{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T13:55:51Z","timestamp":1760622951092,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T00:00:00Z","timestamp":1414972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004320","name":"Shiraz University of Medical Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004320","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2016,5]]},"abstract":"Abstract<\/jats:title>Background and Aims<\/jats:title>To determine the level of adherence to the G<\/jats:styled-content>lobal I<\/jats:styled-content>nitiative for C<\/jats:styled-content>hronic O<\/jats:styled-content>bstructive L<\/jats:styled-content>ung D<\/jats:styled-content>isease (GOLD<\/jats:styled-content>) guidelines, we compared our inpatient management of exacerbations of chronic obstructive pulmonary disease (COPD<\/jats:styled-content>) to these guidelines.<\/jats:p><\/jats:sec>Method<\/jats:title>This cross\u2010sectional descriptive study was conducted from J<\/jats:styled-content>anuary 2011 to A<\/jats:styled-content>pril 2012 in a 360\u2010bed teaching hospital in S<\/jats:styled-content>hiraz, I<\/jats:styled-content>ran. We recorded the management data for 96 consecutive patients with COPD<\/jats:styled-content> exacerbation. SPSS<\/jats:styled-content> 11.5 software (SPSS I<\/jats:styled-content>nc., C<\/jats:styled-content>hicago, IL<\/jats:styled-content>, USA<\/jats:styled-content>) was used for all statistical analyses.<\/jats:p><\/jats:sec>Results<\/jats:title>The mean (standard deviation) age of our patients was 67.3 (14) years, and more than 75% of them were men. Adherence for starting antibiotics was 84.4%. Most of our patients (82.3%) received oxygen therapy, for a level of adherence to GOLD<\/jats:styled-content> recommendations of 74%. Nearly 95% received a short\u2010acting bronchodilator, and 12.5% received a long\u2010acting bronchodilator. Adherence to the guidelines was 19.8% for oral and 61.4% for inhaled steroids. Adherence to the guidelines was 49% for starting N<\/jats:styled-content>\u2010acetylcysteine, 77.1% for antitussives and 13.5% for xanthine derivatives (aminophylline and theophylline). The overall adherence to GOLD<\/jats:styled-content> guidelines was 67.2% at our hospital.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The level of adherence to GOLD<\/jats:styled-content> guidelines for the management of COPD<\/jats:styled-content> exacerbation was suboptimal at our teaching hospital. Further improvements in adherence to these guidelines are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.12215","type":"journal-article","created":{"date-parts":[[2014,10,13]],"date-time":"2014-10-13T08:01:17Z","timestamp":1413187277000},"page":"298-302","source":"Crossref","is-referenced-by-count":9,"title":["Adherence to the G<\/scp>lobal I<\/scp>nitiative for C<\/scp>hronic O<\/scp>bstructive L<\/scp>ung D<\/scp>isease guidelines for management of COPD<\/scp>: a hospital\u2010base study"],"prefix":"10.1111","volume":"10","author":[{"given":"Seyed Masoom","family":"Masoompour","sequence":"first","affiliation":[{"name":"Internal Medicine Department Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbas","family":"Mohammadi","sequence":"additional","affiliation":[{"name":"Student Research Center Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamideh","family":"Mahdaviazad","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,3]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"The Global Initiative for Chronic Obstructive Lung Disease(2011).Global strategy for the diagnosis management and prevention of chronic obstructive pulmonary disease. 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