Institute of Health Sciences Education, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, , London, UK.
Thorax. 2013 Dec;68(12):1169-71. doi: 10.1136/thoraxjnl-2013-203465. Epub 2013 Jun 1.
Understanding how European care of chronic obstructive pulmonary disease (COPD) admissions vary against guideline standards provides an opportunity to target appropriate quality improvement interventions. In 2010-2011 an audit of care against the 2010 'Global initiative for chronic Obstructive Lung Disease' (GOLD) standards was performed in 16 018 patients from 384 hospitals in 13 countries. Clinicians prospectively identified consecutive COPD admissions over a period of 8 weeks, recording clinical care measures on a web-based data tool. Data were analysed comparing adherence to 10 key management recommendations. Adherence varied between hospitals and across countries. The lack of available spirometry results and variable use of oxygen and non-invasive ventilation (NIV) are high impact areas identified for improvement.
了解欧洲慢性阻塞性肺疾病（COPD）住院患者的护理如何针对指南标准存在差异，为有针对性地开展质量改进干预措施提供了机会。2010-2011 年，对来自 13 个国家的 384 家医院的 16018 例患者进行了针对 2010 年“全球慢性阻塞性肺病倡议”（GOLD）标准的护理审核。临床医生在 8 周的时间内前瞻性地确定了连续的 COPD 入院患者，在一个基于网络的数据工具上记录临床护理措施。通过比较对 10 项关键管理建议的遵守情况来分析数据。遵守情况在医院之间和国家之间存在差异。缺乏可用的肺活量计结果和氧气及无创通气（NIV）的使用情况存在差异，这些都是需要改进的高影响领域。
