INTRODUCTION: We performed an audit on all admissions with @entity1030 ( @entity1030 ) in ex-acerbation to the Department of Emergency Medicine, Odense University Hospital (DEM) in the second half of 2012 to evaluate if an organisational change had altered visitation, treatment, initiation of non-invasive ventilation (NIV) and monitoring. We chose not to include the entire year to avoid data influenced by organisational start-up difficulties. The hypothesis was that NIV was initiated according to guidelines to the same extent as prior to the implementation of DEM. METHODS: Data from medical records were retrieved from two @entity1030 cohorts: 1) all @entity1 admitted to DEM between 1 July and 31 December 2012 and 2) all @entity1 admitted to the Medical Emergency Ward, Odense University Hospital (MEW) in 2010. RESULTS: There were 300 eligible admissions comprising 236 unique @entity1 in DEM in the second half of 2012 compared with 393 admissions in MEW in the second half of 2010, a 24% reduction. The groups were similar in gender and age, but @entity1 admitted in 2012 had higher registered co-morbidity rates, but no significant difference in lung function values. NIV was indicated in 91 admissions (30%) and initiated in 58 admissions (19.3%) in 2012. By comparison NIV was indicated in 193 admissions (24%) and initiated in 151 admissions (18.8%) in 2010. CONCLUSION: There was a statistically significant increase in NIV indication without initiation of treatment in 2012 (28 admissions; 9.3%) compared with 2010 (36 admissions; 4.5%), but no referrals to the intensive care unit or @entity204 were registered during the hospitalisation in either of the groups, but one @entity1 died within 30 days after admission from the DEM. FUNDING: This project was funded by an Odense University Hospital research grant. TRIAL REGISTRATION: The study was approved by the Danish Data Protection Agency (record no. 2011-41-6459).

Reorganisation of acute referral to an emergency department resulted in fewer admissions for XXXX but in higher rates of non-invasive ventilation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease', 'COPD']
@entity1030 :: (MESH:D029424,Disease) :: ['chronic obstructive pulmonary disease']
