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BET 3: ORAL STEROIDS COPD

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Report by: Peter Hulme, SHO

Search checked by: Craig Ferguson, SpR

Institution: Trafford General Hospital, Manchester, UK

Clinical scenario

A 73-year-old man with COPD is seen in the emergency department. You give him salbutamol and atrovent nebulisers, but he remains breathless. You wonder whether giving intravenous or oral steroids would reduce length of hospital stay and his risk of death?

Three-part question

In (patients with an acute exacerbation of COPD) are (intravenous or oral steroids) better at (reducing length of hospital admission and mortality)?

Search strategy

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