COPD: Working together clinical audit 2017

This report, summarising data from 36,341 hospital admissions, finds various improvements, however the time to delivery of non-invasive ventilation, prescribing of oxygen, recording of spirometry, and delivery of inpatient smoking cessation pharmacotherapy require attention.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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The mechanisms underlying airflow obstruction in COPD cannot be distinguished by standard spirometry. We ascertain whether mathematical modeling of airway biomechanical properties, as assessed from spirometry,...
Source: Respiratory Research - Category: Respiratory Medicine Authors: Tags: Research Source Type: research
Condition:   Pulmonary Disease, Chronic Obstructive Interventions:   Device: HHHFA Device;   Diagnostic Test: Spirometry;   Diagnostic Test: 6-minute walk;   Diagnostic Test: CT scan;   Other: Medical Research Council dyspnea scale (MRC);   Other: St. George's Respiratory Questionnaire (SGRQ);   Other: COPD Assessment Test (CAT);   Other: Pi ttsburgh Sleep Quality Index (PSQI) Sponsors:   Spyridon Fortis;   American Thoracic Society Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Pulmonary Disease, Chronic Obstructive Interventions:   Other: Modified American Thoracic Society and National Heart and Lung Institute-Division of Lung Disease Respiratory (Mod. ATS-DLD-078);   Other: Modified Medical Research Council (mMRC) Dyspnea Scale;   Other: Exacerbations of Chronic Pulmonary Disease Tool (EXACT);   Other: COPD Assessmen t Test (CAT);   Other: Evaluating Respiratory Symptoms in COPD (E-RS: COPD);   Other: Telephonic interviews;   Other: Electronic Diary (eDiary);   Diagnostic T...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are leading causes of death worldwide. Their prevalence is estimated as 1 –3% of the general population and 5–10% of adults, respectively [1]; these conditions often coexist, because smoking is a common risk factor, and low-grade systemic inflammation is a shared pathogenic mechanism. Prevalence estimates of comorbid HF and COPD vary widely according to cohort selecti on, age, risk factor exposure, and diagnostic criteria. When systematically employing spirometry, COPD was diagnosed in 36% of patients hospitalized for HF [2] and in 30% of stable HF patients [3].
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research
The objective of this study was to determine the predictors of the 6MWT distance (6MWD) in patients with COPD.MethodsThis retrospective observational study enrolled 133 Japanese patients with COPD. All patients underwent the 6MWT, COPD assessment test (CAT), spirometry, respiratory muscle strength evaluation, body composition assessment, and handgrip strength (HGS) measurement. We examined the associations between the 6MWD and evaluated parameters.ResultsFrom single regression analysis, the 6MWD was significantly correlated with age, CAT score, several spirometric measurements (e.g., percentages of forced vital capacity, f...
Source: Respiratory Investigation - Category: Respiratory Medicine Source Type: research
Source: BMJ News - Category: General Medicine Source Type: research
Yafei Tan1,2, Omer Van den Bergh2, Jiang Qiu1* and Andreas von Leupoldt2* 1Faculty of Psychology, Southwest University, Chongqing, China 2Health Psychology, KU Leuven, Leuven, Belgium Dyspnea is a prevalent interoceptive sensation and the aversive cardinal symptom in many cardiorespiratory diseases as well as in mental disorders. Especially the unpredictability of the occurrence of dyspnea episodes has been suggested to be highly anxiety provoking for affected patients. Moreover, previous studies demonstrated that unpredictable exteroceptive stimuli increased self-reports and electrophysiological responses of an...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
Abstract Special attention has emerged towards biomass smoke-induced chronic obstructive pulmonary disease (COPD), providing new knowledge for prevention and therapeutic approach of non-smoker COPD patients. However, the understanding of biomass smoke COPD is still limited and somewhat controversial. The aim of the present study was to compare COPD exclusively caused by tobacco smoking with COPD exclusively caused by environmental or occupational exposures. For this cross-sectional study, COPD patients were recruited from outpatient clinics and formed two groups: non-smoker COPD group (n=16) with exposure to bioma...
Source: Braz J Med Biol Res - Category: Research Authors: Tags: Braz J Med Biol Res Source Type: research
This study investigated whether DISH is associated with restrictive spirometry pattern (RSP) in former and current smokers. METHODS: 1,784 participants with complete post-bronchodilator spirometry who did not meet spirometric criteria for COPD at time of enrollment in the COPDGene study were included in this study. Subjects were classified as RSP if they had Forced Expiratory volume in one second \(FEV1) to Forced Vital Capacity (FVC) ratio> 0.7 with an FVC
Source: J Rheumatol - Category: Rheumatology Authors: Tags: J Rheumatol Source Type: research
Abstract BACKGROUND: Chronic bronchitis (CB) increases risk of COPD exacerbations. We have shown that the Saint George's Respiratory Questionnaire (SGRQ) CB definition identifies patients with a similar clinical phenotype as classically defined CB. Whether the SGRQ CB definition is a predictor of future COPD exacerbations is unknown. METHODS: We analyzed 7557 smokers with normal spirometry and GOLD 1-4 COPD in the COPDGene study with longitudinal follow-up data on exacerbations. Subjects were divided into Classic CB+ or Classic CB-, using the classic definition. Additionally, subjects were divided into SGRQ C...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research
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