X3.9 Clinical review and follow-up
There are no randomised clinical trials that have addressed the best method for follow-up (Sin 2002). It is recommended that the first review after a hospital admission should be by the GP and within seven days of discharge (Box 15). Chronic cough and sputum production are associated with an increased risk of further exacerbation (Burgel 2009) [evidence level III-2] and these patients may warrant closer monitoring. A decision about the requirement for specialist review should be made at the time of discharge. Follow-up care allows further discussion of self-management plans and future monitoring (Sin 2002).