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Condition: Chronic Obstructive Pulmonary

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Total 1274 results found since Jan 2013.

Concurrent use of long-acting bronchodilators in COPD and the risk of adverse cardiovascular events
The cardiovascular risk of concurrently using long-acting β2-agonists (LABAs) and anticholinergics (LAMAs) in COPD is uncertain. We assessed the comparative cardiovascular and cerebrovascular safety of adding a second long-acting bronchodilator in patients with COPD. We identified a cohort of COPD patients, new users of LABA or the LAMA tiotropium during 2002–2012, from the UK Clinical Practice Research Datalink. Using high-dimensional propensity scores, each patient adding a second bronchodilator was matched with a patient who remained on monotherapy. Patients were followed for 1 year for the occurrence of...
Source: European Respiratory Journal - May 23, 2017 Category: Respiratory Medicine Authors: Suissa, S., Dell'Aniello, S., Ernst, P. Tags: COPD and smoking Original Articles: COPD Source Type: research

Beta-blockers 'useless' for many heart attack patients, study reports
Conclusion This study aimed to see whether beta blockers reduce mortality in people who've had a heart attack but who don't have heart failure or systolic dysfunction. It found no difference between those who were and those who were not given beta-blockers on discharge from hospital. The authors say this adds to the evidence that routine prescription of beta blockers might not be needed for patients without heart failure following a heart attack. Current UK guidelines recommend all people who have had a heart attack take beta blockers for at least one year to reduce risk of recurrent events. Only people with heart failure ...
Source: NHS News Feed - May 30, 2017 Category: Consumer Health News Tags: Heart/lungs Medication Source Type: news

IJERPH, Vol. 14, Pages 1321: Spatiotemporal Changes in Fine Particulate Matter Pollution and the Associated Mortality Burden in China between 2015 and 2016
ingyun Du Lu Ma In recent years, research on the spatiotemporal distribution and health effects of fine particulate matter (PM2.5) has been conducted in China. However, the limitations of different research scopes and methods have led to low comparability between regions regarding the mortality burden of PM2.5. A kriging model was used to simulate the distribution of PM2.5 in 2015 and 2016. Relative risk (RR) at a specified PM2.5 exposure concentration was estimated with an integrated exposure–response (IER) model for different causes of mortality: lung cancer (LC), ischaemic heart disease (IHD), cerebrovascular di...
Source: International Journal of Environmental Research and Public Health - October 30, 2017 Category: Environmental Health Authors: Luwei Feng Bo Ye Huan Feng Fu Ren Shichun Huang Xiaotong Zhang Yunquan Zhang Qingyun Du Lu Ma Tags: Article Source Type: research

Factors Related with Handgrip Strength in Elderly Patients.
CONCLUSION: ages of >75 years old and malnutrition will increase the risk of low handgrip strength in elderly patients. PMID: 29093231 [PubMed - in process]
Source: Acta medica Indonesiana - November 4, 2017 Category: Internal Medicine Tags: Acta Med Indones Source Type: research

Characterization of sociodemographic and health characteristics of USA adults with frequent respiratory symptoms
Conclusion: Our population-based data provides insight into relationships among frequent respiratory symptoms, chronic diseases, and sociodemographics.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Pleasants, R., Heidari, K., Ohar, J., Lugogo, N., Donohue, J., Strange, C., Mannino, D. Tags: Epidemiology Source Type: research

Preoperative factors associated with worsening in health-related quality of life following coronary artery bypass grafting in the ROOBY trial
Conclusions Among VA patients, less than 20% experienced worse HRQL 1year after CABG. For patients with low symptom burden at baseline, diabetes, smoking, depression, PVD, COPD, and a prior stroke, clinicians should be more cautious in pre-CABG counseling as to their anticipated HRQL improvements.
Source: American Heart Journal - December 25, 2017 Category: Cardiology Source Type: research

The current and potential health benefits of the National Health Service Health Check cardiovascular disease prevention programme in England: A microsimulation study
ConclusionsOur model indicates that the current NHS Health Check programme is contributing to improvements in health and reducing health inequalities. Feasible changes in the organisation of the programme could result in more than a 3-fold increase in health benefits.
Source: PLoS Medicine - March 6, 2018 Category: Internal Medicine Authors: Oliver T. Mytton Source Type: research

