COMPREHENSIVE AUDIT ON THE MANAGEMENT OF ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AT LADY READING HOSPITAL MTI PESHAWAR ENHANCING QUALITY CARE AND BEST PRACTICES

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Muhammad Latif
Ahmed Usman
Abdul Hameed
Muhammad Ijlal Naseer
Saba Gul Khattak
Arshad Ali
Salman Wali
Muhammad Haseeb
Izaz Ahmad
Saad
Naqeeb Ullah
Sohail Ahmad
Ruknud Din
Sundas Safdar

Keywords

Acute Exacerbation, BTS Guidelines, Clinical Audit, COPD, Respiratory Failure

Abstract

To audit the Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) at leady reading hospital MTI Peshawar Enhancing Quality Care and Best Practices


Methods: This was a clinical audit carried out at Lady Reading Hospital MTI Peshawar from February 2022 to October 2023. All patient charts with the diagnosis of COPD exacerbation were recovered. Our audit examined the factors that make COPD worse, such as smoking and work-related factors, spirometry to confirm COPM, predictive measures of COPA effects, and additional health issues for those with COPP. The study also examined the major complications that occur during a COPD onset, ways to recognize lung dysfunction, and the various drugs prescribed to individuals with this condition. Our findings were compared to those of the British Thoracic Society (BTS) in 2010. For data analysis SPSS software was used and percentage was calculated for various variables. Mean and standard deviation was calculated for BMI hospital stay and antibiotic description. The findings were displayed in the form of tables and graphs.


Results: A total of 125 patients were recorded whose mean age was 63(±12 SD) years. 64%, 36% were female and male respectively.  Smoking and Occupational history was recorded 38 and 26% correspondingly. Oxygen saturation was rec


orded on all patients. Increase in the shortness of breath was recorded in 96% patients. Nebulized bronchodilators, intravenous steroids and intravenous antibiotics were prescribed to >90% of patients.  Most of  the  patients    were  discharged  on  home  treatment while  in-hospital  mortality  was  13.68%.


Conclusion The clinical notes for COPD did not include any information on smoking, occupational background, and the three key indicators of exacerbation. Most COPD exacerbation and respiratory failure were managed in a way that was consistent with BTS standards, but the diagnosis was not precise in almost two-thirds of cases.

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