incremental shuttle walk distance (ISWT) and quality of life. Conclusions: We conclude that the municipalities in general are interested in the KOALA project as a mean of data recording and sharing and as a quality instrument. Summary statistics show that there is room for improvement in referral and baseline assessments of patients suitable for pulmonary rehabilitation in a community setting. Please cite this paper as: Godtfredsen NS, Grann O, Larsen HB, S phi rensen TB, Lavesen M, Pors B, Dalsgaard LS, Kristiansen LC, Andersen KK and Dollerup J. Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres the KOALA project. Clin Respir J 2012; 6: 186192.
引用
收藏
页码:186 / 192
页数:7
相关论文
共 21 条
[1]   Smoking and lung function of lung health study participants after 11 years [J].
Anthonisen, NR ;
Connett, JE ;
Murray, RP .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 166 (05) :675-679
[2]   Pulmonary Rehabilitation for Management of Chronic Obstructive Pulmonary Disease [J].
Casaburi, Richard ;
ZuWallack, Richard .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (13) :1329-1335
[3]   Efficacy of standard rehabilitation in COPD outpatients with comorbidities [J].
Crisafulli, E. ;
Gorgone, P. ;
Vagaggini, B. ;
Pagani, M. ;
Rossi, G. ;
Costa, F. ;
Guarriello, V. ;
Paggiaro, P. ;
Chetta, A. ;
de Blasio, F. ;
Olivieri, D. ;
Fabbri, L. M. ;
Clini, E. M. .
EUROPEAN RESPIRATORY JOURNAL, 2010, 36 (05) :1042-1048
[4]   Short- and long-term hospital and community exercise programmes for patients with chronic obstructive pulmonary disease [J].
Elliott, M ;
Watson, C ;
Wilkinson, E ;
Musk, AW ;
Lake, FR .
RESPIROLOGY, 2004, 9 (03) :345-351
[5]   Economic evaluation of a community-based pulmonary rehabilitation program for chronic obstructive pulmonary disease [J].
Golmohammadi, K ;
Jacobs, P ;
Sin, DD .
LUNG, 2004, 182 (03) :187-196
[6]   Is INTERdisciplinary COMmunity-based COPD management (INTERCOM) cost-ffective? [J].
Hoogendoorn, M. ;
van Wetering, C. R. ;
Schols, A. M. ;
Rutten-van Molken, M. P. M. H. .
EUROPEAN RESPIRATORY JOURNAL, 2010, 35 (01) :79-87
[7]   Prevalence and predictors of undiagnosed chronic obstructive pulmonary disease in a Norwegian adult general population [J].
Hvidsten, Sophie Charlotte ;
Storesund, Lene ;
Wentzel-Larsen, Tore ;
Gulsvik, Amund ;
Lehmann, Sverre .
CLINICAL RESPIRATORY JOURNAL, 2010, 4 (01) :13-21
[8]   Potential misclassification of causes of death from COPD [J].
Jensen, H. H. ;
Godtfredsen, N. S. ;
Lange, P. ;
Vestbo, J. .
EUROPEAN RESPIRATORY JOURNAL, 2006, 28 (04) :781-785
[9]   Pulmonary rehabilitation for chronic obstructive pulmonary disease [J].
Lacasse, Y. ;
Goldstein, R. ;
Lasserson, T. J. ;
Martins, S. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04)
[10]  
Lange Peter, 2007, Prim Care Respir J, V16, P174, DOI 10.3132/pcrj.2007.00030