Affordable Access

deepdyve-link
Publisher Website

Targeting the COPD exacerbation.

Authors
  • Decramer, Marc
  • Nici, Linda
  • Nardini, Stefano
  • Reardon, Jane
  • Rochester, Carolyn L
  • Sanguinetti, Claudio M
  • Troosters, Thierry
Type
Published Article
Journal
Respiratory Medicine
Publisher
Elsevier
Publication Date
Jun 01, 2008
Volume
102 Suppl 1
Identifiers
DOI: 10.1016/S0954-6111(08)70003-9
PMID: 18582795
Source
Medline
License
Unknown

Abstract

Exacerbations of COPD have a profound detrimental effect on the patient and impose a significant burden on healthcare resource utilization. Prevention and treatment of exacerbations are major objectives of the clinical management of COPD. For this approach to be successful, clinicians must combine both pharmacologic approaches and non-pharmacologic strategies aimed at improving the patient's disease management. Non-pharmacologic approaches include those that can be incorporated into the office setting as well as intervention strategies that are integrated into the lifelong management of COPD. These strategies include developing a partnership with the patient and their social supports, encouraging and facilitating smoking cessation, immunizations, proper use of supplemental oxygen, and most importantly, giving the patient the tools to manage their illness appropriately. Moreover there is clear evidence of an irrevocable decline in pulmonary function after each exacerbation, usually resulting in reduced physical activity and impaired skeletal muscle function. Not surprisingly, pulmonary rehabilitation after such events has been shown to prevent relapse, improve survival and enhance patients' overall function after acute exacerbations.

Report this publication

Statistics

Seen <100 times