Indicators for Patient - COPD Hospital Admission

Are you evaluating a patient with COPD in the Emergency Department?

Yes

Is the patient an older adult?

Yes

Gender of the patient

Male

Female

Is the patient Hispanic or Caucasian?

Yes

Does the patient have private insurance?

Yes

Has the patient been a very heavy smoker?

Yes

Does the patient routinely use the Emergency Department for management of COPD problems?

Yes

Has the patient used inhaled corticosteroids during the past week?

Yes

Has the patient experienced activity limitations during the past 24 hours?

Yes

Does the patient have pneumonia?

Yes

Does the patient also have asthma?

Yes

Does the patient have an elevated respiratory rate?

Yes

Has the patient received noninvasive positive pressure ventilation (NIPPV) in the ED?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors associated with being admitted from the ED

Number of findings associated with a low risk of admission from the ED

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Indicators for COPD Patient Being Admitted to Hospital from ED

Purpose: To identify factors affecting the decision to admit a patient with COPD being seen in the Emergency Department (ED) based on the study of Tsai et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10