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. 2020 Oct 5;10(10):e038286. doi: 10.1136/bmjopen-2020-038286

Table 4.

Clinical care during the 2-year follow-up of participants with electronic healthcare record data who were newly diagnosed with COPD by case-finding or usual care

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.