Inpatient management of acute COPD: a cause for concern? | Thorax

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Inpatient management of acute COPD: a cause for concern?

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Author's reply
Michael Rudolf
Published on: 11 December 2003
Inpatient management of acute COPD: A cause for concern?
Roger J Wolstenholme
Published on: 18 November 2003

Published on: 11 December 2003
Author's reply
- Michael Rudolf, Consultant Physician
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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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 national audit that has just been conducted by the BTS and CEEU will settle this matter for us.
Reference (1) Wolstenholme RG. Inpatient management of acute COPD: A cause for concern? [electronic response to M Rudolf; Inpatient management of acute COPD: a cause for concern?] thoraxjnl.com 2003http://thorax.bmjjournals.com/cgi/eletters/58/11/914#102
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Conflict of Interest:
None declared.
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Published on: 18 November 2003
Inpatient management of acute COPD: A cause for concern?
- Roger J Wolstenholme, Consultant Physician
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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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 have the impression that we have significantly less resources than teaching hospitals, and yet the largest DGH's do have marginally better results.
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Conflict of Interest:
None declared.
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