TY - JOUR
T1 - ISMAR-study presentation
T2 - In-hospital epidemiology and clinical management of respiratory and cardiac comorbidities in cardiac and respiratory disease units
AU - Tramarin, Roberto
AU - Polverino, Mario
AU - Volterrani, Maurizio
AU - Girardi, Bruna
AU - Chimini, Claudio
AU - Ambrosino, Nicolino
AU - De Benedetto, Fernando
AU - Proto, Cesare
PY - 2014
Y1 - 2014
N2 - Background: Cardiovascular and respiratory diseases are leading causes of morbidity and their co-occurrence has important implications in mortality and other outcomes. Even the most recent guidelines do not reliably address clinical, prognostic, and therapeutic concerns due to the overlap of respiratory and cardiac diseases. Study objectives and design: In order to evaluate in the reality of clinical practice the epidemiology and the reciprocal impact of cardio-pulmonary comorbidity on the clinical management, diagnostic workup and treatment, 1,500 cardiac and 1,500 respiratory inpatients, admitted in acute and rehabilitation units, will be enrolled in a multicenter, nationwide, prospective observational study. For this purpose, each center will enroll at least 50 consecutive patients. At discharge, data analysis will be aimed at the definition of cardiac and pulmonary inpatient comorbidity prevalence, demographic characteristics, length of hospital stay, and risk factors, taking into account also procedures, pharmacological and non-pharmacological treatment, and follow up in patients with cardio-respiratory comorbidity. Conclusions: The purely observational design of the study aims to give new relevant information on the assessment and management of overlapping patients in real life clinical practice, and new insight for improvement and implementation of current guidelines on the management of individual diseases.
AB - Background: Cardiovascular and respiratory diseases are leading causes of morbidity and their co-occurrence has important implications in mortality and other outcomes. Even the most recent guidelines do not reliably address clinical, prognostic, and therapeutic concerns due to the overlap of respiratory and cardiac diseases. Study objectives and design: In order to evaluate in the reality of clinical practice the epidemiology and the reciprocal impact of cardio-pulmonary comorbidity on the clinical management, diagnostic workup and treatment, 1,500 cardiac and 1,500 respiratory inpatients, admitted in acute and rehabilitation units, will be enrolled in a multicenter, nationwide, prospective observational study. For this purpose, each center will enroll at least 50 consecutive patients. At discharge, data analysis will be aimed at the definition of cardiac and pulmonary inpatient comorbidity prevalence, demographic characteristics, length of hospital stay, and risk factors, taking into account also procedures, pharmacological and non-pharmacological treatment, and follow up in patients with cardio-respiratory comorbidity. Conclusions: The purely observational design of the study aims to give new relevant information on the assessment and management of overlapping patients in real life clinical practice, and new insight for improvement and implementation of current guidelines on the management of individual diseases.
KW - Comorbidity
KW - Diagnostic procedure
KW - Epidemiology
KW - In-hospital
KW - Management
KW - Treatment
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U2 - 10.1186/2049-6958-9-28
DO - 10.1186/2049-6958-9-28
M3 - Article
AN - SCOPUS:84901928656
VL - 9
JO - Multidisciplinary Respiratory Medicine
JF - Multidisciplinary Respiratory Medicine
SN - 1828-695X
IS - 1
M1 - 28
ER -