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Little is known about level of adherence to the <jats:styled-content style=\"fixed-case\">GOLD<\/jats:styled-content> document among hospital\u2010based health professionals assessing and managing inpatients admitted with an acute exacerbation of chronic obstructive pulmonary disease (<jats:styled-content style=\"fixed-case\">AECOPD<\/jats:styled-content>). The primary aim of the study was to evaluate the level of adherence among health professionals to <jats:styled-content style=\"fixed-case\">GOLD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit of medical histories was completed on a random sample of 240 patients admitted to hospital with a primary diagnosis of <jats:styled-content style=\"fixed-case\">AECOPD<\/jats:styled-content> within a calendar year. The audit evaluated adherence to <jats:styled-content style=\"fixed-case\">GOLD<\/jats:styled-content> recommendations on appropriateness of hospital and intensive care unit admissions as well as pharmacological and non\u2010pharmacological management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>High levels of adherence to indications for hospital admissions (97%), indications for intensive care unit admissions (100%) and prescription of bronchodilators (100%) were observed. However, antibiotics (45%) and oxygen therapy (68%) were over\u2010prescribed. Adherence to non\u2010pharmacological management was poor in areas such as smoking cessation (25%) and pulmonary rehabilitation referrals (16%). Patients admitted under the care of the respiratory team were more likely (odds ratio\u2009=\u20092.6, 95% confidence interval: 1.3\u20135.4) to be referred to pulmonary rehabilitation than patients admitted under the general medicine team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Health professionals in the respiratory team had better adherence to <jats:styled-content style=\"fixed-case\">GOLD<\/jats:styled-content> as compared to health professionals in other teams. Nonetheless, pharmacological interventions were both appropriately prescribed and also over\u2010prescribed, whereas non\u2010pharmacological interventions were used rarely, suggesting a need for practice review in these areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12361","type":"journal-article","created":{"date-parts":[[2014,8,14]],"date-time":"2014-08-14T06:19:01Z","timestamp":1407997141000},"page":"1191-1197","source":"Crossref","is-referenced-by-count":21,"title":["Level of adherence to the GOLD strategy document for management of patients admitted to hospital with an acute exacerbation of COPD"],"prefix":"10.1111","volume":"19","author":[{"given":"Clarice Y.","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Physiotherapy La Trobe University  Melbourne Victoria Australia"},{"name":"Department of Physiotherapy Western Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas F.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine F.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Austin Health  Melbourne Victoria Australia"},{"name":"Institute for Breathing and Sleep  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicity C.","family":"Blackstock","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,14]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Asthma in Australia 2011: With a Focus Chapter on Chronic Obstructive Pulmonary Disease","author":"Australian Centre for Asthma Monitoring","year":"2011"},{"key":"e_1_2_6_3_1","unstructured":"McKenzieDK AbramsonM CrockettAJ DabscheckE GlasgowN JenkinsS McDonaldCF Wood\u2010BakerR YangI FrithPAet\u2009al.The COPD\u2010X plan: Australian and New Zealand guidelines for the management of chronic obstructive pulmonary disease V2.30 2011.2011. 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