Pozo-Rodríguez Francisco, Alvarez Carlos José, Castro-Acosta Ady, Melero Moreno Carlos, Capelastegui Alberto, Esteban Cristobal, Hernández Carcereny Carmen, López-Campos José Luis, Izquierdo Alonso José Luís, López Quílez Antonio, Agustí Alvar
Neumología, Hospital 12 de Octubre, Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), España.
Arch Bronconeumol. 2010 Jul;46(7):349-57. doi: 10.1016/j.arbres.2010.04.004. Epub 2010 May 31.
There is little information regarding the clinical management of hospital inpatients diagnosed with exacerbation of Chronic Obstructive Pulmonary Disease (COPD). AUDIPOC is a clinical audit dealing with the clinical management of COPD in Spain.
To examine the adequacy and validity of the instruments used to measure the variables proposed by AUDIPOC Spain (Preliminary Study) and to verify the viability of AUDIPOC in a complex environment with hospitals of different sizes, resources, and organizational layout (Pilot Study).
The Preliminary Study took place in 4 hospitals and studied 213 cases. The Pilot Study took place in 30 hospitals of 6 Autonomous Communities (i.e. Regions) and studied 1203 cases.
The results of both studies contributed to the improvement of the design, methods and organization of the AUDIPOC work. Some of the improvements include better training of those responsible at a hospital level, a new classification of hospitals, the incorporation of new variables and the creation of a Bureau for the Coordination and Management of the Project.
The AUDIPOC study is viable. It aims to recruit 10000 patients across 142 hospitals from all the Regions of Spain.
关于医院中被诊断为慢性阻塞性肺疾病（COPD）急性加重的住院患者的临床管理，相关信息较少。AUDIPOC是一项针对西班牙COPD临床管理的临床审计。
检验用于测量西班牙AUDIPOC所提出变量的工具的充分性和有效性（初步研究），并在具有不同规模、资源和组织布局的医院组成的复杂环境中验证AUDIPOC的可行性（试点研究）。
初步研究在4家医院开展，研究了213例病例。试点研究在6个自治区（即地区）的30家医院开展，研究了1203例病例。
两项研究的结果都有助于改进AUDIPOC工作的设计、方法和组织。一些改进措施包括对医院层面的负责人进行更好的培训、对医院进行新的分类、纳入新变量以及设立项目协调与管理局。
AUDIPOC研究是可行的。其目标是从西班牙所有地区的142家医院招募10000名患者。
