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- W2890259132 abstract "IntroductionChronic obstructive pulmonary disease (COPD) affects threemillion people in England and Wales, including more than 5% of the over 65s. It is the country’s fifth biggest killer, at 30,000 deaths per year. Severeexacerbations are the second commonest cause of emergency admissions,with 15% three-month mortality.MethodsThe clinical practice of the Emergency Department (ED) on the Isleof Man was compared with UK best-practice guidelines regarding the initial management and investigations in acute exacerbation of COPD (AECOPD).The National Institute for Health and Care Excellence (NICE) CG101 provides guidance for managing AECOPD. The evidence underpinning these guidelines was appraised and a retrospective audit of 40 patients in the ED was conducted.ResultsCompliance to the use of air-driven nebulisers was uncertain due to insufficient documentation. Adequate arterial blood gas (ABG): 19 (47.5%). Chest radiograph (CXR): 39 (97.5%). Electrocardiogram (ECG): 37 (92.5%).Full blood count (FBC) plus urea and electrolytes (U&Es): 38 (95%). All pyrexialpatients received blood cultures. Documentation of theophylline use was poor and patients on theophylline did not have levels measured.ConclusionsThe initial management and investigations of AECOPD in the ED could be improved through research on nebuliser use, better documentation and implementation of departmental guidance for clinical decision-making." @default.
- W2890259132 created "2018-09-27" @default.
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- W2890259132 date "2018-08-22" @default.
- W2890259132 modified "2023-09-24" @default.
- W2890259132 title "Initial management and investigations in acute exacerbation of chronic obstructive pulmonary disease: an audit" @default.
- W2890259132 doi "https://doi.org/10.7227/mmj.0022" @default.
- W2890259132 hasPublicationYear "2018" @default.
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