ArticleCanadian respiratory journal
Variations in the management of acute exacerbations of chronic obstructive pulmonary disease.
Article in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Health coaching to improve self-management and quality of life for low income patients with chronic obstructive pulmonary disease (COPD): protocol for a randomized controlled trial.BMC pulmonary medicine · 2017Trial
- Implementation of the Care Bundle for the Management of Chronic Obstructive Pulmonary Disease with/without Heart Failure.Journal of clinical medicine · 2024Review
- Geographic Differences in Availability and Access to Care Services for Asthma and COPD: Case Study of Vancouver Coastal Health, British Columbia.Canadian respiratory journal · 2024Article
- Mapping of Modifiable Factors with Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Guidelines Adherence to the Theoretical Domains Framework: A Systematic Review.Journal of multidisciplinary healthcare · 2022Review
- Age is a determinant of short-term mortality in patients hospitalized for an acute exacerbation of COPD.Internal and emergency medicine · 2021Observational
- Article
- Evaluation of the Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease in Hospitalized Patients.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2020Article
- Article
- Effectiveness of a standardized electronic admission order set for acute exacerbation of chronic obstructive pulmonary disease.BMC pulmonary medicine · 2018Article
- The use of a standardized order set reduces systemic corticosteroid dose and length of stay for individuals hospitalized with acute exacerbations of COPD: a cohort study.International journal of chronic obstructive pulmonary disease · 2018Article
- Bone marrow mesenchymal stem cells ameliorate lung injury through anti-inflammatory and antibacterial effect in COPD mice.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017Article
- Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates.International journal of chronic obstructive pulmonary disease · 2017Article
- Pulmonologist involvement, stage-specific treatment, and survival in adults with non-small cell lung cancer and chronic obstructive pulmonary disease.Annals of the American Thoracic Society · 2015Article
- Experimental rhinovirus infection in COPD: implications for antiviral therapies.Antiviral research · 2014Review
- Optimizing quality of care in patients admitted with chronic obstructive pulmonary disease exacerbation.Chronic respiratory diseaseObservational
- Values of procalcitonin and C-reactive proteins in the diagnosis and treatment of chronic obstructive pulmonary disease having concomitant bacterial infection.Pakistan journal of medical sciencesArticle
- Management of chronic obstructive pulmonary disease exacerbations: how well are we doing?Canadian respiratory journalArticle
- Gaps in the inpatient management of chronic obstructive pulmonary disease exacerbation and impact of an evidence-based order set.Canadian respiratory journalArticle
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute exacerbations of chronic obstructive pulmonary disease (AECOPD) are a significant cause of morbidity and mortality for patients with COPD. AECOPD are the leading cause of hospital admissions in Canada. Although multiple guidelines have been developed for the acute and chronic management of COPD, there are few quality assurance studies investigating adherence to these guidelines.
methodsA retrospective chart review of all patients admitted to a tertiary care hospital in 2009 for an AECOPD was performed. Using a standardized data abstraction tool, adherence to current guidelines across different physician groups and patient outcomes were assessed. Particular focus was centred on differences in management across physician groups.
resultsOverall, 293 patients were evaluated. Of these, 82.6% were treated with one or more chronic COPD medication(s) in the community, with only 17.7% of patients treated with a long-acting inhaled anticholinergic medication. For treatment of AECOPD, 58% of patients received corticosteroids and 84% received antibiotics. Compared with general medicine and the hospitalist service, the respiratory medicine service demonstrated significantly better adherence with current treatment guidelines; however, even this was less than optimal. In addition, there was poor follow-up of patients cared for outside of the respiratory service.
conclusionsThe present study identified significant care gaps in the treatment of patients admitted with AECOPD and on their discharge.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.