Evaluation of the quality of emergency department management for patients with chronic obstructive pulmonary disease.

ABSTRACT:

Objective

Chronic obstructive pulmonary disease (COPD) is associated with exacerbations and high risk of serious outcomes. Our goal was to determine the appropriateness of the emergency department (ED) management of COPD exacerbations.

Methods

This observational cohort study incorporated a health records review and included COPD exacerbation cases seen at two large academic EDs. We included all patients with the primary diagnosis of COPD exacerbation. From the electronic medical record, demographic and clinical data were abstracted, and the Ottawa COPD Risk Score (OCRS) was calculated for each. Short-term serious outcomes included intensive care unit admission, intubation, myocardial infarction, noninvasive positive pressure ventilation (NIV), and death at 30 days. Cases wer

SUBMITTER: King PJ 

PROVIDER: S-EPMC11467456 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature