Recommendations and practices for holistic chronic obstructive pulmonary disease (COPD) assessment and optimal referral patterns in emergency department presentations: a scoping review protocol

Autor: Amy B. Mullens, Clint Moloney, Gavin Beccaria, Hancy Issac, Emily Sneath, Tania Phillips
Rok vydání: 2019
Předmět:
holistic
Chronic bronchitis
medicine.medical_specialty
emergency department
Referral
assessment
media_common.quotation_subject
lcsh:Medicine
Holistic Health
Care provision
chronic obstructive pulmonary disease
Pulmonary Disease
Chronic Obstructive
03 medical and health sciences
Presentation
0302 clinical medicine
Quality of life (healthcare)
referral pathways
Protocol
COPD
Humans
Medicine
030212 general & internal medicine
Practice Patterns
Physicians'
Referral and Consultation
media_common
business.industry
lcsh:R
General Medicine
Emergency department
Review Literature as Topic
emphysema
030228 respiratory system
Data extraction
Research Design
Family medicine
Practice Guidelines as Topic
Emergency Medicine
causal factors
chronic bronchitis
Holistic management
Emergency Service
Hospital
business
Zdroj: BMJ Open
BMJ Open, Vol 9, Iss 8 (2019)
ISSN: 2044-6055
Popis: IntroductionChronic obstructive pulmonary disease (COPD) is a common respiratory condition that causes persistent respiratory symptoms and decline in lung function over many years. This chronic disease significantly affects health-related quality of life and is known to contribute to frequent emergency department (ED) presentations. Multidimensional management of these patients, including interconnecting health disciplinarians will allow holistic care provision in the ED. The purpose of this scoping review is to synthesise current evidence on holistic management and assessment, and referral practices stemming from acute COPD presentation in the ED. Specifically, to determine: (1) What are the known causal factors associated with COPD ED presentations and (2) Is there an identified connection with appropriate healthcare professional assessment within ED presentations and reported referral pathways?Methods and analysisThe iterative stages of the Arskey and O’Malley, and Levac advanced scoping review framework informs this review. Using published and unpublished studies in English, a three-tiered search strategy will be applied. After duplicates are removed, screen 1 (title and abstract) and screen 2 (full-text) will be conducted by two independent reviewers to determine eligibility of articles. Disputes will be settled through discussion or by using a third reviewer. A data collection tool developed by the authors will inform the data extraction process. Schematic tabular format of results with a narrative summary will depict how the results link with the scoping review objectives. Categorisation of results will be narrowed down as key conceptual findings and will align with the strategic intent of this review.Ethics and disseminationEthics approval was not required for this study. A multidisciplinary team of authors will participate in dissemination activities (publications, reports, conference presentations, framework development).
Databáze: OpenAIRE
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