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COPD: Management Using Bronchodilators and Corticosteroids

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...

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Related Experiment Video

Updated: Jun 17, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial.

Kathryn L Rice¹, Naresh Dewan, Hanna E Bloomfield

¹Pulmonary Section, Department of Medicine, VA Medical Center, Minneapolis, Minnesota 55417, USA. Kathryn.Rice@va.gov

American Journal of Respiratory and Critical Care Medicine

|January 16, 2010

Summary

A simplified disease management program significantly reduced hospital admissions and emergency department visits for chronic obstructive pulmonary disease (COPD). This approach offers a cost-effective strategy for improving COPD patient outcomes.

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Last Updated: Jun 17, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Area of Science:

Pulmonary Medicine
Health Services Research
Clinical Trials

Background:

The efficacy of disease management programs for chronic obstructive pulmonary disease (COPD) requires further elucidation.
Severe COPD patients often experience frequent hospitalizations and emergency department (ED) visits.

Purpose of the Study:

To evaluate if a simplified disease management program can decrease hospital admissions and ED visits in patients with severe COPD.
To assess the impact of the intervention on overall healthcare utilization and patient-reported outcomes.

Main Methods:

A 1-year, randomized, controlled trial involving 743 patients with severe COPD across five Veterans Affairs medical centers.
Intervention group received education, an exacerbation action plan, and monthly case manager calls; control group received usual care.

Main Results:

The disease management program led to a significant reduction in COPD-related hospitalizations and ED visits (0.48 vs. 0.82 per patient).
Significant reductions were observed in hospitalizations for non-COPD cardiac/pulmonary conditions (49%), all-cause hospitalizations (28%), and all-cause ED visits (27%).

Conclusions:

A straightforward disease management program effectively reduces hospitalizations and ED visits for COPD patients.
This intervention demonstrates potential for improving care and reducing healthcare burden in severe COPD.