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- W4313191234 abstract "<b>Introduction:</b> There is a significant burden of OCS use for suspected ADE (Asthma/COPD/Bronchiectasis) in the emergency care pathway. We have already shown that a third of COPD exacerbation diagnoses within the emergency pathway have significant alternative primary diagnoses.<sup>1</sup> We set out to examine the effect of a structured multidisciplinary (MDT) respiratory in-reach review of such patients through identifying those given high dose OCS within the emergency care pathway of a large acute hospital with an average of about 500 general emergency attendances per day with the help of a new technology. <b>Methods:</b> In 2021, we launched a hospital-wide digital electronic patient record system which triggers an alert whenever any patient is prescribed a nebuliser and Prednisolone>20 mg together. We ran a 6-week pilot of a structured MDT respiratory in-reach review of each of the suspected ADE patients starting 15-Nov-21 and assessed the impact of the pilot on stopping unnecessary OCS. <b>Results:</b> Out of the 132 patients given OCS, 128 were for suspected ADE out of which 49 patients (38.3%) had a firm alternative diagnosis. Of the total 132 patients given OCS, 62 patients (46.9%) had them stopped. <b>Discussion:</b> Technology-enabled structured MDT respiratory in-reach reviews can lead to establishing alternative diagnoses for Airways Disease exacerbations (ADE) in the emergency pathway in a large proportion of patients, which can prevent harm by way of stopping inappropriate high dose OCS. <b>References:</b> 1. Castle L, Azzopardi L, Bhattacharya M, Baverstock M, Worrall L, Mukherjee R. <i>AJRCCM</i> 2009; <b>179:</b> A1516" @default.
- W4313191234 created "2023-01-06" @default.
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- W4313191234 date "2022-09-04" @default.
- W4313191234 modified "2023-09-28" @default.
- W4313191234 title "Effect of a technology-enabled respiratory in-reach service on reduction in the inappropriate use of oral corticosteroids (OCS) for suspected Airways Disease exacerbations (ADE) in an acute general hospital" @default.
- W4313191234 doi "https://doi.org/10.1183/13993003.congress-2022.1466" @default.
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