Overlap Patient With Exacerbation
Physiotherapist reported a deterioration of patient's condition
How to detect
How to analyze
Result
Patient hospitalized due to acute exacerbation
Condition stabilized in hospital
Condition stabilized in hospital
How to solve
Physician analyzed therapy calendar:
— During the last 3 to 4 days, usage increased up to more than 12 hours; Patient needs mechanical ventilation even when awake
— Decrease in AHI confirms intense usage when awake and reduction of sleep time
— Significant increase in respiratory rate (median) and reduction of variation indicates severe dyspnea
Result of Analysis:
Suspicion of exacerbation
— During the last 3 to 4 days, usage increased up to more than 12 hours; Patient needs mechanical ventilation even when awake
— Decrease in AHI confirms intense usage when awake and reduction of sleep time
— Significant increase in respiratory rate (median) and reduction of variation indicates severe dyspnea
Result of Analysis:
Suspicion of exacerbation
Physician called the patient to complete an exacerbation questionnaire
High score confirmed suspicion
High score confirmed suspicion
After 3 months of NIV treatment, status of patient deteriorated (overlap COPD + OSA)
Case