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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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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Muhammad Latif
Pulmonology Resident, Pulmonology Unit Lady Reading Hospital, Peshawar - Pakistan
Ahmed Usman
Pulmonology / Respiratory Medicine, Lady Reading Hospital, Peshawar - Pakistan
Abdul Hameed
General Medicine, Medical "B" Ward, Hayatabad Medical Complex, Peshawar - Pakistan
Muhammad Ijlal Naseer
Pulmonology, Pulmonology Ward, Lady Reading Hospital, Peshawar - Pakistan
Saba Gul Khattak
Provincial Branch Health Officer & FMO, General OPD, Pakistan Red Crescent Society Merged Areas.
Arshad Ali
General / internal Medicine Medical C Unit MTI Lady Reading Hospital, Peshawar - Pakistan
Salman Wali
Internal Medicine, Medical B Ward, MTI Mardan Medical Complex, Mardan - Pakistan
Muhammad Haseeb
Internal Medicine Medical "C" Ward, Lady Reading Hospital, Peshawar,
Izaz Ahmad
Internal Medical Department, Medical "A" Ward Lady Lady Reading Hospital, Peshawar - Pakistan
Saad
Group "A" Speciality Medical "A" Ward Lady Reading Hospital, Peshawar - Pakistan
Naqeeb Ullah
Medical "C" Ward Lady Reading Hospital Peshawar – Pakistan,
Sohail Ahmad
Internal Medicine, M Medical "C" Ward, Lady Reading Hospital, Peshawar - Pakistan
Ruknud Din
Group "A" Speciality, Medical "A" Ward, Lady Reading Hospital, Peshawar - Pakistan
Sundas Safdar
Radiology Department, Lady Reading Hospital, Peshawar - Pakistan