scholarly journals Prevention of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline

2017 ◽  
Vol 50 (3) ◽  
pp. 1602265 ◽  
Author(s):  
Jadwiga A. Wedzicha ◽  
Peter M.A. Calverley ◽  
Richard K. Albert ◽  
Antonio Anzueto ◽  
Gerard J. Criner ◽  
...  
2019 ◽  
Vol 199 (11) ◽  
pp. 1312-1334 ◽  
Author(s):  
Paul D. Blanc ◽  
Isabella Annesi-Maesano ◽  
John R. Balmes ◽  
Kristin J. Cummings ◽  
David Fishwick ◽  
...  

2019 ◽  
Vol 105 (12) ◽  
pp. 1203-1205
Author(s):  
Karla Logie ◽  
Liam Welsh ◽  
Sarath C Ranganathan

AimWe assessed the feasibility of telehealth spirometry assessments for children with cystic fibrosis (CF) living in a regional setting.MethodPatients with acceptable computer hardware at home were provided with a SpiroUSB (Vyaire) spirometer. Spirometry was performed during ‘home admissions’ or for ongoing home monitoring in children living outside metropolitan Melbourne. At the end of the session, the family forwarded the data to the Royal Children’s Hospital, Melbourne.ResultsTwenty-two patients aged 7 to 17 years participated, with spirometry successful in 55 of 59 (93%) attempted sessions according to American Thoracic Society/European Respiratory Society criteria. The median distance between the subject’s home and the hospital was 238 km (range 62–537 km) which equated to a travel time saving of 5 hours and 34 min per hospital visit.ConclusionHome-based telehealth spirometry is feasible in children with CF and can support the CF team during home-based admissions and for ongoing outpatient monitoring.


2017 ◽  
Vol 49 (3) ◽  
pp. 1600791 ◽  
Author(s):  
Jadwiga A. Wedzicha ◽  
Marc Miravitlles ◽  
John R. Hurst ◽  
Peter M.A. Calverley ◽  
Richard K. Albert ◽  
...  

This document provides clinical recommendations for treatment of chronic obstructive pulmonary disease (COPD) exacerbations.Comprehensive evidence syntheses, including meta-analyses, were performed to summarise all available evidence relevant to the Task Force's questions. The evidence was appraised using the Grading of Recommendations, Assessment, Development and Evaluation approach and the results were summarised in evidence profiles. The evidence syntheses were discussed and recommendations formulated by a multidisciplinary Task Force of COPD experts.After considering the balance of desirable and undesirable consequences, quality of evidence, feasibility, and acceptability of various interventions, the Task Force made: 1) a strong recommendation for noninvasive mechanical ventilation of patients with acute or acute-on-chronic respiratory failure; 2) conditional recommendations for oral corticosteroids in outpatients, oral rather than intravenous corticosteroids in hospitalised patients, antibiotic therapy, home-based management, and the initiation of pulmonary rehabilitation within 3 weeks after hospital discharge; and 3) a conditional recommendation against the initiation of pulmonary rehabilitation during hospitalisation.The Task Force provided recommendations related to corticosteroid therapy, antibiotic therapy, noninvasive mechanical ventilation, home-based management, and early pulmonary rehabilitation in patients having a COPD exacerbation. These recommendations should be reconsidered as new evidence becomes available.


2009 ◽  
Vol 180 (1) ◽  
pp. 59-99 ◽  
Author(s):  
Helen K. Reddel ◽  
D. Robin Taylor ◽  
Eric D. Bateman ◽  
Louis-Philippe Boulet ◽  
Homer A. Boushey ◽  
...  

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