Monday, April 18, 2011

What is Acute Exacerbation of COPD?

Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) is an episode where the patient with COPD has more than usual cough, sputum, wheezing, and shortness of breath.

AECOPD is triggered by infection, pollution, smoking, and poor use of preventive medications.

AECOPD leads to emergency department visit or hospitalization. It is very expensive. One hospitalization costs the system about $7000. AECOPD is very bad for the patients as it leads to poor capacity to breath and to do any activities. It can often be fatal if it causes respiratory failure.

Our goal is to prevent AECOPD.
1. Educate patients to use their Advair or Symbicort, or Spiriva regularly.
2. Give patients the AECOPD Action Plan and prescription refill on standby to self-manage and inform us.
3. Encourage all patients to get vaccinations.
4. Encourage patients to join pulmonary rehab program if they have moderate or severe COPD.
5. Give a hospital follow up appointment ASAP to our patients hospitalized with AECOPD

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