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Table 2 Clinical characteristics of the audited cases

From: Variability in adherence to clinical practice guidelines and recommendations in COPD outpatients: a multi-level, cross-sectional analysis of the EPOCONSUL study

 

Patients (N = 4508)

Hospitals (N = 59)

p

N

% or median (IQR)

Median

IQR

Sex (male), (%)

4.508

86

87.5

82.1–93.2

< 0.001

Age (years), median (P25–75)

4.508

69.7 (63–77.7)

70

69–72

< 0.001

  ≤ 55 (%)

 

8.5

8.2

5.8–11.7

 56–69 (%)

 

38.7

38.1

30–42.6

  ≥ 70 (%)

 

52.8

53.3

47.1–61.7

Pack-years, median (P25–75)

4.508

47 (34–70)

45

40–51

< 0.001

Active smokers, (%)

4.508

23.1

22

18–29

< 0.001

BMI kg/m2, median (P25–75)

4.508

28.0 (24.4–31.1)

27.8

26.6–28.5

0.03

  ≤ 21 (%)

 

7.1

6.7

4.1–9.2

 22–29 (%)

 

60.8

58.8

56.1–64

  ≥ 30 (%)

 

32.1

31.4

26.2–37.7

Charlson index, median (P25–75)

4.508

2 (1–4)

2

2–3

< 0.001

  ≥ 3 (%)

 

44.9

44.5

40–56.6

Dyspnea (MRC-m)

4.508

   

< 0.001

 0 + 1 (%)

 

27.3

23.8

11.6–44.5

  ≥ 2 (%)

 

41.4

38.3

28.3–54

 Missing (%)

 

13.2

8.9

1.6–21.6

 Level of dyspnea not referred to (%)

 

18.1

11.6

3.3–30

CAT questionnaire >10, (%)

869

62.4

64

47.9–83.8

< 0.001

Chronic bronchitis criteria, (%)

4.508

41.7

41

28.3–51

< 0.001

Chronic colonization, (%)

4.508

6.0

5

3.2–8.3

< 0.001

Symptoms suggestive of asthma,(%)

4.508

26.5

18.3

10.8–35

< 0.001

% FEV1, median (P25–75)

4.508

50 (37–63)

51

47–54

0.03

  <  50%

 

49.1

45.5

41.5–53.3

 50–64%

 

28

28.5

22.3–31.7

  ≥ 65%

 

22.9

23.8

15–30

Number of moderate/severe exacerbations in the last year, median (P25–75)

3.196

1.1 (0–2)

1

0–1

0.03

Number of hospital admissions in the last year, median (P25–75)

4508

0.5 (0–1)

0

0–0

0.03

BODE value, median (P25–75)

632

3.9 (3–5)

4.5

3–5.5

< 0.001

GOLD group

985

   

< 0.001

 A (%)

 

22.7

14.3

0–25.9

 B (%)

 

18.7

16.7

0–24.1

 C (%)

 

18.7

20

9.8–33.3

 D (%)

 

39.9

40

23.5–55.6

GesEPOC Phenotype

4.508

   

< 0.001

 - Non-exacerbator, (%)

 

27.5

24.4

11.4–28

 - Exacerbator, (%)

 

18.8

15.7

3.4–22

 - Missing, (%)

 

53.7

52.3

44–58.9

LAMA monotherapy, (%)

4.391

10.0

10

4.8–15.3

0.03

LAMA-LABA combination, (%)

4.391

22.7

20.3

14.5–27.9

< 0.001

LABA+ ICS combination, (%)

4.391

7.7

6.7

3.4–9.8

0.03

Triple therapy (LAMA + LABA + CSI), (%)

4.391

49.1

50.8

39.3–60.3

< 0.001

Long-term oxygen therapy, (%)

4.508

26.6%

25

17.1–33.3

0.03

Home ventilation, (%)

4.508

7.5%

5

2.5–11.6

< 0.001

Respiratory rehabilitation, (%)

4.508

9

5

0–11.8

< 0.001

Respiratory care follow-up (years), (%)

4.508

4 (2–7)

4

3.5–5

0.03

  1. Dichotomous variables are expressed as n and percentage. Average value expressed as median (P25–75). The variability was expressed using the interquartile range (IQR) of median. Calculated for the variability between centers using test de Kruskal–Wallis or chi-square test, depending on the nature of the variable
  2. Abbreviations: LABA long-acting beta-2 agonists, LAMA long-acting antimuscarinic agents, ICS inhaled corticosteroids, GOLD Global Initiative for Chronic Obstructive Lung Disease, GesEPOC Spanish National Guidelines for COPD, CAT COPD Assessment Test