Chronic Respiratory Disease

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Khalid, S.
Right arrow Articles by Wolstenholme, R.J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Khalid, S.
Right arrow Articles by Wolstenholme, R.J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Chronic Respiratory Disease, Vol. 4, No. 4, 191-194 (2007)
DOI: 10.1177/1479972306075040

Effect of PaO2 and social circumstances on outcomes in out-patient treatment of COPD exacerbations

S. Khalid

COPD Unit, Royal Albert Edward Infirmary, Wigan, Lancashire, UK, skhalid{at}doctors.org.uk

A.C. Elliott

COPD Unit, Royal Albert Edward Infirmary, Wigan, Lancashire, UK

A. Pilling

COPD Unit, Royal Albert Edward Infirmary, Wigan, Lancashire, UK

R.J. Wolstenholme

COPD Unit, Royal Albert Edward Infirmary, Wigan, Lancashire, UK

The current British Thoracic Society guidelines on COPD recommend that patients with COPD exacerbations should be admitted to hospital if they either have partial pressure of arterial oxygen of <7.0 kilopascals (kPa) or if they are living alone. This study was carried out to see if either of these factors have any effect on the outcome in patients presenting with COPD exacerbation in the setting of well established COPD services. This study was to see if patients with PaO 2 < 7.0 kPa or those living alone were readmitted more frequently or had higher mortality than other patients discharged through the same scheme. A retrospective analysis was carried out on 1078 patients with acute exacerbation of COPD who were discharged home through Wigan "hospital at home" scheme in the period between November 1999 and February 2004 prior to the introduction of the new guidelines. This study found that there was no statistically significant difference in the rates of readmissions in patients with low PaO2 or those living in adverse social circumstances compared to other groups of patients. The number of patients dying in this period was too small to analyse with adequate power. This study indicates that such patients can be safely managed at home in the context of well established COPD services. Chronic Respiratory Disease 2007; 4: 191—194

Key Words: COPD • COPD excacerbations • COPD services • "hospital at home" • hypoxia


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Chronic Respiratory DiseaseHome page
C. Hernandez and J. Roca
COPD exacerbations: who is safe to be managed at home
Chronic Respiratory Disease, November 1, 2007; 4(4): 187 - 188.
[PDF]