R.F. KHAMITOV¹, L.A. DORONINA², E.V. DEMYANOVA³

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Kazan State Medical Academy, 36 Butlerov Str., Kazan, Russian Federation, 420012

³Territorial Fund of Obligate Medical Insurance of Tatarstan Republic, 6 Veterinarnaya Str., Kazan, Russian Federation, 420097

Khamitov R.F. ― D. Med. Sc., Professor, Head of the Department of Inner Diseases № 2, tel. +7-917-272-96-72, e-mail: [email protected]

Doronina L.A. ― Cand. Med. Sc., Associate Professor of the Department of Public Health, Economics and Management in Healthcare, tel. (843) 291-77-41, e-mail: [email protected]

Demyanova E.V. ― Head of the Department of Quality Control of Medical Aid Services of the Agency for the Rights’ Protection of the Insured Citizens of Tatarstan Republic, tel.: (843) 291-77-48, +7-917-277-86-26, e-mail: [email protected]

 The article presents the results of a retrospective analysis of in-patients medical charts with fatal outcomes of COPD exacerbations during the first 6 months of the year. We have analyzed diagnostic approaches, both clinic and laboratory and instrumental findings. The obtained results allow to optimize the diagnostic approaches to quick verification of severe COPD exacerbations in Tatarstan Republic, which require the hospital therapy correction and minimization of subsequent threats of adverse outcomes.

Key words: chronic obstructive pulmonary disease, diagnostics, mistakes, fatal outcomes.

REFERENCES

1. Khamitov R.F., Kudryavtseva E.Z., Pal’mova L.Yu., Sulbaeva K.R. Khronicheskaya obstruktivnaya bolezn’ legkikh: klinicheskie rekomendatsii i real’naya vrachebnaya praktika. Sbornik statey XXI nauchno-prakticheskoy konferentsii, posvyashchennoy pamyati akademika N.N. Burdenko [Chronic obstructive pulmonary disease: clinical recommendations and real medical practice. Collection of articles of the XXI scientific and practical conference dedicated to the memory of Academician N.N. Burdenko]. Penza: IP Sokolov A.Yu., 2016. Pp. 165-172.
2. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (GOLD). Updated, 2016. 91 p.
3. Shmelev E.I., Zhestkov A.V., Vizel’ A.A. et al. Optimization of the treatment of chronic obstructive pulmonary disease: the path to double bronchodilation (opinion of the expert council of the Volga Federal District of Russia). Vestnik sovremennoy klinicheskoy meditsiny, 2016, vol. 9, iss. 3, pp. 82-89 (in Russ.).
4. Chuchalin A.G., Aysanov Z.R., Avdeev S.N. et al. Federal’nye klinicheskie rekomendatsii po diagnostike i lecheniyu khronicheskoy obstruktivnoy bolezni legkikh. Rossiyskoe respiratornoe obshchestvo [Federal clinical guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease]. Moscow, 2014. 41 p.