title: The quality of medical care during an acute exacerbations of chronic obstructive pulmonary disease.
abstract: Chronic obstructive pulmonary disease (COPD) is a significant cause of global morbidity and mortality, with a substantial economic impact. Acute exacerbations of COPD (AECOPD) represent a dramatic event in the course of the disease; is an important cause of morbidity and the fourth cause of mortality worldwide. During the hospitalization for AECOPD mortality is 10%. AECOPD are also associated with a significant reduction of functional capacity and health-related quality of life. Despite these alarming evidence-based data the response of the healthcare system globally is not adequate to the gravity of the situation. A recently published study done in a Canadian hospital reveals that the treatment of the AECOPD is sub-optimal. The management of the COPD exacerbations prior, during and after the hospitalization showed inadequate adherence of the physicians (respirologists, internists and hospitalists) to the current guidelines. This review outlines the worrisome findings of this study and the proposed measures suggested by the authors in order to optimize the management of AECOPD.
authors: University of Toronto, Toronto, Canada.
authors: Liana
authors: L
authors: Pradan
authors: Toronto Western Hospital, Toronto, Canada.
authors: Ivone
authors: I
authors: Ferreira
authors: Pulmonary Rehabilitation Clinic, lasi, Romania.
authors: Paraschiva
authors: P
authors: Postolache
mesh_terms: D000208:Acute Disease; D002170:Canada / Q000453:epidemiology; D018450:Disease Progression; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy*; D011788:Quality of Life; D012307:Risk Factors; D012720:Severity of Illness Index