Identification and assessment of COPD exacerbations

A S Oliveira, J Munhá, A Bugalho, M Guimarães, G Reis, A Marques

Research output: Contribution to journalArticle

3 Citations (Scopus)
38 Downloads (Pure)

Abstract

Chronic Obstructive Pulmonary Disease (COPD) exacerbations play a central role in the disease natural history of the disease, affecting its overall severity, decreasing pulmonary function, worsening underlying co-morbidities, impairing quality of life (QoL) and leading to severe morbidity and mortality. Therefore, identification and correct assessment of COPD exacerbations is paramount, given it will strongly influence therapy success. For the identification of exacerbations, several questionnaires exist, with varying degrees of complexity. However, most questionnaires remain of limited clinical utility, and symptom scales seem to be more useful in clinical practice. In the assessment of exacerbations, the type and degree of severity should be ascertained in order to define the management setting and optimize treatment options. Still, a consensual and universal classification system to assess the severity and type of an exacerbation is lacking, and there are no established criteria for less severely ill patients not requiring hospital assessment. This might lead to under-reporting of minor to moderate exacerbations, which has an impact on patients' health status. There is a clear unmet need to develop clinically useful questionnaires and a comprehensive system to evaluate the severity of exacerbations that can be used in all settings, from primary health care to general hospitals.

Original languageEnglish
Pages (from-to)42-47
Number of pages6
JournalPulmonology
Volume24
Issue number1
Early online date23 Dec 2017
DOIs
Publication statusPublished - 7 Mar 2018

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Chronic Obstructive Pulmonary Disease
Disease Progression
Morbidity
General Hospitals
Health Status
Primary Health Care
Quality of Life
Lung
Mortality
Therapeutics
Surveys and Questionnaires

Keywords

  • COPD
  • Assessment
  • Severity
  • Questionnaire
  • Exacerbations

Cite this

Oliveira, A. S., Munhá, J., Bugalho, A., Guimarães, M., Reis, G., & Marques, A. (2018). Identification and assessment of COPD exacerbations. Pulmonology, 24(1), 42-47. https://doi.org/10.1016/j.rppnen.2017.10.006
Oliveira, A S ; Munhá, J ; Bugalho, A ; Guimarães, M ; Reis, G ; Marques, A. / Identification and assessment of COPD exacerbations. In: Pulmonology. 2018 ; Vol. 24, No. 1. pp. 42-47.
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Oliveira, AS, Munhá, J, Bugalho, A, Guimarães, M, Reis, G & Marques, A 2018, 'Identification and assessment of COPD exacerbations', Pulmonology, vol. 24, no. 1, pp. 42-47. https://doi.org/10.1016/j.rppnen.2017.10.006

Identification and assessment of COPD exacerbations. / Oliveira, A S; Munhá, J; Bugalho, A; Guimarães, M; Reis, G; Marques, A.

In: Pulmonology, Vol. 24, No. 1, 07.03.2018, p. 42-47.

Research output: Contribution to journalArticle

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AU - Munhá, J

AU - Bugalho, A

AU - Guimarães, M

AU - Reis, G

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Oliveira AS, Munhá J, Bugalho A, Guimarães M, Reis G, Marques A. Identification and assessment of COPD exacerbations. Pulmonology. 2018 Mar 7;24(1):42-47. https://doi.org/10.1016/j.rppnen.2017.10.006