Spirometry utilization after hospitalization for patients with chronic obstructive pulmonary disease exacerbations

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Natalia B VolkovaMichael W Peterson

Abstract

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in the US population. An area of improvement hinges on early detection and proper monitoring. Spirometry is an important interventional tool; its underuse among hospitalized patients with COPD could affect quality of care. This study evaluates spirometry use at the Community Medical Center-Sierra in hospitalized patients with COPD. A retrospective medical record review from January 1, 2000, to March 15, 2002, assesses 1507 inpatients with COPD. The effects are analyzed of age, sex, race/ethnicity, diagnosis, insurance status, disposition, and admitting service on spirometry use by physicians are analyzed. A questionnaire is used to evaluate the knowledge, attitudes, and behaviors of residents toward spirometry ordering. Baseline characteristics are similar between study groups. Only 3% of 1476 study patients have spirometry performed within the recommended time frame, and only 12.2% have at least 1 spirometry performed. Patients having a primary diagnosis of COPD have a greater likelihood of having spirometry performed (20.3% vs 11.1%, P < .001), as do patients who are discharged to home (13.4% vs 5.9%, P = .001). No significant effects a...Continue Reading

References

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May 18, 2007·American Journal of Respiratory and Critical Care Medicine·Klaus F RabeUNKNOWN Global Initiative for Chronic Obstructive Lung Disease

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Citations

Jun 18, 2011·BMC Pulmonary Medicine·Nicola J RobertsMartyn R Partridge
Mar 8, 2011·Journal of Women's Health·Shiva D RahmanianMary Ellen Wewers
Jul 6, 2010·American Heart Journal·Francesca BursiVéronique L Roger

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