Resting Borg score as a predictor of safe discharge of chronic obstructive pulmonary disease from the emergency department observation unit.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Ruchira SenguptaMuhammad A Zafar

Abstract

Chronic obstructive pulmonary disease exacerbations (eCOPD) can be life-threatening and costly. Emergency department (ED) observation units (ED-Obs) offer short-term care to safely reduce preventable hospitalizations. Accurately identifying eCOPD patients who can be discharged safely will improve outcomes. The objective were to: I) evaluate utility of conventional clinical variables as predictors of safe discharge and II) assess utility of serial resting Borg score and novel Dyspnea Assessment Score (DAS) for identifying eCOPD patients who can be safely discharged from ED-Obs. This study was carried out in a 680-bed tertiary, academic hospital with >700 annual eCOPD ED encounters and a 16-bed ED-Obs. A two-phase study of eCOPD patients admitted to ED-Obs was performed. Objective I was a retrospective study including all eCOPD admits from April 2016 to May 2017. Predictor variables (demographics, COPD severity, comorbid conditions, exacerbation severity, clinical care in ED) and outcome variables (ED-Obs disposition, ED revisits) were obtained through electronic medical records. Safe discharge was defined as home disposition from ED-Obs without 7-day revisit. A stepwise regression was performed for predictors of safe discharge. ...Continue Reading

References

Feb 2, 2008·The European Respiratory Journal·M CazzolaUNKNOWN European Respiratory Society Task Force on outcomes of COPD
Mar 21, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian H RoweBjug Borgundvaag
Sep 22, 2011·PloS One·Arjun K VenkateshJeremiah D Schuur
Nov 19, 2011·Journal of Biomedical Informatics·Joanna AbrahamVimla L Patel
Sep 11, 2012·Multidisciplinary Respiratory Medicine·Maria Teresa García-SanzFrancisco J González-Barcala
Mar 2, 2013·Journal of Graduate Medical Education·Lee Ann Riesenberg
Jun 14, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Justin SchragerMichael Ross
Sep 3, 2013·Revista portuguesa de pneumologia·V AreiasC Bárbara
Nov 10, 2013·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·S VidalUNKNOWN Investigación en Resultados y Servicios Sanitarios (IRYSS) COPD Group
Jan 16, 2014·Annals of the American Thoracic Society·Valentin Prieto-CenturionJerry A Krishnan
Feb 20, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Ian G StiellGeorge A Wells
Jun 26, 2014·Respiratory Care·Filia DiamanteaAndriana I Papaioannou
Sep 18, 2014·Respiration; International Review of Thoracic Diseases·José M QuintanaFrancisco Rivas-Ruiz
Jun 23, 2015·JAMA Internal Medicine·Elizabeth A ReganUNKNOWN Genetic Epidemiology of COPD (COPDGene) Investigators
Oct 28, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Roberta CappCary Gross
May 12, 2016·The New England Journal of Medicine·Prescott G WoodruffUNKNOWN SPIROMICS Research Group
Jun 7, 2018·International Journal of Chronic Obstructive Pulmonary Disease·Wiebke BartelsStephan F van Eeden

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