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Chronic Respiratory Disease

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https://www.readbyqxmd.com/read/28982256/new-models-of-care-for-respiratory-disease-a-thematic-edition
#1
Graeme Rocker, Morag Farquhar, Jennifer Verma
No abstract text is available yet for this article.
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28786297/telehealth-pulmonary-rehabilitation-a-review-of-the-literature-and-an-example-of-a-nationwide-initiative-to-improve-the-accessibility-of-pulmonary-rehabilitation
#2
A-M Selzler, J Wald, M Sedeno, T Jourdain, T Janaudis-Ferreira, R Goldstein, J Bourbeau, M K Stickland
Several different applications of telehealth technologies have been used in the care of respiratory patients, including telemonitoring, teleconsultations, tele-education, and telehealth-pulmonary rehabilitation (PR). Telehealth technology provides an opportunity to assist in the management of chronic respiratory diseases and improve access to PR programs. While there is inconclusive evidence as to the effectiveness of telemonitoring to reduce healthcare utilization and detection of exacerbations, teleconsultations have been shown to be an effective means to assess patients' disease prior to the initiation of PR, and telehealth PR has been shown to be as effective as institution-based PR at improving functional exercise capacity and health-related quality of life...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28728429/palliative-care-for-respiratory-disease-an-education-model-of-care
#3
Brynn Bowman, Diane E Meier
That palliative care improves quality of life for seriously ill patients and their families is well known - but how can healthcare providers ensure that the palliative needs of all patients are being assessed and addressed? A growing number of curricula in core palliative care practices have been developed to ensure that clinicians from all specialties and disciplines have the necessary training to manage pain and symptoms and discuss care goals with patients and families. Through broad-based training in core palliative care skills, combined with referral to specialty palliative care for high-need patients, providers can improve quality of life for their patients with respiratory disease...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28718321/breathlessness-services-as-a-new-model-of-support-for-patients-with-respiratory-disease
#4
Claudia Bausewein, Michaela Schunk, Philipp Schumacher, Julika Dittmer, Anna Bolzani, Sara Booth
The complexity of breathlessness in advanced disease requires a diversity of measures ideally tailored to the individual patient needs. 'Breathlessness services' have been systematically developed and tested to provide specific interventions and support for patients and their carers. The aim of this article is (1) to identify and describe components of breathlessness services and (2) to describe the clinical model of one specific service in more detail. This article is based on a systematic review evaluating randomized controlled trials (RCTs) and quasi-RCTs which examine the effectiveness of services aiming to improve breathlessness of patients with advanced disease...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28685601/assessing-carer-needs-in-chronic-obstructive-pulmonary-disease
#5
Morag Farquhar
Informal carers play a key role in supporting patients with chronic obstructive pulmonary disease (COPD), particularly when disease is advanced. They also enable delivery of healthcare professional advice. There is a well-established impact of the caring role on carers in both the generic and COPD-specific literature. The needs of carers of patients with COPD are both generic to the caring role and disease specific. Healthcare professionals and health systems supporting patients with COPD need to actively identify and support carers...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28612657/improving-care-for-advanced-copd-through-practice-change-experiences-of-participation-in-a-canadian-spread-collaborative
#6
Jennifer Y Verma, Claudia Amar, Shannon Sibbald, Graeme M Rocker
Chronic obstructive pulmonary disease (COPD) is a leading cause of death, morbidity, and health-care spending. The Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ has proved highly beneficial for patients and the health-care system. With direct investment of <$1-million CAD, a pan-Canadian quality improvement collaborative (QIC) supported the spread of INSPIRED to 19 teams in the 10 Canadian provinces contingent upon participation in evaluation. The collaborative evaluation followed a mixed-methods summative approach relying on collated quantitative data, team documents, and surveys sent to core members of the 19 teams...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28569116/patient-and-health-care-professional-perspectives-on-using-telehealth-to-deliver-pulmonary-rehabilitation
#7
J A Inskip, H Novak Lauscher, L C Li, G A Dumont, A Garde, K Ho, A M Hoens, J D Road, C J Ryerson, P G Camp
The objective of this study was to identify the necessary features of pulmonary telerehabilitation (P-TR) from the perspectives of individuals living with chronic lung disease and health care professionals (HCPs) who deliver pulmonary rehabilitation (PR). Focus groups were carried out with patients ( n = 26) and HCPs ( n = 26) to elicit and explore their opinions about the critical elements of in-person PR and ideas for how these elements could be supported using technology. A questionnaire was used to assess technology use, PR experience, and general health status...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28569072/the-role-of-oral-methotrexate-as-a-steroid-sparing-agent-in-refractory-eosinophilic-asthma