Rehabilitation service models for people with physical and/or mental disability living in low- and middle-income countries: A systematic review.
CONCLUSION: Models of rehabilitation care in inpatient, multidisciplinary and specialized rehabilitation units are recommended for the treatment of severe conditions with recent onset, as they reduce mortality and the need for institutionalized care, especially among elderly patients, stroke patients, or those with chronic back pain. Results are expected to be generalizable for brain/spinal cord injury and complex fractures. PMID: 29616278 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - April 5, 2018 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Disease-specific clinical pathways - are they feasible in primary care? A mixed-methods study.
CONCLUSIONS: The feasibility of disease-specific pathways in primary care is limited, both from a clinical and organisational perspective, for patients with complex needs. The low prevalence in primary care of patients with important chronic conditions, needing coordinated care after hospital discharge, constricts transferring tasks from specialist care. Generic clinical pathways are likely to be more feasible and efficient for patients in this setting. Key points Clinical pathways in hospitals apply to single-disease guidelines, while more than 90% of the patients discharged to community health care for follow-up have mul...
Source: Primary Care - April 12, 2018 Category: Primary Care Authors: Grimsmo A, Løhre A, Røsstad T, Gjerde I, Heiberg I, Steinsbekk A Tags: Scand J Prim Health Care Source Type: research

Risk of gallstones in patients with obstructive sleep apnea: a nationwide observational cohort study
ConclusionThe study shows a strong association between OSA and gallstones. Moreover, our findings suggest the requirement for survey and health education for gallstones in OSA and further studies to verify whether the treatment of OSA can reduce the risk of gallstones.
Source: Sleep and Breathing - July 7, 2018 Category: Respiratory Medicine Source Type: research

Risk of gallstones in patients with obstructive sleep apnea: a nationwide observational cohort study.
CONCLUSION: The study shows a strong association between OSA and gallstones. Moreover, our findings suggest the requirement for survey and health education for gallstones in OSA and further studies to verify whether the treatment of OSA can reduce the risk of gallstones. PMID: 29980983 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - July 7, 2018 Category: Sleep Medicine Authors: Chen CH, Lin CL, Hsu CY, Kao CH Tags: Sleep Breath Source Type: research

Pilates in noncommunicable diseases: A systematic review of its effects.
CONCLUSIONS: Pilates should be considered for patients with NCDs, as it improves exercise tolerance. Future studies with robust methodologies are still needed to clarify its effectiveness on outcomes with moderate, limited or conflicting evidence and to establish the most suitable intervention protocol. PMID: 30012382 [PubMed - in process]
Source: Complementary Therapies in Medicine - July 18, 2018 Category: Complementary Medicine Authors: Miranda S, Marques A Tags: Complement Ther Med Source Type: research

Prevalence and Costs of Discharge Diagnoses in Inpatient General Internal Medicine: a Multi-center Cross-sectional Study
ConclusionsGIM services care for a markedly heterogeneous population but the most common conditions were similar across 7 hospitals. The diversity of conditions cared for in GIM may be challenging for healthcare delivery and quality improvement. Initiatives that cut across individual diseases to address processes of care, patient experience, and functional outcomes may be more relevant to a greater proportion of the GIM population than disease-specific efforts.
Source: Journal of General Internal Medicine - July 27, 2018 Category: Internal Medicine Source Type: research

Secondhand Smoke Exposure in Childhood and Adulthood in Relation to Adult Mortality Among Never Smokers
ConclusionsThese results suggest that childhood secondhand smoke exposure, as well as adult secondhand smoke exposure, increase the risk of chronic obstructive pulmonary disease death in adulthood. Consistent with previous studies, the results also show that adult secondhand smoke is meaningfully associated with higher mortality from vascular disease and all causes. Overall, these findings provide further evidence for reducing secondhand smoke exposure throughout life.
Source: American Journal of Preventive Medicine - August 16, 2018 Category: International Medicine & Public Health Source Type: research

Mortality burden attributable to PM1 in Zhejiang province, China.
CONCLUSIONS: PM1, PM2.5 and PM10 are risk factors of all-cause, cardiovascular, stroke, respiratory, and COPD mortality. PM1 accounts for the vast majority of short-term PM2.5- and PM10-induced mortality. Our analyses support the notion that smaller size fractions of PM have a more toxic mortality impacts, which suggests to develop strategies to prevent and control PM1 in China, such as to foster strict regulations for automobile and industrial emissions. PMID: 30292144 [PubMed - as supplied by publisher]
Source: Environment International - October 3, 2018 Category: Environmental Health Authors: Hu K, Guo Y, Hu D, Du R, Yang X, Zhong J, Fei F, Chen F, Chen G, Zhao Q, Yang J, Zhang Y, Chen Q, Ye T, Li S, Qi J Tags: Environ Int Source Type: research