2019
DOI: 10.1016/j.jamda.2019.01.132
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Hospital Care of Older Patients With COPD: Adherence to International Guidelines for Use of Inhaled Bronchodilators and Corticosteroids

Abstract: Keywords:COPD older patients guidelines adherence major clinical events a b s t r a c tObjectives: We aimed to analyze the prevalence and impact of COPD in older patients hospitalized in internal medicine or geriatric wards, and to investigate adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, associated clinical factors, and outcomes. Design: Data were obtained from REgistro POliterapie SIMI (REPOSI), a prospective multicenter observational registry that enrolls inpatie… Show more

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Cited by 6 publications
(3 citation statements)
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“…The use of BBs was evaluated in hospitalized older patients affected by HF and COPD to implement the knowledge about the management of older patients enrolled in the REPOSI database ( 39 , 40 ). First, HF prevalence was higher than in previous studies ( 41 43 ) because of the selection of a different population and diagnostic criteria ( 44 ).…”
Section: Discussionmentioning
confidence: 99%
“…The use of BBs was evaluated in hospitalized older patients affected by HF and COPD to implement the knowledge about the management of older patients enrolled in the REPOSI database ( 39 , 40 ). First, HF prevalence was higher than in previous studies ( 41 43 ) because of the selection of a different population and diagnostic criteria ( 44 ).…”
Section: Discussionmentioning
confidence: 99%
“…Clinical characteristics and health outcomes have been widely investigated for many diseases [5][6][7][8], but specific data on older patients admitted to hospital with a diagnosis of liver cirrhosis (LC) are sparse [9][10][11][12][13]. LC is a worldwide challenge frequently leading to physical disability, hospitalisation and mortality, but the relatively low prevalence of LC in older in-patients (from 2% to 10%) [10,11,13,14] has probably prioritised more prevalent and highly impacting diseases such as congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) [5,6,15]. Notwithstanding, results from previous studies suggest that, even if relatively less prevalent, LC is prognostically relevant, both in absolute terms and in comparison with other highly impacting diseases [9][10][11][12][13].…”
Section: Introductionmentioning
confidence: 99%
“…Despite this, evidence suggests that recommendations are infrequently adopted in clinical practice and that guideline adherence may be influenced by physician sex. [23][24][25][26][27][28] For example, patients treated by female physicians tend to achieve treatment goals more frequently recommended in clinical guidelines than those treated by male physicians. [29][30][31] Female physicians were also shown to be more likely to intensify medication therapies in people with type 2 diabetes mellitus in an effort to achieve recommended cardiovascular disease targets.…”
mentioning
confidence: 99%