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International Journal of Chronic Obstructive Pulmonary Disease Volume 13, 2018 - Issue
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Original Research

The use of a standardized order set reduces systemic corticosteroid dose and length of stay for individuals hospitalized with acute exacerbations of COPD: a cohort study

Swati Gulati1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected]
,
Aline N Zouk1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected]
,
Jonathan P Kalehoff4 Division of Internal Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
,
Christopher S Wren5 Harrison School of Pharmacy, Auburn University, Auburn, AL, USA
,
Peter N Davison6 University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA
,
Denay Porter Kirkpatrick1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected]
,
Surya P Bhatt1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected]
,
Mark T Dransfield1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected];7 Birmingham VA Medical Center, Birmingham, AL, USA, [email protected]
&
James Michael Wells1 Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];2 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA, [email protected];3 UAB Lung Health Center, Birmingham, AL, USA, [email protected];7 Birmingham VA Medical Center, Birmingham, AL, USA, [email protected]Correspondence[email protected]
 show all
Pages 2271-2278 | Published online: 27 Jul 2018

Figures & data

Figure 1 Patient flow diagram.

Abbreviation: DRG, diagnosis-related group.
Figure 1 Patient flow diagram.

Figure 2 Components included in the PowerPlan order set.

Abbreviations: BID, twice a day; IV, intravenous.
Figure 2 Components included in the PowerPlan order set.

Table 1 Baseline characteristics

Table 2 Associations between clinical factors and PowerPlan use

Table 3 PowerPlan use and systemic corticosteroid therapy

Table 4 Predictors of hospital LOS

Figure 3 PowerPlan use and hospital length of stay for AECOPD. Median LOS in the PowerPlan group was 3 (IQR 2–4) days vs 4 (IQR 3–6) days in the usual care group (P=0.02). °Denotes outliers.

Abbreviations: AECOPD, acute exacerbations of COPD; IQR, interquartile range; LOS, length of stay.
Figure 3 PowerPlan use and hospital length of stay for AECOPD. Median LOS in the PowerPlan group was 3 (IQR 2–4) days vs 4 (IQR 3–6) days in the usual care group (P=0.02). °Denotes outliers.

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