[Clinical audit of patients admitted to hospital in Spain due to exacerbation of COPD (AUDIPOC study): method and organisation]

Arch Bronconeumol. 2010 Jul;46(7):349-57. doi: 10.1016/j.arbres.2010.04.004. Epub 2010 May 31.
[Article in Spanish]


Background: 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.

Objectives: 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).

Materials and methods: 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.

Results: 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.

Conclusions: The AUDIPOC study is viable. It aims to recruit 10000 patients across 142 hospitals from all the Regions of Spain.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catchment Area, Health
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Hospitalization / statistics & numerical data
  • Hospitals, Public / statistics & numerical data
  • Humans
  • Male
  • Medical Audit
  • Multicenter Studies as Topic / ethics
  • Multicenter Studies as Topic / methods*
  • Patient Admission / statistics & numerical data
  • Pilot Projects
  • Prospective Studies
  • Pulmonary Disease, Chronic Obstructive / epidemiology*
  • Pulmonary Disease, Chronic Obstructive / therapy
  • Research Design*
  • Spain / epidemiology