Guide admission vs discharge in COPD exacerbation
The Ottawa chronic obstructive pulmonary disease (COPD) risk scale was derived and then validated in an effort to guide more appropriate admission and discharge decisions from the emergency department in the setting of COPD exacerbation.
In the clinical validation of a risk-stratification tool for COPD in the emergency department, it was found that 9.5% of those with COPD exacerbation had short-term serious outcomes, with a concerning proportion occurring in those discharged home from the emergency department.
Short term serious outcome is defined as any of death, admission to monitored unit, intubation, noninvasive ventilation, myocardial infarction (MI) or relapse with hospital admission.
Exacerbation of COPD is defined as an increase in at least 2 of the following 3 criteria: breathlessness, sputum volume or sputum purulence.
A score is assigned by the following variables.
1. Initial assessment
2. Investigations
3. Re-Assessment after ED treatment
Stiell, et al.
The Ottawa chronic obstructive pulmonary disease (COPD) risk scale was derived and then validated in an effort to guide more appropriate admission and discharge decisions from the emergency department in the setting of COPD exacerbation.
In the clinical validation of a risk-stratification tool for COPD in the emergency department, it was found that 9.5% of those with COPD exacerbation had short-term serious outcomes, with a concerning proportion occurring in those discharged home from the emergency department.
Short term serious outcome is defined as any of death, admission to monitored unit, intubation, noninvasive ventilation, myocardial infarction (MI) or relapse with hospital admission.
Exacerbation of COPD is defined as an increase in at least 2 of the following 3 criteria: breathlessness, sputum volume or sputum purulence.
A score is assigned by the following variables.
1. Initial assessment
2. Investigations
3. Re-Assessment after ED treatment
Stiell, et al.
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