Portugal at the cross road of international chronic respiratory programmes

Bousquet, Jean; Pinto, José Rosado; Bárbara, Cristina; Sousa, Julie; Fonseca, João; Miguel, José Pereira; Boavida, J. M.; Todo-Bom, Ana; Malva, João O.; Cordeiro, Carlos Robalo

doi:10.1016/j.rppnen.2015.07.001

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…After 2012, the overall trend of growth in CAP hospitalizations and associated mortality changed. This change, in particular the decrease in the number of deaths in the last 2 years of the study and a reduction in the risk of death between 2010 and 2014, may be related to the creation and implementation of a national program for chronic respiratory diseases in 2012 [35,36]. This program under the guidance of the Directorate-General of Health was responsible and encouraged the creation and implementation of respiratory guidelines and health policies in our country.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal: 2000–2014

et al. 2020

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Background: Community-acquired pneumonia (CAP) is one of the leading causes of morbidity and mortality worldwide, often leading to hospital admissions. In Portugal, the factors associated with in-hospital mortality due to CAP are not fully documented. The aim of this study was to characterize the trends of CAP hospitalization in all age groups and the factors associated with their mortality between 2000 and 2014. Methods: We conducted a cross-sectional study using CAP hospitalization data in all age groups, in Portugal Mainland. Logistic regression was used to identify the factors associated with in-hospital mortality. Results: Between 2001 and 2011, CAP hospitalization rate increased from 2.8 to 4.3 per 1000 population. Hospitalization rates were higher in the extreme ages (≤ 4 and ≥ 75 years). However, a decrease in the hospitalization rate and its mortality was observed, in the younger ages. A total of 548,699 hospitalization CAP episodes, between 2000 and 2014, were analyzed, with male (56.2%) and elderly ≥65 years (91.7%) predominance, resulting in 101,740 deaths (18.5%). Men had a significantly lower mean age (64.3 ± 26.4 years versus 67.9 ± 27.5 years; p < 0.001). During the studied 15 years, there was an increase of 45.2% in the number of annual hospitalizations, concomitant with the admission increase of individuals aged over 75 years. Since 2012 a decrease in hospitalizations and associated deaths were detected. The increase in age represented a progressive and significant rise in the probability of death, except for the age group 1-4 years. The age group ≥85 years old (Adjusted OR = 124.256; 95%CI: 97.838-157.807) and males (Adjusted OR = 1.261; 95%CI: 1.243-1.280) were significantly associated with death risk for CAP hospitalization. After 2010, this risk decreased (Adjusted OR = 0.961; 95%CI: 0.940-0.982). The main factors affecting mortality were age, sex, unemployment rate, number of performed procedures and admission quinquennia. Conclusions: Despite a trend of decrease in CAP hospitalizations and associated death since 2012, the numbers of in-hospital mortality showed, in the 15 years under analysis, an overall increase over time, mainly associated with age, in particular very old people (≥ 75 years), males and a higher parish unemployment rate. Therefore, the implementation of CAP preventive measures should be reinforced in these vulnerable groups.

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Section: Discussionmentioning

confidence: 99%

Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal: 2000–2014

et al. 2020

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“…EtDs for all questions were reviewed by the ARIA guideline panel members, who provided feedback by means of electronic communication and during a face-to-face meeting of Integrated Care Pathways for Airway Diseases (AIRWAYS ICPs) 31,32 and Frailty European Innovation Partnership on Active and Healthy Ageing Reference Sites in Lisbon, Portugal on July 1, 2015. 33 All comments were addressed, and the frameworks were modified accordingly. Modified EtD frameworks that included judgments about the research evidence, additional considerations of ARIA panel members, and draft recommendations were sent to all ARIA panel members for review and approval or disapproval and comments by using the online SurveyMonkey software (www.surveymonkey.com).…”

Section: Evidence Review and Development Of Clinical Recommendationsmentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines—2016 revision

Brožek

Bousquet

Agache

et al. 2017

Journal of Allergy and Clinical Immunology

1,437

1,129

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“…The dissemination was proposed to be carried out using the same model as previous B3 AG and/or AIRWAYS ICPs meetings (36,39,43,(46)(47)(48)(51)(52)(53)(54)(55).…”

Section: Support For the Eip On Aha Scaling Up Strategymentioning

confidence: 99%

Building bridges for innovation in ageing: Synergies between action groups of the EIP on AHA

Bousquet

Bewick²,

Cano

et al. 2017

The Journal of nutrition, health and aging

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The Strategic Implementation Plan of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) proposed six Action Groups. After almost three years of activity, many achievements have been obtained through commitments or collaborative work of the Action Groups. However, they have often worked in silos and, consequently, synergies between Action Groups have been proposed to strengthen the triple win of the EIP on AHA. The paper presents the methodology and current status of the Task Force on EIP on AHA synergies. Synergies are in line with the Action Groups' new Renovated Action Plan (2016-2018) to ensure that their future objectives are coherent and fully connected. The outcomes and impact of synergies are using the Monitoring and Assessment Framework for the EIP on AHA (MAFEIP). Eight proposals for synergies have been approved by the Task Force: Five cross-cutting synergies which can be used for all current and future synergies as they consider overarching domains (appropriate polypharmacy, citizen empowerment, teaching and coaching on AHA, deployment of synergies to EU regions, Responsible Research and Innovation), and three cross-cutting synergies focussing on current Action Group activities (falls, frailty, integrated care and chronic respiratory diseases).

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Portugal at the cross road of international chronic respiratory programmes

Cited by 8 publications

References 23 publications

Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal: 2000–2014

Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal: 2000–2014

Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines—2016 revision

Building bridges for innovation in ageing: Synergies between action groups of the EIP on AHA

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