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Chronic Obstructive Pulmonary Disease Exacerbations: A Need for Action.
Antonio Anzueto1, Marc Miravitlles2
1University of Texas Health Science Center at San Antonio, Department of Medicine, Pulmonary/Critical Care, South Texas Veterans Health Care System, San Antonio, Texas, USA.
The American Journal of Medicine
|May 20, 2018
Summary
Primary care physicians can improve management of chronic obstructive pulmonary disease (COPD) exacerbations. Early identification and treatment of COPD exacerbations in clinics reduce disease severity and improve patient outcomes.
Area of Science:
- Pulmonology
- Primary Care Medicine
Background:
- Chronic obstructive pulmonary disease (COPD) significantly contributes to global morbidity and mortality.
- COPD exacerbations are major drivers of disease severity and patient burden.
- Primary care physicians (PCPs) are central to managing COPD patients.
Purpose of the Study:
- To provide PCPs with practical guidance on managing COPD exacerbations in primary care.
- To enhance PCP understanding of exacerbation definition, causes, treatment, and prevention.
- To support PCPs in optimizing COPD care within the primary care setting.
Main Methods:
- This review synthesizes current information on COPD exacerbations.
- It covers exacerbation definition, pathogenic/environmental causes, and treatment/prevention strategies.
- The review offers practical suggestions for clinical management.
Main Results:
- COPD exacerbations negatively impact patients, increasing risks of future exacerbations and lung function decline.
- Effective management of non-hospitalized exacerbations in primary care is crucial.
- Understanding acute and maintenance treatments empowers PCPs.
Conclusions:
- PCPs play a vital role in identifying and managing COPD exacerbations.
- Optimizing COPD management in primary care settings can improve patient outcomes.
- This review equips PCPs with tools for better COPD exacerbation care.