Table 4.
Diagnostic route | |||||
Case finding (n=344) | Usual care (n=188) | ||||
N* | (%) | N* | (%) | ||
Clinical assessments | |||||
MRC dyspnoea score recorded | 98 | 28.5 | 171 | 91 | |
CAT score recorded | 36 | 10.5 | 94 | 50 | |
Spirometry undertaken | 48 | 14 | 79 | 42 | |
COPD severity recorded | 33 | 9.6 | 96 | 51.1 | |
BMI recorded | 244 | 70.9 | 168 | 89.4 | |
Oxygen saturations recorded | 41 | 11.9 | 55 | 29.3 | |
Chest X-ray undertaken | 13 | 3.8 | 9 | 4.8 | |
Depression screen undertaken | 54 | 15.7 | 55 | 29.3 | |
Clinical interventions | |||||
Listed on COPD register | 78 | 22.7 | 175 | 93.1 | |
Care plan recorded | 38 | 11 | 97 | 51.6 | |
Annual review undertaken | 91 | 26.5 | 170 | 90.4 | |
Smoking cessation counselling | 157 | 45.6 | 139 | 73.9 | |
Nicotine replacement therapy | 27 | 7.8 | 17 | 9 | |
Influenza vaccination provided | 240 | 69.8 | 138 | 73.4 | |
Pneumococcal vaccine provided | 19 | 5.6 | 23 | 12.2 | |
Pulmonary rehabilitation provided | 17 | 4.9 | 42 | 22.3 | |
Inhaler technique assessed | 56 | 16.3 | 116 | 61.7 | |
Inhalers prescribed | Salbutamol | 128 | 37.2 | 152 | 80.9 |
Ipratropium | 5 | 1.5 | 10 | 5.3 | |
Salmeterol | 3 | 0.9 | 10 | 5.3 | |
Fluticasone | 3 | 0.9 | 1 | 0.5 | |
Budesonide | 0 | 0 | 0 | 0 | |
Beclometasone | 20 | 5.8 | 13 | 6.9 | |
Fluticasone/salmeterol | 33 | 9.7 | 70 | 37.2 | |
Budesonide/formoterol | 12 | 3.5 | 23 | 12.2 | |
Any of the above inhalers | 134 | 39 | 163 | 86.7 | |
Antibiotic rescue pack | 10 | 2.9 | 43 | 22.9 | |
Prednisolone | 51 | 14.8 | 96 | 51.1 | |
Clinical care score | <5 | 225 | 65.4 | 17 | 9 |
5–9 | 83 | 24.1 | 73 | 38.8 | |
≥10 | 33 | 9.6 | 98 | 52.1 | |
Median (IQR) | 3 | (2–5) | 10 | (7–12) |
*Number of participants who received the clinical assessment or intervention.
BMI, body mass index; CAT, COPD assessment test; COPD, chronic obstructive pulmonary disease; MRC, Medical Research Council.