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Chronic Respiratory Disease

Ali Hakamy, Charlotte E Bolton, Tricia M McKeever
The aim of this study is to conduct a systematic review of published studies that evaluate the impact of pulmonary rehabilitation (PR) on survival and fall (including balance) in patients with chronic obstructive pulmonary disease at stability. OVID, Medline, EMBASE, and Cochrane collaboration library were searched for literature dating from January 1980 up to November 2014 as well as an update in October 2015. Two reviewers screened titles, abstracts and full text records, extracted data, and assessed studies for risk of bias; any disagreements were resolved by a third member of the team, and consensus was always sought...
August 11, 2016: Chronic Respiratory Disease
Deborah Morrison, Frances S Mair, Lucy Yardley, Sarah Kirby, Mike Thomas
Long-term respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD) are common, and cause high levels of morbidity and mortality. Supporting self-management is advocated for both asthma and increasingly so for COPD, and there is growing interest in the potential role of a range of new technologies, such as smartphone apps, the web or telehealth to facilitate and promote self-management in these conditions. Treatment goals for both asthma and COPD include aiming to control symptoms, maintain activities, achieve the best possible quality of life and minimize risks of exacerbation...
August 10, 2016: Chronic Respiratory Disease
Aline Almeida Gulart, Anelise Bauer Munari, Ana Paula Adriano de Queiroz, Katerine Cristhine Cani, Darlan Laurício Matte, Anamaria Fleig Mayer
The aim of this study was to investigate whether the chronic obstructive pulmonary disease (COPD) assessment test (CAT) reflects the functional status of patients with COPD. Forty-seven patients underwent anthropometric assessment, spirometry, the 6-minute walk test (6MWT), the Glittre-activity of daily living (ADL) test (TGlittre), the London Chest ADL (LCADL) scale, and the CAT. The total score of the CAT correlated with 6MWT distance, TGlittre time spent, and LCADL%total (r = -0.56, 0.52, and 0.78, respectively; p < 0...
August 9, 2016: Chronic Respiratory Disease
Adam Ogna, Frederic Lofaso
No abstract text is available yet for this article.
August 9, 2016: Chronic Respiratory Disease
Chris Atkins, Andrew M Wilson
Fatigue is a common manifestation of sarcoidosis, often persisting without evidence of disease activity. First-line therapies for sarcoidosis have limited effect on fatigue. This review aimed to assess the treatment options targeting sarcoidosis-associated fatigue. Medline and Web of Science were searched in November 2015; the bibliographies of these papers, and relevant review papers, were also searched. Studies were included if they reported on the efficacy of interventions (both pharmacological and non-pharmacological) on fatigue scores in sarcoidosis patients...
August 9, 2016: Chronic Respiratory Disease
Katrine Fjaellegaard, Melda Dönmez Sin, Andrea Browatzki, Charlotte Suppli Ulrik
To provide an update on efficacy and safety of antibiotic treatments for stable non-cystic fibrosis (CF) bronchiectasis (BE). Systematic review based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines was done. Twenty-six studies (1.898 patients) fulfilled the inclusion criteria. Studies of inhaled tobramycin have revealed conflicting results regarding quality of life (QoL), exacerbations and admissions, but may result in sputum cultures negative for Pseudomonas aeruginosa, whereas studies investigating the effect of inhaled gentamycin have shown positive effects on sputum bacterial density, decrease in sputum cultures positive for P...
August 9, 2016: Chronic Respiratory Disease
Giuseppe Fiorentino, Antonio M Esquinas
No abstract text is available yet for this article.
August 9, 2016: Chronic Respiratory Disease
William D-C Man
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
Rachael A Evans
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
K J Rothnie, J K Quint
No abstract text is available yet for this article.
August 2016: Chronic Respiratory Disease
Daniel Sanchez-Morillo, Miguel A Fernandez-Granero, Antonio Leon-Jimenez
Major reported factors associated with the limited effectiveness of home telemonitoring interventions in chronic respiratory conditions include the lack of useful early predictors, poor patient compliance and the poor performance of conventional algorithms for detecting deteriorations. This article provides a systematic review of existing algorithms and the factors associated with their performance in detecting exacerbations and supporting clinical decisions in patients with chronic obstructive pulmonary disease (COPD) or asthma...
