scholarly journals “Frequent exacerbator” is a phenotype of poor prognosis in Japanese patients with chronic obstructive pulmonary disease

2016 ◽  
pp. 207
Author(s):  
Tomotaka Kawayama ◽  
Ryusuke Tomioka ◽  
Masashi Suetomo ◽  
Takashi Kinoshita ◽  
Yoshihisa Tokunaga ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Poor Prognosis ◽  
Japanese Patients ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

scholarly journals Consistency of medical record reporting of a set of indicators for proactive palliative care in patients with chronic obstructive pulmonary disease

2016 ◽  
Vol 14 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Ria G Duenk ◽  
Stans C Verhagen ◽  
Mireille AE Janssen ◽  
Richard PNR Dekhuijzen ◽  
Kris CP Vissers ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Palliative Care ◽  
Pulmonary Disease ◽  
Medical Record ◽  
Acute Exacerbation ◽  
Poor Prognosis ◽  
Primary Objective ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Exact Test

To identify patients hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (COPD) who have a poor prognosis and might benefit from proactive palliative care, a set of indicators had been developed from the literature. A patient is considered eligible for proactive palliative care when meeting ≥2 criteria of the proposed set of 11 indicators. In order to develop a doctor-friendly and patient-convenient tool, our primary objective was to examine whether these indicators are documented consistently in the medical records. Besides, percentage of patients with a poor prognosis and prognostic value were explored. We conducted a retrospective medical record review of 33 patients. Five indicators; non-invasive ventilation (NIV), comorbidity, body mass index (BMI), previous admissions for acute exacerbation COPD and age were always documented. Three indicators; hypoxaemia and/or hypercapnia, professional home care and actual forced expiratory volume1% (FEV1%) were documented in more than half of the records, whereas the clinical COPD questionnaire (CCQ), medical research council dyspnoea (MRC dyspnoea) and the surprise question were never registered. Besides, 78.8% of the patients met ≥2 criteria and there was a significant association between meeting ≥2 criteria and mortality within 1 year (one-sided Fisher’s exact test, p = 0.04). The set of indicators for proactive palliative care in patients with COPD appeared to be user-friendly and feasible.

COPD assessment tests scores are associated with exacerbated chronic obstructive pulmonary disease in Japanese patients

2014 ◽  
Vol 52 (5) ◽  
pp. 288-295 ◽  
Author(s):  
Masashi Suetomo ◽  
Tomotaka Kawayama ◽  
Takashi Kinoshita ◽  
Shinichi Takenaka ◽  
Masanobu Matsuoka ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Japanese Patients ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Assessment Tests
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