Chronic obstructive pulmonary disease (COPD) in Spain and the different aspects of its social impact: a multidisciplinary opinion document.

Chronic obstructive pulmonary disease (COPD) in Spain and the different aspects of its social impact: a multidisciplinary opinion document. Rev Esp Quimioter. 2020 Jan 14;: Authors: Bouza E, Alvar A, Almagro P, Alonso T, Ancochea J, Barbé F, Corbella J, Gracia D, Mascarós E, Melis J, Miravitlles M, Pastor M, Pérez P, Rudilla D, Torres A, Soriano JB, Vallano A, Vargas F, Palomo E Abstract Chronic obstructive pulmonary disease (COPD) is one of the most prevalent diseases in the World, and one of the most important causes of mortality and morbidity. In adults 40 years and older, it affects more than 10% of the population and has enormous personal, family and social burden. Tobacco smoking is its main cause, but not the only one, and there is probably a genetic predisposition that increases the risk in some patients. The paradigm of this disease is changing in Spain, with an increase of women that has occurred in recent years. Many of the physio pathological mechanisms of this condition are well known, but the psychological alterations to which it leads, the impact of COPD on relatives and caregivers, the limitation of daily life observed in these patients, and the economic and societal burden that they represent for the health system, are not so well-known. A major problem is the high under-diagnosis, mainly due to difficulties for obtaining, in a systematic way, spirometries in hospitals and health-care centers. For this reason, the Fu...
Source: Revista Espanola de Quimioterapia - Category: Drugs & Pharmacology Authors: Tags: Rev Esp Quimioter Source Type: research

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The diagnosis of COPD is based on spirometry, which is an effort-dependent test requiring good patient cooperation. Impulse oscillometry (IOS) is a lung mechanics measuring which does not requires effort and cooperation, presenting advantages, especially for geriatric population. A high prevalence of respiratory muscle weakness is associated to severity of airway obstruction, based in the spirometric evaluations. However, no study has investigated whether respiratory muscle strength may or not correlate with the levels of small airways obstruction, as evaluated by IOS, considering that small airways obstruction is a centra...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
We hypothesize that inspiratory muscle training with conical flow resistance load (IMTFRL-PowerBreath) or respiratory muscle endurance training with normocapnic hyperpnea (RMTNH-SpiroTiger) could offer additional effects in exercise capacity and dyspnea when associated to pulmonary rehabilitation (PR) in COPD patients. Patients with COPD were allocated in 3 groups: PR, PR+IMTFRL, and PR+RMTNH and training during 10-weeks (5/day week - 3 days of full program on Hospital and 2days of aerobic at home). The PR was standard for all group: health education, treadmill aerobic training with 70% of max ISWT speed and peripheral mus...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Introduction and Objectives: COPD is a small airway disease associated with ventilation heterogeneity. The LCI is more sensitive than FEV1 in cystic fibrosis however its place in COPD monitoring is unknown. We evaluated the use of the LCI among subjects with COPD comparatively to spirometry, BMI and exacerbation frequency. LCI can be time intensive and therefore we explored the potential of using a shortened LCI to 1/20th concentration.Methods: The LCI was measured by performing a Multiple Breath Washout using a modified photoacoustic Innocor device with 0.2% Sulphur Hexafluoride on subjects with COPD (N=84). The LCI was r...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Patient-reported outcomes (PRO’s) are important in clinical decision making. Common PRO’s for COPD may provide limited insight into specific aspects of dyspnea or can be time-consuming to administer. We evaluated the use of 4 Dyspnea Numeric Rating Scales (NRS), measuring intensity and unpleasantness of dyspnea during both rest and activity as a PRO in pulmonary rehabilitation (PR) of COPD patients.Patients (n=379, FEV1%=55±17) completed Dyspnea NRS, COPD Assessment Test (CAT), Saint-George Respiratory Questionnaire (SGRQ), 2 weeks before (T0), at the start (T1) and end (T2) of PR. Spirometry and 6 min w...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Conclusion: Dyspnea perception in leisure activity increases COPD patients compared to asthmatics. The arm exercise capacity is preserved in asthmatics compared to COPD patients, and strongly correlated with peripheral muscle strength. As peripheral muscle strength decreases, the negative effect of dyspnea on ADL increases in asthmatics.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Conclusion: The VQ11’ Arabic version is applicable in Tunisian COPD patients with reliable results.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Condition:   COPD Exacerbation Interventions:   Other: Conventional Chest Physiotherapy;   Other: Conventional Chest Physiotherapy+Incentive Spirometer Sponsor:   Bezmialem Vakif University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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