#8
David Bilocca, B Hargadon, I D Pavord, R H Green, C E Brightling, P Bradding, A J Wardlaw, N Martin, A C Murphy, S Siddiqui
The use of oral methotrexate for refractory eosinophilic asthma in a tertiary asthma referral centre, Glenfield Hospital, Leicester, was evaluated between January 2006 and December 2014. The patients ( n = 61) were carefully phenotyped at baseline with markers of airway inflammation. In addition, a structured oral methotrexate proforma was utilized to evaluate response to therapy and adverse events. Oral steroid withdrawal was attempted 3 months after commencing treatment. Several outcomes were evaluated at 12 months, including both efficacy and adverse effects; 15% ( n = 9/61) responded by achieving a decrease in daily oral corticosteroid dose (mean 8...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28513197/uptake-of-telehealth-implementation-for-copd-patients-in-a-high-poverty-inner-city-environment-a-survey
#9
Catherine L Granger, Rachel Wijayarathna, Eui-Sik Suh, Gill Arbane, Linda Denehy, Patrick Murphy, Nicholas Hart
This study aimed to investigate computer and internet access and education attained in patients with chronic obstructive pulmonary disease (COPD) as potential barriers to implementation of telemedicine. We prospectively assessed 98 patients admitted with an acute exacerbation of COPD (mean age: 70.5 ± 9.3 years; force expired volume in the first second: 0.75 ± 0.39 L; 59% male) recording educational level attained and home computer and internet access. Hospital readmission surveillance occurred up to 2.7 (2...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28494619/improving-quality-of-care-for-end-stage-respiratory-disease-changes-in-attitude-changes-in-service
#10
D Robin Taylor, Scott A Murray
The illness trajectory for many patients with severe respiratory disease is characterized by steady decline. Yet most healthcare resources are poured into managing acute exacerbations that are only temporarily effective. Further, 'bad deaths' can result from inappropriate medical interventions at times of crisis. In this article, we describe a range of changes in attitudes, behaviour and service provision that together focus on improving quality of care for respiratory patients with frequent crises. These changes include prognostic conversations, developing and implementing anticipatory care plans both in hospital and in the outpatient settings, and establishing a supportive care clinic devoted to complex disease and optimizing palliative care...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28393591/presentation-management-and-mortality-after-a-first-mi-in-people-with-and-without-asthma-a-study-using-uk-minap-data
#11
Paulo Pinto, Kieran J Rothnie, Kelvin Lui, Adam Timmis, Liam Smeeth, Jennifer K Quint
Asthma has been associated with a higher incidence of myocardial infarction (MI), higher prevalence of MI risk factors and higher burden of cardiovascular diseases. However, detailed associations between the presentation and initial management at the time of MI and post-MI outcomes in people with asthma compared to the general population have not been studied. A total of 300,161 people were identified with a first MI over the period 2003-2013 in the Myocardial Ischaemia National Audit Project database, of whom 8922 (3%) had asthma...
February 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29742914/depression-is-a-major-determinant-of-both-disease-specific-and-generic-health-related-quality-of-life-in-people-with-severe-copd
#12
Sun Mi Jang, Ki Uk Kim, Hae Jung Na, Seung Eun Song, Sang Hee Lee, Haejung Lee, Yun Seong Kim, Min Ki Lee, Hye-Kyung Park
The quality of life of patients with chronic obstructive pulmonary disease (COPD) decreases significantly as the disease progresses; those with severe COPD are affected most. This article investigates predictors of the disease-specific and generic health-related quality of life (HRQL) in patients with severe COPD. This multicentre prospective cross-sectional study enrolled 80 patients with severe COPD. At enrolment, all patients completed a disease-specific instrument, the St George's Respiratory Questionnaire (SGRQ), and a generic instrument, the Short Form 36 Health Survey Questionnaire (SF-36)...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29742906/relationship-of-spirometric-body-plethysmographic-and-diffusing-capacity-parameters-to-emphysema-scores-derived-from-ct-scans
#13
Kathrin Kahnert, Bertram Jobst, Frank Biertz, Jürgen Biederer, Henrik Watz, Rudolf M Huber, Jürgen Behr, Philippe A Grenier, Peter Alter, Claus F Vogelmeier, Hans-Ulrich Kauczor, Rudolf A Jörres
Phenotyping of chronic obstructive pulmonary disease (COPD) with computed tomography (CT) is used to distinguish between emphysema- and airway-dominated type. The phenotype is reflected in correlations with lung function measures. Among these, the relative value of body plethysmography has not been quantified. We addressed this question using CT scans retrospectively collected from clinical routine in a large COPD cohort. Three hundred and thirty five patients with baseline data of the German COPD cohort COPD and Systemic Consequences-Comorbidities Network were included...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29690786/feasibility-study-to-assess-the-effect-of-a-brief-mindfulness-intervention-for-patients-with-chronic-obstructive-pulmonary-disease-a-randomized-controlled-trial
#14
Linda Perkins-Porras, Muhammad Riaz, Adeoba Okekunle, Svitlana Zhelezna, Indranil Chakravorty, Michael Ussher
