The influence of heart disease on characteristics, quality of life, use of health resources, and costs of COPD in primary care settings

BMC Cardiovascular Disorders

Research Article

Javier Rejas-Gutierrez¹  Javier de Miguel-Díez²  Elena Gobartt-Vázquez³  Antonio Martín-Centeno⁴  Valentín Hernandez-Barrera⁵  Angel Gil de Miguel⁵  Pilar Carrasco-Garrido⁵  Rodrigo Jimenez-Garcia⁵ 

[1] Department of Health Outcomes Research, Medical Unit, Pfizer España, Alcobendas (Madrid), Spain;Department of Pneumology, Hospital General Universitario Gregorio Marañón, Madrid, Spain;Medical Department, Boehringer Ingelheim España, San Cugat del Vallés (Barcelona), Spain;Medical Unit, Pfizer España, Alcobendas (Madrid), Spain;School of Health Sciences, Universidad Rey Juan Carlos, Alcorcón (Madrid), Spain;

关键词: Chronic Obstructive Pulmonary Disease;    Chronic Obstructive Pulmonary Disease Patient;    Primary Care Setting;    Salmeterol;    Health Resource;   

DOI  :  10.1186/1471-2261-10-8

 received in 2009-05-03, accepted in 2010-02-18,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTo evaluate the influence of heart disease on clinical characteristics, quality of life, use of health resources, and costs of patients with COPD followed at primary care settings under common clinical practice conditions.MethodsEpidemiologic, observational, and descriptive study (EPIDEPOC study). Patients ≥ 40 years of age with stable COPD attending primary care settings were included. Demographic, clinical characteristics, quality of life (SF-12), seriousness of the disease, and treatment data were collected. Results were compared between patients with or without associated heart disease.ResultsA total of 9,390 patients with COPD were examined of whom 1,770 (18.8%) had heart disease and 78% were males. When comparing both patient groups, significant differences were found in the socio-demographic characteristics, health profile, comorbidities, and severity of the airway obstruction, which was greater in patients with heart disease. Differences were also found in both components of quality of life, physical and mental, with lower scores among those patients with heart disease. Higher frequency of primary care and pneumologist visits, emergency-room visits and number of hospital admissions were observed among patients with heart diseases. The annual total cost per patient was significantly higher in patients with heart disease; 2,937 ± 2,957 vs. 1,749 ± 2,120, p < 0.05. Variables that were showed to be independently associated to COPD in subjects with hearth conditions were age, being inactive, ex-smokers, moderate physical exercise, body mass index, concomitant blood hypertension, diabetes, anxiety, the SF-12 physical and mental components and per patient per year total cost.ConclusionPatients with COPD plus heart disease had greater disease severity and worse quality of life, used more healthcare resources and were associated with greater costs compared to COPD patients without known hearth disease.

【 授权许可】

CC BY   
© de Miguel-Díez et al; licensee BioMed Central Ltd. 2010