title: European hospital adherence to GOLD recommendations for chronic obstructive pulmonary disease (COPD) exacerbation admissions.
abstract: Understanding how European care of chronic obstructive pulmonary disease (COPD) admissions vary against guideline standards provides an opportunity to target appropriate quality improvement interventions. In 2010-2011 an audit of care against the 2010 'Global initiative for chronic Obstructive Lung Disease' (GOLD) standards was performed in 16 018 patients from 384 hospitals in 13 countries. Clinicians prospectively identified consecutive COPD admissions over a period of 8 weeks, recording clinical care measures on a web-based data tool. Data were analysed comparing adherence to 10 key management recommendations. Adherence varied between hospitals and across countries. The lack of available spirometry results and variable use of oxygen and non-invasive ventilation (NIV) are high impact areas identified for improvement.
authors.affiliation: Institute of Health Sciences Education, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, , London, UK.
authors.forename: C Michael
authors.initials: CM
authors.lastname: Roberts
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Lopez-Campos
authors.forename: Francisco
authors.initials: F
authors.lastname: Pozo-Rodriguez
authors.forename: Sylvia
authors.initials: S
authors.lastname: Hartl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001784:Blood Gas Analysis; D018450:Disease Progression; D005060:Europe; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006761:Hospitals / Q000592:standards*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D063087:Noninvasive Ventilation; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D058996:Quality Improvement; D013147:Spirometry
keywords: COPD Exacerbations