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Updated: Jul 11, 2026
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Management of chronic obstructive pulmonary disease
Dipak Chandy1, Wilbert S Aronow
1Division of Pulmonary/Critical Care Medicine, Department of Medicine, New York Medical College, Valhalla, NY, USA. chandyd@wcmc.com
Comprehensive Therapy
|September 28, 2007
Summary
Chronic obstructive pulmonary disease (COPD) is a growing global health crisis. Early diagnosis and smoking cessation are key to managing this progressive respiratory disease and improving patient outcomes.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Public Health
Background:
- Chronic obstructive pulmonary disease (COPD) is a leading cause of global mortality and morbidity.
- COPD is uniquely among the top 10 causes of death for which mortality rates are increasing.
- It is projected to become the third leading cause of death worldwide by 2020.
Purpose of the Study:
- To outline the diagnostic criteria for COPD.
- To describe the staging of COPD based on pulmonary function and symptoms.
- To review current management strategies for stable COPD and acute exacerbations.
Main Methods:
- Diagnosis is considered in patients with risk factor exposure and symptoms like chronic cough, sputum, or dyspnea.
- Patients are staged using pulmonary function tests and symptom assessment.
- Management strategies encompass pharmacological treatments, smoking cessation, vaccinations, oxygen therapy, pulmonary rehabilitation, and surgical options.
Main Results:
- Smoking cessation is the most effective intervention to slow COPD progression and prolong life.
- Pharmacological management for stable COPD includes bronchodilators and inhaled corticosteroids.
- Acute exacerbations require systemic steroids, antibiotics, bronchodilators, and oxygen, with potential need for ventilatory support in severe cases.
Conclusions:
- Prompt diagnosis and risk factor modification, particularly smoking cessation, are crucial for managing COPD.
- A multi-faceted approach combining medication, supportive therapies, and potentially surgery is necessary for effective COPD management.
- Comprehensive care, including management of exacerbations and supportive measures, is vital for improving outcomes in patients with COPD.
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