The clinical management in extremely severe COPD

Outpatient Management of Severe COPD

Copyright © 2010 Massachusetts Medical Society. A 67-year-old man presents with a history of dyspnea, which has progressed for the past several years. He began smoking cigarettes at 15 years of age and continues to smoke one pack per day. Worsening breathlessness forced him to retire as a laborer, and he has sought emergency care for what he calls bronchitis twice in the past year. His physical...

Clinical Outcomes of Home Telemonitoring in Severe COPD

Introduction: Aim of this study was to sum up clinical evidence about telemedicine programs in severe COPD patients. Methodology: We conducted a clinical review about telemedicine programs in severe COPD patients. Our search strategy was based in selected all clinical trials published since 2000 about this topic. Results: Finally, we include 13 articles. In telemedicine group the number of Acci...

Clinical outcomes of expiratory muscle training in severe COPD patients.

UNLABELLED The most common symptoms in chronic obstructive pulmonary disease (COPD) patients are breathlessness and exercise limitation. Although both general and inspiratory muscle training have shown clinical benefits, the effects of specific expiratory muscle training remain controversial. OBJECTIVE To investigate the effects of expiratory training on lung function, exercise tolerance, sym...

Clinical determinants of exacerbations in severe, early-onset COPD.

Chronic obstructive pulmonary disease (COPD) exacerbations impair health. The present authors analysed participants in the Boston Early-Onset COPD Study for familial aggregation and propensity for COPD exacerbations. In the present study, two exacerbation outcomes, episodes of cough and phlegm, and frequent exacerbations were analysed with multivariable modelling and generalised estimating equa...

MANAGEMENT OF SEVERE HYPERKALEMIA