关于评估和管理COPD患者心肺风险的多专业德尔菲共识
Mohit Bhutani1, Jean Bourbeau2, Shaun G Goodman3
1Department of Medicine, Division of Pulmonary Medicine, University of Alberta, Edmonton, Alberta, Canada.
International journal of chronic obstructive pulmonary disease
|September 25, 2024
概括
这项研究强调了加拿大的慢性阻塞性肺病 (COPD) 的重大负担及其与心血管疾病 (CVD) 的联系. 专家共识建议改善风险分层和风险管理,以减少COPD患者的心肺风险.
科学领域:
- 肺部病理学 肺部病理学
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 在加拿大造成了巨大的负担,往往导致诊断不足和治疗不足.
- 心血管疾病 (CVD) 是COPD患者常见的并发症,具有影响死亡率的显著相互作用.
- 呼吸学家和心脏病学家之间的合作对于管理COPD心肺风险至关重要.
研究的目的:
- 建立对加拿大的最佳COPD护理的共识.
- 确定降低心肺风险和改善COPD患者治疗结果的策略.
- 解决COPD及其相关心血管疾病的诊断不足和治疗不足的问题.
主要方法:
- 一个经过修改的德尔菲共识,涉及初级保健,心脏病学和呼吸学专家的指导小组.
- 向加拿大管理COPD的医疗保健专业人员分发4点利克特比例问卷.
- 对40个与COPD和CVD管理相关的陈述的一致性评估,共识定义为≥75%的一致性.
主要成果:
- 从呼吸学家,心脏病学家和初级保健医生那里收到了100个回复.
- 在70%的陈述 (28/40) 中,达成了非常强大的共识 (≥90%).
- 在17.5%的陈述 (7/40) 上达成强有力的共识 (≥75%),在12.5% (5/40) 上没有共识.
结论:
- 根据共识得分,制定了9个关键建议.
- 强调全面的风险分层和风险管理,以防止COPD恶化.
- 呼吁采取行动,实施加拿大胸腔协会COPD指南,以改善患者的治疗结果.
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