Journal article

Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal

Anne-Maree Kelly, Oene Van Meer, Gerben Keijzers, Justina Motiejunaite, Peter Jones, Richard Body, Simon Craig, Mehmet Karamercan, Sharon Klim, Veli-Pekka Harjola, Franck Verschuren, Anna Holdgate, Michael Christ, Adela Golea, Colin A Graham, Jean Capsec, Cinzia Barletta, Luis Garcia-Castrillo, Win S Kuan, Said Laribi

Internal Medicine Journal | WILEY | Published : 2020

Abstract

OBJECTIVES: Exacerbations of chronic obstructive pulmonary disease (COPD) are common in emergency departments (ED). Guidelines recommend administration of inhaled bronchodilators, systemic corticosteroids and antibiotics along with non-invasive ventilation (NIV) for patients with respiratory acidosis. We aimed to determine compliance with guideline recommendations for patients with treated for COPD in ED in Europe (EUR) and South East Asia/Australasia (SEA) and to compare management and outcomes. METHODS: In each region, an observational prospective cohort study was performed that included patients presenting to EDs with the main complaint of dyspnoea during three 72-hour periods. This plann..

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University of Melbourne Researchers

Grants

Awarded by Research Council of Lithuania


Funding Acknowledgements

The AANZDEM study was part funded by the Queensland Emergency Medicine Research Foundation. Data management was provided by Clinical Informatics and Data Management Unit, Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia. The work of J. Motiejunaite was supported the Research Council of Lithuania (grant no. MIP-049/2015), as well as training grants from the French Government, the Embassy of France in Lithuania and Erasmus Programme.