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Inpatient management of acute COPD: a cause for concern?
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  • Published on:
    Author's reply

    Dear Editor

    I thank Dr Wolstenholme for his comments.[1] Although the 90 day mortality was very similar for both teaching hospitals and large DGHs, the in-hospital death rate for large DGHs was 9% compared with 4.8% for the teaching hospitals.

    Whether or not hospital size and resource is indeed significant in deciding mortality from acute COPD clearly needs to be established, and hopefully the large nation...

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    Conflict of Interest:
    None declared.
  • Published on:
    Inpatient management of acute COPD: A cause for concern?

    Dear Editor

    I was intrigued by Mike Rudolf's editorial on Inpatient Management of Acute COPD. He states that mortality was highest in small DGH's and lowest in teaching hospitals. Roberts et al. article, in fact, indicated that large DGH's had a smaller mortality than even teaching hospitals. I would not be surprised, as stated, that small DGH's had fewest resources but certainly working in a large DGH I ha...

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