Psychological distress is common among patients with chronic obstructive pulmonary disease (COPD). This study aimed to assess whether a 10-minute mindfulness intervention reduces distress and breathlessness, improves mood and increases mindfulness among hospital inpatients following acute exacerbation of COPD.Fifty patients were recruited following an acute admission. The immediate effects of a 10-minute mindfulness-based body scan were compared with a control intervention. Participants were randomized to receive either a mindfulness-based body scan ( n = 24) or a control condition ( n = 26) via a 10-minute audio recording...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29673263/why-are-copd-patients-unable-to-complete-the-outpatient-pulmonary-rehabilitation-program
#15
Hulya Sahin, Ilknur Naz
This study aims to compare demographic and clinical characteristics of chronic obstructive pulmonary disease (COPD) patients who complete and fail to complete outpatient pulmonary rehabilitation (PR) program and to determine the reasons for not completing the program. Patients with COPD referred to the PR program were divided into two groups: Those who completed the program were classified as group 1 and those who did not complete were classified as group 2, and their data were compared. Patients who failed to complete the program were contacted through phone and asked why they ceased their participation in the program...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29669432/chronic-bronchitis-high-prevalence-in-never-smokers-and-underdiagnosis-a-population-based-study-in-colombia
#16
Mauricio Gonzalez-Garcia, Andres Caballero, Claudia Jaramillo, Carlos A Torres-Duque
The objective of the article was to establish the prevalence, underdiagnosis, and risk factors of chronic bronchitis (CB) in a general population in five Colombian cities. Cross-sectional study using a probabilistic sampling technique in five Colombian cities was adopted. The CB definition was "cough and expectoration for three or more months per year for at least two consecutive years." Underdiagnosis was considered in subjects with clinical definition without previous medical diagnosis. Univariate χ2 or Student's t-test and logistic regression analysis were used...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29661041/prospective-risk-of-osteoporotic-fractures-in-patients-with-advanced-chronic-obstructive-pulmonary-disease
#17
Ayushman Gupta, Neil J Greening, Rachael A Evans, Abigail Samuels, Nicole Toms, Michael C Steiner
Despite the high prevalence of osteoporosis in chronic obstructive pulmonary disease (COPD) patients, the fracture risk prediction tools are not routinely undertaken in the management of COPD. We quantified fracture risk using a validated risk prediction tool (Fracture Risk Assessment (FRAX®)) and determined potential bone-protection treatment needs in patients with advanced COPD. The 10-year probability of major osteoporotic or hip fracture was calculated using the FRAX tool in a cohort of patients attending a hospital complex COPD service...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29631423/adherence-to-long-term-oxygen-therapy-in-patients-with-chronic-obstructive-pulmonary-disease
#18
Amélie Gauthier, Sarah Bernard, Emmanuelle Bernard, Serge Simard, François Maltais, Yves Lacasse
Long-term oxygen therapy (LTOT) has beneficial effects on survival in patients with chronic obstructive pulmonary disease (COPD) and severe hypoxemia at rest. Two landmark trials suggested that these benefits depend on the time of exposure to oxygen. Patients are usually prescribed LTOT for at least 15-18 hours/day. The primary objective of this study was to determine the average daily exposure to supplemental oxygen in patients with severely hypoxemic COPD who were newly prescribed LTOT and the proportion of patients who were adherent to their prescription...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29631422/how-resources-determine-pulmonary-rehabilitation-programs-a-survey-among-belgian-chest-physicians
#19
Wim Janssens, Jean-Louis Corhay, Peter Bogaerts, Eric Derom, Nicolas Frusch, Delphine Nguyen Dang, Jesabelle Kibanda, David Ruttens, Lisa Thyrion, Thierry Troosters, Eric Marchand
Despite overwhelming evidence of its benefits, a widespread implementation of pulmonary rehabilitation (PR) is lacking and the landscape of multidisciplinary programs remains very scattered. The objective of this study is to assess how PR is organized in specialized care centres in Belgium and to identify which barriers may exist according to respiratory physicians. A telephone and online survey was developed by a Belgian expert panel and distributed among all active Belgian chest physicians ( n = 492). Data were obtained from 200 respondents (40%)...
January 1, 2018: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/29621888/asthma-knowledge-care-and-outcome-during-pregnancy-the-qakcop-study
#20
Wanis H Ibrahim, Fatima Rasul, Mushtaq Ahmad, Abeer S Bajwa, Laith I Alamlih, Anam M El Arabi, Mujahed M Dauleh, Ibrahim Y Abubeker, Muhammed U Khan, Tayseer S Ibrahim, Azdin A Ibrahim
Asthma is the most common chronic medical condition affecting pregnancy. Optimizing asthma management in pregnancy is paramount for the well-being of both the mother and the baby. The primary objectives of this study were to assess patient's knowledge about asthma, the level of asthma care, and fetal and maternal outcomes among pregnant asthmatic women in this wealthy country with tremendous improvement in maternal and fetal health care. The secondary objective was to identify barriers to asthma control. This was a cross-sectional, face-to-face, prospective study of 80 pregnant women with physician-diagnosed asthma...
January 1, 2018: Chronic Respiratory Disease
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