Publications by authors named "Mathilde G Mulvad"
Article Synopsis
- The study analyzes the final diagnoses and mortality rates (30-day and 1-year) in patients treated with salbutamol by ambulance personnel for respiratory distress in Central Denmark (2018-2019).
- It includes 6,318 ambulance transports, highlighting conditions such as acute exacerbation of chronic obstructive pulmonary disease (AECOPD), community-acquired pneumonia (CAP), and asthma, with differing mortality rates across these groups.
- The findings emphasize high mortality rates among those needing bronchodilator treatment, particularly in AECOPD and heart disease patients, while asthma patients and those under 18 show lower mortality, suggesting the use of inhaled bronchodilators as an important indicator of serious respiratory distress requiring prompt action.
Background: A high concentration of inspired supplemental oxygen may possibly cause hypercapnia and acidosis and increase mortality in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Even so, patients with AECOPD are being treated with high oxygen flow rates when receiving inhalation drugs in the prehospital setting. A cluster-randomised controlled trial found that reduced oxygen delivery by titrated treatment reduced mortality-a result supported by observational studies-but the results have never been reproduced.
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