COPD or not COPD- That is the question (ID 276)
liverpool university foundation trust
Funding: none
Abstract
Liverpool Community Respiratory Team (CRT) is a well-established, multi-professional team supporting respiratory patients at home to safely avoid hospital admission/reduce hospital length of stay. In recent years CRT have worked with the local CCG to provide admission avoidance and triple switch clinics. Some patients identified on GP lists as COPD, on closer scrutiny, have doubtful diagnosis either with non-obstructive spirometry or the patient has never smoked. In the past these referrals would have been rejected.Liverpool Community respiratory team developed a diagnostic doubt clinic which was held virtually due to ongoing covid pandemic. Patients that had previously given consent were discussed with their results between advanced practitioners and respiratory physician. If a diagnosis could not be determined the patient was then invited for a one off appointment with a respiratory physician, either by telephone or video link. The GP and patient were then informed of any decisions made.
Between August 2020 and present, 166 patients have been discussed on MDT, of which 35 were then reviewed by consultant. 29 patients have been reviewed in the clinic they were originally referred to. A decision was also documented as to their suitability for CRT input in the future.
Conflicts of interest: none
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