Consistency between diagnostic and therapeutic decisions in COPD patients with respect to the recent guidelines
Thoracic research and practice, cilt.7, sa.1, ss.1-5, 2006 (Hakemli Dergi)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 1
- Basım Tarihi: 2006
- Dergi Adı: Thoracic research and practice
- Sayfa Sayıları: ss.1-5
- Trakya Üniversitesi Adresli: Evet
Özet
Abstract
Objective: To investigate the reports provided for chronic obstructive pulmonary disease (COPD) patients by a certain pulmonologist board, and to determine their consistency with the recent national and international guidelines regarding diagnosis and management. Design: One hundred and six valid official reports provided by physicians working in the chest department of a university iospiar were evade in the chest department of a university hospital were evaluated retrospectively according to the information available on diagnostic criteria spectively according to tne omaioll avallable of dlagnost and treatment options. Results: Mean age of the patients was 62±11 and treatment opions. nesuits. Mea age f tie pthe ro years and 89% were males. Diagnostic information given in the re- yeals and o96 ole ales. ane ports included symptoms, physical signs, basic pulmonary function test results bronchodilator test results, arterial blood gases, chest X-ray and thorax CT/HRCT findings findings (in 94.3%, 47.2%, 56.6%, 5.6%, 16%. 7.5% and 4.7% of the reports, respectively). Functional stage (FEV1 as percent of predicted) was declared in 49.1% of the reports. Therapeutic decisions included short-acting B2-agonists, long-acting B2-agonists, short-acting anticholinergics, inhaled steroids, theophyl- line, expectorants, oral steroids (when needed), antibiotics (when needed), cromones, anti-leukotrienes, nebulizers, long-term oxygen therapy and non-invasive mechanic ventilator (in 87.7%, 86.8%, 67%, 72.6%, 73.6%, 67%, 25.5%, 55.7%, 0.9%, 0.9%, 41.5%, 10.4% and 0.9%.0.9%, 3.8% of the reports, respectively). Conclusion: The diagnostic and peutic reports for COPD patients provided in our department reveal reveal some inappropriateteness dlagnosis and reatnent accorang teness in diagnosis and treatment according to the to thea recemt guideines. Al recent guidelines. Although it is not necessarily indicative of improperr practical approach ach in drug prescription, the results may be accepted as a warning for the requirement of an urgent action plan on sa public health politics in Turkey.
Keywords: COPD, diagnosis, therapeutics, guidelines, health syste