The prescription of systemic corticosteroids at discharge, however, was not high in either time period (< 60%), and no significant changes were observed during the study period. With respect to ED management that is not guideline recommended, there was a decreasing trend in the use of acute spirometry, but this was not statistically significant.
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Improved care of acute exacerbation of chronic obstructive pulmonary disease in two academic emergency departments.
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