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COPD: Management Using Bronchodilators and Corticosteroids01:26

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Alternative Therapy for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Moving Cupping Along Meridians
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Managing patients with COPD exacerbation: does age matter?

Robert A Stone1, Derek Lowe, Jonathan M Potter

  • 1Clinical Standards Department, Royal College of Physicians, 11 St Andrews Place Regents Park, London NW1 4LE, UK. robert.stone@tst.nhs.uk

Age and Ageing
|March 29, 2012
PubMed
Summary

Older patients with chronic obstructive pulmonary disease (COPD) exacerbation have poorer self-care and recognition of symptoms. Clinicians should consider age as a risk factor in COPD management and review care pathways for elderly individuals.

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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Published on: October 18, 2024

Area of Science:

  • Pulmonary Medicine
  • Geriatrics
  • Health Services Research

Background:

  • Limited data exists on the relationship between age and the management of chronic obstructive pulmonary disease (COPD) exacerbations.
  • Older individuals face a higher risk of hospital admission for COPD exacerbations.

Purpose of the Study:

  • To investigate the impact of age on the management of COPD exacerbations.
  • To identify age-related differences in patient knowledge, self-care, and clinical management of COPD exacerbations.

Main Methods:

  • Analysis of clinical and patient questionnaire data from the 2008 UK COPD audit.
  • Data stratified by age deciles to examine trends across different age groups.

Main Results:

  • Older patients reported less COPD knowledge and self-care, and were less likely to recognize exacerbation symptoms before hospitalization.
  • Clinicians reported older patients had more severe disease, higher comorbidity, and increased mortality, yet received less specialist care and follow-up.
  • Patients aged 80 and above were more likely to have a DNR order within 24 hours of admission, regardless of comorbidities.

Conclusions:

  • Increasing age should be recognized as a specific risk factor in managing COPD exacerbations.
  • Healthcare providers, including acute units and community teams, must review and adapt protocols for assessing, managing, discharging, and following up older COPD patients.