The study of a typical practice in the supervision of patients with chronic obstructive pulmonary disease at the outpatient stage
E.E. VIDYAKINA, S.V. MALCHIKOVA
Kirov State Medical Academy, 112 Karl Marx Str., Kirov, Russian Federation, 610998
Vidyakina E.E. — postgraduate student of the Department of Hospital Therapy, Chief Physician of Kirov City Hospital №4, tel. (8332) 67-67-19, e-mail: kev17@mail.ru
Malchikova S.V. — D. Med. Sc., Professor of the Department of Hospital Therapy, tel. (8332) 56-03-01, e-mail: malchikova@list.ru
The article presents the results of retrospective pharmacoepidemiological analysis of 67 medical records of outpatients with Chronic Obstructive Pulmonary Disease (COPD) for compliance with national guidelines and standards. The analysis revealed a low percentage of detection of COPD ― 0.4-0.6%. It is found out that only 56.7% of patients receive an adequate baseline therapy in remission. 56.7% of patients experience exacerbation during the year. 16.4% of patients do not receive any treatment during exacerbation. 25.4% of patients do not have clinical supervision. The results confirm the need for educational programs for general practitioners on the COPD diagnosing and therapy and for monitoring the implementation of the COPD federal clinic recommendations.
Key words: chronic obstructive pulmonary disease, baseline therapy, pharmacoepidemiology, outpatient stage.
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