Article Text

Audit, research and guideline update
European hospital adherence to GOLD recommendations for chronic obstructive pulmonary disease (COPD) exacerbation admissions
  1. C Michael Roberts1,
  2. Jose Luis Lopez-Campos2,3,
  3. Francisco Pozo-Rodriguez3,4,
  4. Sylvia Hartl5,
  5. on behalf of the European COPD Audit team
  1. 1Institute of Health Sciences Education, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
  2. 2Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocio, Instituto de Biomedicina de Sevilla (IBiS), Sevilla, Spain
  3. 3Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
  4. 4Hospital 12 de Octubre, Instituto de Investigacion i+12, Madrid, Spain
  5. 5Ludwig Boltzmann Institute of COPD and Respiratory Care, Department of Respiratory and Critical Care, Otto Wagner Hospital, Vienna, Austria
  1. Correspondence to Prof C M Roberts, Barts and The London School of Medicine and Dentistry, Garrod Building, Turner Street, London E1 2AD, UK; c.m.roberts{at}


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.

  • COPD Exacerbations
View Full Text

Statistics from

Supplementary materials

  • Supplementary Data

    This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

    Files in this Data Supplement:

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.