English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Optimal chronic obstructive pulmonary disease (COPD) management includes both pharmacologic therapy and non-pharmacologic interventions including smoking cessation, vaccination, patient education/self-management and pulmonary rehabilitation. All of these elements should be optimized prior to hospital discharge in patients admitted for acute exacerbations of COPD (AECOPD). OBJECTIVES AND METHODS: We conducted a retrospective review of all patients admitted with an AECOPD in Saskatoon, Saskatchewan during 2016 to determine the proportion discharged on medical therapy consistent with the Global Initiative for Obstructive Lung Disease (GOLD) and Canadian Thoracic Society (CTS) guidelines, as well as the proportion who received appropriate non-pharmacologic interventions while in hospital — namely, nicotine replacement therapy (NRT), pneumococcal and influenza vaccination, COPD Nurse-Clinician and Respirologist involvement and pulmonary rehabilitation program (PRP) referral. A total of 222 admissions were evaluated. Regarding non-pharmacologic management, 48% of smokers were prescribed NRT, while 3% and 24% of patients were vaccinated against pneumococcus and influenza, respectively, while in hospital. A total of 37% of patients were seen by a Respirologist and 66% were assessed by a COPD Nurse-Clinician, but only 8% were referred to PRP prior to discharge. In contrast, 86% of patients were discharged on guideline-adherent pharmacologic therapy. COPD Nurse-Clinician involvement, but not Respirologist involvement, was associated with guideline-adherent medical therapy on discharge. While most patients were discharged on appropriate pharmacologic therapy, the low rates of NRT prescription, pneumococcal and influenza vaccination, and PRP referral in these patients highlight meaningful opportunities for further optimizing care and warrant significant improvement. Given the documented benefits of these therapies in COPD, quality improvement initiatives should be undertaken to promote in-hospital COPD optimization.

Examination of COPD management in patients hospitalized with an acute exacerbation of COPD