Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct 27:15:2663-2671.
doi: 10.2147/COPD.S275002. eCollection 2020.

Information Needs in COPD After an Educational Programme: Influence in Exacerbations and Admissions

Carlos Antonio Amado  1 , Cecilia Pérez-García  2 , Begoña Tamayo Fernández  3 , Juan Agüero-Calvo  3 , Pedro Muñoz-Cacho  4 , Rafael Golpe  5
Affiliations

Information Needs in COPD After an Educational Programme: Influence in Exacerbations and Admissions

Carlos Antonio Amado et al. Int J Chron Obstruct Pulmon Dis. .

Abstract

Introduction: Improving patients' information needs (IN) may contribute to better control in COPD. This study analyses IN using Lung Information Needs Questionnaire (LINQ) following an educational intervention, evaluates how clinical characteristics modify IN, and studies high IN as a prognostic factor for COPD exacerbations and hospital admissions.

Methods: Cohort of 143 patients with initial diagnosis of COPD included in a structured educational program. Two months after completing the program, IN was assessed using LINQ. Correlations between IN and clinical variables of COPD and distribution of IN in different clinical groups were analyzed. Univariate and multivariate analysis was performed to determine influence of IN on exacerbations and COPD admissions over the following year.

Results: LINQ scored 6.3±2.9. There were no differences in LINQ scoring between different clinical groups, but LINQ score positively correlated with age (r=0.184, p=0.029). High IN was a predictor of COPD hospitalizations (HR 2.3 [95% CI 1.1-5.1] (p=0.029)) but not of less severe exacerbations (p=0.334).

Conclusion: IN was not associated with any clinical variables, but it correlated with age. High IN proved to be an independent predictor of admissions.

Keywords: COPD; COPD exacerbation; education.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest for this work.

Figures

Figure 1
Figure 1
Study schedule.
Figure 2
Figure 2
Flowchart of patient selection.
Figure 3
Figure 3
Scatter plot showing correlation between age and LINQ score.
Figure 4
Figure 4
LINQ score in different GOLD Obstruction patients. *Outlier.
Figure 5
Figure 5
LINQ score in different GOLD ABCD Classification patients.
Figure 6
Figure 6
The curve representation for hospitalization due to COPD exacerbation. High information needs=LINQ Score ≥ 8.
See this image and copyright information in PMC

References

    1. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997;349(9064):1498–1504. doi:10.1016/S0140-6736(96)07492-2 - DOI - PubMed
    1. Miravitlles M, Soler-Cataluña JJ, Calle M, et al. Spanish COPD guidelines (GesEPOC) 2017. Pharmacological treatment of stable chronic obstructive pulmonary disease. Arch Bronconeumol. 2017;53:324–335. doi:10.1016/j.arbres.2017.03.018 - DOI - PubMed
    1. Vogelmeier CF, Criner GJ, Martinez FJ, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med. 2017;195:557–582. - PubMed
    1. Seemungal T, Donaldson G, Bhowmik A, Jeffries D, Wedzicha J. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2000;161(5):1608–1613. doi:10.1164/ajrccm.161.5.9908022 - DOI - PubMed
    1. Arnedillo Muñoz A. Impacto de la agudizaciones e ingresos en la EPOC. ArchBronconeumol. 2010;46:8–14. - PubMed

MeSH terms