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Критерии оценки качества медицинской помощи

№	Критерии качества	Уровень достоверности доказательств	Уровень убедительности рекомендаций
Этап постановки диагноза
1	Выполнен общий физикальный осмотр	GPP
2	Выполнена оценка индекса курящего человека (пачек-лет)	1	А
3	Выполнена оценка симптомов по шкале mMRC или CAT	1	А
4	Выполнена оценка частоты обострений	1	А
5	Выполнена пульсоксиметрия	2	А
6	Выполнена спирометрия с бронходилатационным тестом	1	А
7	Выполнена рентгенография органов грудной клетки в прямой проекции	2	В
8	Выполнен общий анализ крови с подсчетом лейкоцитарной формулы	3	С
Лечение стабильной ХОБЛ
1	Назначен короткодействующий бронходилататор для использования по потребности	1	А
2	Даны рекомендации по отказу от курения	1	А
3	Проведено обучение пациента правильному использованию ингаляторов	3	А
4	Назначен ингаляционный бронходилататор длительного действия (ДДБА, ДДАХ или комбинации ДДАХ/ДДБА)	1	А
5	Назначена комбинация ДДАХ/ДДБА пациенту с выраженными симптомами (mMRC ≥2 или САТ ≥ 10)	1	А
6	При SaO₂<88% назначена ДКТ	1	А
7	Рекомендована вакцинация против гриппа и пневмококковой инфекции	1	А
8	Проведена оценка симптомов и частоты обострений через 3 месяца	3	С
9	Выполнена спирометрия через 3 месяца	3	С
Лечение обострения ХОБЛ
1	Выполнен осмотр врача-пульмонолога или врача-терапевта не позднее 30 минут	GPP
2	Проведена пульсоксиметрия не позднее 30 мин от момента поступления в стационар	GPP
3	Выполнен осмотр врача-реаниматолога при SaO₂<75% не позднее 30 мин от момента поступления в стационар	GPP
4	Выполнен общий (клинический) анализ крови развернутый	3	С
5	Выполнена рентгенография органов грудной клетки в прямой проекции	2	В
6	Выполнена электрокардиография	3	С
7	Выполнена спирометрия с бронходилатационной пробой	1	А
8	Выполнена оценка симптомов ХОБЛ по шкалам mMRC и/или САТ	1	А
9	Выполнено назначение короткоодействующих бронходилататоров	1	А
10	Выполнено назначение системных глюкокортикостероиды	1	А
11	Назначена антибактериальная терапия при наличии клинико-лабораторных признаков инфекционного обострения (появлении гнойной мокроты или уровне СРБ > 10 мг/л) и/или при тяжелом обострении	2	А
12	Выполнено ингаляционное введение кислорода (при сатурации менее 90%)	1	А
13	Доситгнуто нижение уровня СРБ в крови на 50% от исходных значений при проведении антибактериальной терапии	2	В
14	Достигнуто уменьшение симптомов ХОБЛ (по шкале MRC на 1 балл, по шкале САТ на 2 балла)	3	С

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