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domingo, 10 de julio de 2016

COPD: DE-CAF or not DECAF

Photo published for Journal Club: COPD: DE-CAF or not DECAF that is the question
FOAMShED - Date of JC: 07/07/16
Published: Thorax 2016
"Clinical question: 
In adult patients with COPD being admitted to hospital, does the DECAF score act as a predictor of mortality and could/should it inform practice?
Key results:
...We think the trial is well conducted, with some concerns about inclusion bias and accuracy. We can see the applicability to risk stratifying in admitted patients, however we don’t think it can be applied across all ED patients with exacerbations of COPD. We await an ED patient validation of this score with particular interest in the 30 day mortality……
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