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Can introduction of palliative care limit ICU, emergency and hospital admissions in severe COPD?

Conclusion: In this pilot study, EPPC did not impact on the predefined outcomes. Possible explanations:number of cases and degree of care already provided
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Rehabilitation and Chronic Care Source Type: research

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Abstract Background: Most studies on enhanced recovery after surgery (ERAS) for gastric cancer exclude patients who received neoadjuvant chemotherapy. Here, we aimed to evaluate whether patients who received neoadjuvant chemotherapy can be enrolled into the ERAS program for locally advanced gastric cancer. Methods: From April 2015 to July 2017, 114 patients who received neoadjuvant chemotherapy for locally advanced gastric cancer were randomized into ERAS and standard care (SC) groups. Postoperative length of stay, complications, bowel function, and nutritional status were recorded. Results:: The postope...
Source: Chinese Medical Journal - Category: General Medicine Authors: Tags: Chin Med J (Engl) Source Type: research
Conclusions: The analysis of different payment modes toward the medical economic characteristics based on Gamma model is basically rational. Medical payment modes are having certain influence toward the hospitalization expenses of cervical cancer patients in an extent, as drug costs, treatment costs, and examination costs appear to be the main causes. PMID: 29451142 [PubMed - in process]
Source: Chinese Medical Journal - Category: General Medicine Authors: Tags: Chin Med J (Engl) Source Type: research
Conclusion: A 7 weeks / 20 sessions outpatient PR program have significant positive impact in terms of quality of life, exercise tolerance, dyspnea and psychological status in patients with COPD and lung resection for cancer.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Rehabilitation and Chronic Care Source Type: research
Conclusions Our results confirm that SABR is well tolerated and does not have a deleterious effect on QoL and psychological state. Results of our study indicate the importance of additional psychological care in the group of patients with COPD.
Source: Reports of Practical Oncology and Radiotherapy - Category: Cancer & Oncology Source Type: research
AbstractSupportive care and pharmacological treatment can improve the quality of life of people with end-stage chronic obstructive pulmonary disease (COPD) who cope on a daily basis with substantial physical, psychological, social and spiritual morbidity. Smoking cessation is the only intervention that reduces the rate of progression of COPD, but evidence-based drug treatments and non-pharmacological strategies can relieve symptoms and reduce the impact of exacerbations. People with severe COPD live with increasingly troublesome breathlessness and other symptoms such as fatigue, pain, sputum production and weight loss. As ...
Source: Drugs and Aging - Category: Geriatrics Source Type: research
Conclusion: Comorbid disease was frequently recorded in this asthma population. All-cause mortality for the study population did not differ from the Swedish population overall, but a higher death rate due to pulmonary causes (mainly COPD) was seen among the asthma patients.Sponsor: AstraZeneca.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 1.6 General Practice and Primary Care Source Type: research
Conclusions: The prevalence of comorbidities in patients with stable COPD was high. Mortality in these patients is related to the number of comorbidities and anxiolytic treatment. Mortality was higher in patients with 2 o more comorbidities.Funded by NEUMOSUR.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 5.2 Monitoring Airway Disease Source Type: research
Authors: Garvey C Abstract Chronic obstructive pulmonary disease (COPD), characterized by chronic airways inflammation and progressive airflow limitation, is a common, preventable and treatable disease. Worldwide, COPD is a major cause of morbidity and mortality; smoking tobacco is the most important risk factor. This translational review of recent updates in COPD care for the primary care audience, includes recommendations from the 2015 Global Initiative for Chronic Obstructive Lung Disease (GOLD) report on diagnosis, pharmacological and non-pharmacological treatment, prevalence of comorbidities, management of exa...
Source: Postgraduate Medicine - Category: Internal Medicine Tags: Postgrad Med Source Type: research
Psychological assessment can be a part of Pulmonary Rehabilitation patients with COPD and lung cancer. Most of the patients have anxiety against lung cancer and oncological therapeutic regimen and COPD. Hospital Anxiety and Depression Scale (HADS) can charactarize anxiety (a) and depression (d).160 patients with COPD (n=104) and lung cancer (n=56) (FEV1: 50±20 %pred, age: 62±8 years, male (m): female(f)=88:72) participated. As a part of the complex respiratory support for COPD and perioperative pulmonary rehabilitation program there is a psychological training for 60 minutes every week and individualized psyc...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 1.2 Rehabilitation and Chronic Care Source Type: research
Blair G Fulton,1 Christopher J Ryerson1,2 1Department of Medicine, 2Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC, Canada Abstract: Major risk factors for idiopathic pulmonary fibrosis (IPF) include older age and a history of smoking, which predispose to several pulmonary and extra-pulmonary diseases. IPF can be associated with additional comorbidities through other mechanisms as either a cause or a consequence of these diseases. We review the literature regarding the management of common pulmonary and extra-pulmonary comorbidities, including chronic obstructive pulmonary disease, lung can...
Source: International Journal of General Medicine - Category: Journals (General) Tags: International Journal of General Medicine Source Type: research
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