Model of Murata et al for Predicting Hospital Admission in a Patient with Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Purpose: To identify a patient with decompensated chronic obstructive pulmonary disease (COPD) requiring hospital admission based on the model of Murata et al.

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Evaluation

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

Yes

Number of previous visits to the Emergency Department

Number of visits followed by hospital admission

Number of visits followed by disease relapse

Number of visits with conservative therapy

Prebronchodilator FEV1

liters

Prebronchodilator vital capacity (VC)

liters

Postbronchodilator FEV1 as percent of expected (enter from 0 to 100)

percent

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Admission rate

Relapse rate

Conservative therapy rate

Prebronchodilator FEV1 to VC ratio

Value of X

Probability of hospital admission

Which is

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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
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
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)

Specialty

Pulmonology

Objective

risk factors
severity
prognosis
stage
complications
selection

ICD-10

J42 - Unspecified chronic bronchitis
J43 - Emphysema
J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To identify a patient with decompensated chronic obstructive pulmonary disease (COPD) requiring hospital admission based on the model of Murata et al.

Specialty: Pulmonology

Objective: risk factors, severity, prognosis, stage, complications, selection

ICD-10: J42, J43, J44,

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