Older adults might present with atypical symptoms, such as “just not feeling right.” Some experience a decreased sensation of dyspnea itself, so they do not even report feeling short of breath. Older patients also may present with various comorbid conditions that are causing shortness of breath, such as congestive heart failure or COPD. This can lead to misdiagnosis.
The development of a bundle checklist for patients with chronic obstructive pulmonary disease has helped a Maryland hospital sharply reduce its readmission rates for these patients. Overall care quality improved for these patients while admitted.
A Maryland hospital’s COPD readmission average rate was 16.09%. Rates higher than 10.8% resulted in a penalty. Leaders set a target goal of 10.7%, and a stretch goal of 10.2%. The hospital surpassed both goals within a year. Read on to learn how they pulled it off.
People with chronic obstructive pulmonary disease frequently seek care for acute exacerbations, which are associated with significant morbidity and mortality. Therefore, it is crucial for physicians to understand how to assess and treat these patients appropriately.
Acute exacerbations frequently prompt patients with chronic obstructive pulmonary disease to present to the emergency department, so it is crucial for emergency physicians to understand how to assess and treat these patients effectively.
Over the past decade, this definition of COPD has changed dramatically, as has the characterization and treatment of individuals with COPD. Multiple new therapies alter the course of this disease, reduce exacerbations, improve quality of life, and increase survival; previous nihilistic approaches to the management of COPD have been replaced by directed and effective pharmacologic and nonpharmacologic therapies. This update will review current approaches to the diagnosis and management of COPD and present the most recent evidence for the classification of COPD phenotypes and the implications of these categories for COPD treatment and prognosis.