ATS/ ERS TASK FORCE Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper

نویسندگان

  • B. R. Celli
  • W. MacNee
  • Agusti
  • A. Anzueto
  • B. Berg
  • N. Chavannes
  • T. Dillard
  • B. Fahy
  • A. Fein
  • J. Heffner
  • S. Lareau
  • P. Meek
  • F. Martinez
  • W. McNicholas
  • J. Muris
  • E. Austegard
  • R. Pauwels
  • S. Rennard
  • A. Rossi
  • N. Siafakas
  • B. Tiep
  • J. Vestbo
  • E. Wouters
  • R. ZuWallack
چکیده

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 932 Goals and objectives. . . . . . . . . . . . . . . . . . . . . 933 Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . 933 Evidence, methodology and validation . . . . . . . . 933 Concept of a "live", modular document . . . . . . . 933 Organisation of the document . . . . . . . . . . . . . . 933 Definition of COPD . . . . . . . . . . . . . . . . . . . . . . . 933 Diagnosis of COPD . . . . . . . . . . . . . . . . . . . . . . . 933 Epidemiology, risk factors and natural history of COPD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 934 Pathology and pathophysiology in COPD . . . . . . . . 934 Clinical assessment, testing and differential diagnosis of COPD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 934 Medical history . . . . . . . . . . . . . . . . . . . . . . . . 935 Physical signs. . . . . . . . . . . . . . . . . . . . . . . . . . 935 Smoking cessation. . . . . . . . . . . . . . . . . . . . . . . . . 935 Brief intervention . . . . . . . . . . . . . . . . . . . . . . . 935 Management of stable COPD: pharmacological therapy 936 Bronchodilators . . . . . . . . . . . . . . . . . . . . . . . . 936 Glucocorticoids . . . . . . . . . . . . . . . . . . . . . . . . 936 Outcomes of frequently used drugs . . . . . . . . . . 936 Combination therapy . . . . . . . . . . . . . . . . . . . . 937 Management of stable COPD: long-term oxygen therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 937 Management of stable COPD: pulmonary rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 937 Management of stable COPD: nutrition . . . . . . . . . 938 Management of stable COPD: surgery in and for COPD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 938 Surgery in COPD . . . . . . . . . . . . . . . . . . . . . . . 938 Surgery for COPD . . . . . . . . . . . . . . . . . . . . . . 938 Management of stable COPD: sleep . . . . . . . . . . . . 938 Management of stable COPD: air-travel . . . . . . . . . 939 Exacerbation of COPD: definition, evaluation and treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 939 Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . 939 Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . 940 Indication for hospitalisation. . . . . . . . . . . . . . . 940 Indications for admission to specialised or intensive care unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 940 Treatment of exacerbations . . . . . . . . . . . . . . . . 940 Exacerbation of COPD: inpatient oxygen therapy. . . 940 Setting and adjusting oxygen flow . . . . . . . . . . . 941 Monitoring following hospital discharge. . . . . . . 941 Exacerbation of COPD: assisted ventilation . . . . . . . 942 Indications for mechanical ventilation . . . . . . . . 942 Modes of mechanical ventilation . . . . . . . . . . . . 942 Criteria for hospital discharge . . . . . . . . . . . . . . 942 Follow-up evaluation . . . . . . . . . . . . . . . . . . . . 943 Ethical and palliative care issues in COPD . . . . . . . 943 Integrated disease management for primary care in COPD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 943 Referral indications . . . . . . . . . . . . . . . . . . . . . 943 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 944

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منابع مشابه

ABSTRACTS: Diagnosis And Management Of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update From The American College Of Physicians, American College Of Chest Physicians, American Thoracic Society, And European Respiratory Society

S: Diagnosis And Management Of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update From The American College Of Physicians, American College Of Chest Physicians, American Thoracic Society, And European Respiratory Society. Qaseem A, Wilt TJ, Weinberger SE, Hanania NA, Criner G, van der Molen T et al Ann Intern Med. 2011; 155(3):179-91 DESCRIPTION: This guideline i...

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DESCRIPTION This guideline is an official statement of the American College of Physicians (ACP), American College of Chest Physicians (ACCP), American Thoracic Society (ATS), and European Respiratory Society (ERS). It represents an update of the 2007 ACP clinical practice guideline on diagnosis and management of stable chronic obstructive pulmonary disease (COPD) and is intended for clinicians ...

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The new ATS/ERS guidelines for assessing the spirometric severity of restrictive lung disease differ from previous standards.

BACKGROUND AND OBJECTIVES The ATS/ERS Task Force on Lung Function Testing recently proposed guidelines for the interpretation of pulmonary function tests and suggested that a reduction in FEV(1) be used for categorizing both obstructive and restrictive abnormalities. This changes the severity stratification algorithm of restrictive patterns diagnosed by spirometry, that are currently categorize...

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Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper.

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 932 Goals and objectives 933 Participants 933 Evidence, methodology and validation 933 Concept of a "live", modular document 933 Organisation of the document 933 De® nition of COPD . . . . . . . . . . . . . . . . . . . . . . . 933 Diagnosis of COPD . . . . . . . . . . . . . . . . . . . . . . . 933 Epidemio ogy, risk factors an...

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Grading the severity of obstruction in mixed obstructive-restrictive lung disease.

BACKGROUND The severity of obstructive pulmonary disease is determined by the FEV(1) % predicted based on the American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines. In patients with coexisting restrictive lung disease, the decrease in FEV(1) can overestimate the degree of obstruction. We hypothesize that adjusting the FEV(1) for the decrease in total lung capacity (TLC) re...

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تاریخ انتشار 2004