Publication: Influencia de la comorbilidad en la enfermedad pulmonar osbtructiva crónica (EPOC) tras un ingreso por exacerbación
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2019-08-27
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Universidad Complutense de Madrid
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Abstract
Introducción: la enfermedad pulmonar obstructiva crónica (EPOC) representa un problema importante de salud pública, debido a su elevada prevalencia y morbimortalidad. Las agudizaciones de la enfermedad son comunes, ya menudo se asocian a ingresos hospitalarios. Estas exacerbaciones provocan una morbilidad y mortalidad significativas y son responsables de la mayor parte de la carga social y económica de la EPOC. Objetivos: estudiar la prevalencia de las diferentes comorbilidades asociadas a la EPOC, además de su relación con algunos biomarcadores, la repercusión sobre el consumo de recursos sanitarios y su influencia en el pronóstico y la mortalidad, en los pacientes ingresados por una exacerbación aguda de su enfermedad en el servicio de Neumología del Hospital General Universitario Gregorio Marañón entre el 1 de junio de 2014 y el 30 de abril de 2016; analizar la influencia de la EPOC sobre el estado mental y la calidad de vida relacionada con la salud de estos enfermos; y determinar los factores clínicos que se asocian al reingreso en estos pacientes con EPOC y comorbilidad asociada. Material y métodos: se trata de un estudio prospectivo, observacional y no intervencionista, en el que se recogen, entre otras variables, características clínicas, cuestionarios de calidad de vida y actividad física, tratamiento y pruebas complementarias, con un seguimiento a 3 meses...
Introduction:the chronic obstructive pulmonary disease (COPD) represents a major public health problem,due to its high prevalence and morbidity and mortality. Exacerbations of the disease are common, and are often associated with hospital admissions. These exacerbations cause significant morbidity and mortality and are responsible for most of the social and economic burden of COPD. Objective: to study the prevalence of the different comorbidities associated with COPD, in addition to its relationship with some biomarkers, the impact on the consumption of health resources and its influence on prognosis and mortality in patients admitted for an acute exacerbation of their disease in the Pulmonology Department of the General University Hospital Gregorio Marañon between June 1, 2014 and April 30, 2016; analyze the influence of COPD on the mental state and quality of life related to the health of these patients; and to determine the clinical factors that are associated with readmission in these patients with COPD and associated comorbidity. Material and methods:it is a prospective, observational and non-interventional study, which includes, among other variables, clinical characteristics, questionnaires of quality of life and physical activity, treatment and complementary tests, with a follow-up of 3 months...
Introduction:the chronic obstructive pulmonary disease (COPD) represents a major public health problem,due to its high prevalence and morbidity and mortality. Exacerbations of the disease are common, and are often associated with hospital admissions. These exacerbations cause significant morbidity and mortality and are responsible for most of the social and economic burden of COPD. Objective: to study the prevalence of the different comorbidities associated with COPD, in addition to its relationship with some biomarkers, the impact on the consumption of health resources and its influence on prognosis and mortality in patients admitted for an acute exacerbation of their disease in the Pulmonology Department of the General University Hospital Gregorio Marañon between June 1, 2014 and April 30, 2016; analyze the influence of COPD on the mental state and quality of life related to the health of these patients; and to determine the clinical factors that are associated with readmission in these patients with COPD and associated comorbidity. Material and methods:it is a prospective, observational and non-interventional study, which includes, among other variables, clinical characteristics, questionnaires of quality of life and physical activity, treatment and complementary tests, with a follow-up of 3 months...
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Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 09-07-2019