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Initiatives to improve outcomes for chronic obstructive pulmonary disease

Chris Fehrenbach, RGN.Senior Nurse Respiratory Medicine, Portsmouth Hospitals NHS TrustAcute exacerbations of chronic obstructive pulmonary disease (COPD) occur on average one to three times per year in patients with the condition. These account for at least half the direct costs of treatment of the disease (Hilleman et al, 2000), have a high mortality (Cydulka et al, 1997), and contribute to both poor prognosis and a decline in health status (Vilkman et al, 1997).

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