Chronic obstructive pulmonary disease Management and Follow up.

- Clinical indicators for monitoring implantation of these COPD guidelines

Indicators for COPD guidelines application;

 A- diagnosis:

-    % of spirometry-confirmed diagnosis

-    % assessed using mMRC or CAT score

-    % with documented GOLD classification (A–B–E)

B- management: 

-        % of patients prescribed appropriate inhaled therapy according to GOLD group

-        % of patients on combination therapy LABA + LAMA ± ICS

-        % of inappropriate ICS overuse

-        % of patients receiving smoking cessation intervention

-        % of patients vaccinated

-        % of patients referred to pulmonary rehabilitation

-         % of patients receiving inhaler technique education

-        % of patients receiving Follow-up appointment

 

Indicators for outcome (Are patients improving?)

-        Rate of COPD exacerbations per patient/year

-        Hospital admission rate for COPD and Length of hospital stay

-        30-day readmission rate

 

Patient-Centered Outcomes

-        Change in CAT score

-        Change in mMRC dyspnea scale

-        Quality of life measures (e.g., SGRQ)

-        COPD-related mortality rate

Safety Indicators

-        Rate of ICS-related pneumonia

-        Medication errors (e.g., duplicate inhalers)

-        Adverse drug reactions