A proposal for a practical treatment guideline designed for the initial two-hours of the management of patients with acute severe asthma and COPD using the principles of evidence-based medicine
| Autor: | L.S. Hansen, L.K. Christensen, Klaus Phanareth, Lars Christian Laursen |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Denmark media_common.quotation_subject Control (management) treatment Decision Support Techniques Pulmonary Disease Chronic Obstructive exacerbations Humans Medicine COPD Quality (business) Anti-Asthmatic Agents Quality of Health Care media_common Asthma business.industry Nebulizers and Vaporizers severe Oxygen Inhalation Therapy acute Evidence-based medicine Guideline Time limit asthma medicine.disease Acute severe asthma Acute Disease Practice Guidelines as Topic Emergency Medicine Physical therapy Medical emergency business evidence-based medicine guideline Algorithms |
| Zdroj: | Respiratory Medicine. (9):659-671 |
| ISSN: | 0954-6111 |
| DOI: | 10.1053/rmed.2002.1332 |
| Popis: | We have proposed a clinical treatment guideline for the management of acute, severe asthma and chronic obstructive pulmonary disease (COPD) using the principles of evidence-based medicine. The content is based upon practical clinical issues in need of consensus. A previous study has shown that this particular area is in serious need of quality control. Based on a strict 2 h time schedule with a unified treatment plan for both asthma and COPD, it is possible to secure for the patients a well-documented medical therapy promoting decision-making and clarification of the patient within this time limit. A summary of the statements is presented in a one-page, user-friendly format in order to cope with the clinician's need of having access to published evidence quickly and easily. A website (www.phanareth.dk or a website provided by Respiratory Medicine) has been established providing regular updates. A strategy for the implementation and the evaluation process has been planned after the publication of this paper. We believe this approach to be an important step towards an increase in the quality of guidelines and also a tool to make “guideline writers” aware of the responsibility of making their recommendations work. |
| Databáze: | OpenAIRE |
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