Abstract
Background: About 30% of COPD diagnosis at first Spirometry are classified as GOLD 3-4 (Mapel et al. Int J COPD 2011), with a FEV1<50% of predicted, the more severe and resource consuming group. Therefore, improving early COPD diagnosis, ideally the GOLD 1 group (reported as <20%) is a strategic target.
Aim: In an area serving about 270.000 habitants, the National Health Service by Azienda Sanitaria Locale 2 Savonese, Savona, Italy) will promote COPD case finding (on at risk subjects) by offering in a primary care setting a quality controlled spirometry (on line checked by the Pulmonology Division). The proposed Real Life Observational Study (STructured Efficient E-Tracking, STREET project) on consecutively enrolled COPD subjects will be able to record on a database:
a) how many at risk subjects are affected by COPD (those with a postbronchodilator FEV1/FVC <0.7),
b) and at which level of functional (GOLD 1, 2, 3, 4) and clinical (GOLD A, B, C, D) severity;
and to monitor for each COPD for at least 1 year the:
a) the prescribed therapy (LABD, LABD/ICS),
b) patients' drug adherence by Medication Possession Ratio (by a validated drug refilling program elaborated by ASL2 informatic service).
c) moderate and severe exacerbations
d) hospitalizations.
The observational is ongoing and preliminary data will be available for september 2022.
Footnotes
Cite this article as Eur Respir J 2022; 60: Suppl. 66, 2608.
This article was presented at the 2022 ERS International Congress, in session “-”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
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