August 2016: Chronic Respiratory Disease
Filip Jj Triest, Sally J Singh, Lowie Egw Vanfleteren
Patients with chronic obstructive pulmonary disease (COPD) who participate in pulmonary rehabilitation (PR) often have concomitant cardiovascular disease (CVD), which is a frequently undiagnosed and undertreated comorbidity. CVD contributes to the burden of the disease and is associated with an increased risk for hospitalizations and mortality. Optimizing the diagnosis and management of cardiovascular risk and disease should be considered as part of the holistic approach of PR. In addition, we need to consider similarities and differences in cardiac and PR programs, in order to improve personalized care in patients with both diseases...
August 2016: Chronic Respiratory Disease
William D-C Man, Faiza Chowdhury, Rod S Taylor, Rachael A Evans, Patrick Doherty, Sally J Singh, Sara Booth, Davey Thomason, Debbie Andrews, Cassie Lee, Jackie Hanna, Michael D Morgan, Derek Bell, Martin R Cowie
The study aimed to gain consensus on key priorities for developing breathlessness rehabilitation services for patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Seventy-four invited stakeholders attended a 1-day conference to review the evidence base for exercise-based rehabilitation in COPD and CHF. In addition, 47 recorded their views on a series of statements regarding breathlessness rehabilitation tailored to the needs of both patient groups. A total of 75% of stakeholders supported symptom-based rather than disease-based rehabilitation for breathlessness with 89% believing that such services would be attractive for healthcare commissioners...
August 2016: Chronic Respiratory Disease
Esther Barreiro, Joaquim Gea
Chronic obstructive pulmonary disease (COPD) will be a major leading cause of death worldwide in the near future. Weakness and atrophy of the quadriceps are associated with a significantly poorer prognosis and increased mortality in COPD. Despite that skeletal muscle dysfunction may affect both respiratory and limb muscle groups in COPD, the latter are frequently more severely affected. Therefore, muscle dysfunction in COPD is a common systemic manifestation that should be evaluated on routine basis in clinical settings...
August 2016: Chronic Respiratory Disease
Michelle John, Tricia M McKeever, Maath Al Haddad, Ian P Hall, Ian Sayers, John R Cockcroft, Charlotte E Bolton
With the increased cardiovascular (CV) morbidity and mortality in subjects with chronic obstructive pulmonary disease (COPD), there is a priority to identify those patients at increased risk of cardiovascular disease. Stable patients with COPD (n = 185) and controls with a smoking history (n = 106) underwent aortic pulse wave velocity (PWV), blood pressure (BP) and skin autofluorescence (AF) at clinical stability. Blood was sent for fasting lipids, soluble receptor for advanced glycation end products (sRAGE) and CV risk prediction scores were calculated...
August 2016: Chronic Respiratory Disease
Pedro Carreiro-Martins, Joana Gomes-Belo, Ana Luísa Papoila, Iolanda Caires, Teresa Palmeiro, João Gaspar-Marques, Paula Leiria-Pinto, Ana Sofia Mendes, João Paulo-Teixeira, Maria Amália Botelho, Nuno Neuparth
Few studies have assessed the quality of life (QOL) related to chronic respiratory diseases in the elderly. In the framework of the geriatric study on the health effects of air quality in elderly care centers (GERIA) study, a questionnaire was completed by elderly subjects from 53 selected nursing homes. It included various sections in order to assess respiratory complaints, QOL (World Health Organization QOL (WHOQOL)-BREF), and the cognitive and depression status. The outcome variables were the presence of a score lower than 50 (<50) in each of the WHOQOL-BREF domains (physical health, psychological health, social relationships, and environmental health)...
August 2016: Chronic Respiratory Disease
Dionisios Spyratos, Diamantis Chloros, Dionisia Michalopoulou, Lazaros Sichletidis
The aim of the present study was to estimate the frequency of under- and over-diagnosis as well as overtreatment and their impact on the financial burden of inhaled drugs for stable chronic obstructive pulmonary disease (COPD). We examined 3200 subjects (65.5% males) of the general population (>40 year old, current or former smokers, and asthma patients were excluded) during a 3-year period. All participants gave detailed medical history, underwent spirometry, and their current and past inhaled medications were registered through the national electronic prescription system...
August 2016: Chronic Respiratory Disease
Tina Phan, Owen Carter, Claire Adams, Grant Waterer, Li Ping Chung, Maxine Hawkins, Cobie Rudd, Mel Ziman, Natalie Strobel
The objective of this study was to investigate the discriminant validity of commonly used depression and anxiety screening tools in order to determine the most suitable tool for patients with chronic obstructive pulmonary disease (COPD). COPD patients (n = 56) completed the Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI). These scores were compared to confirmed clinical diagnoses of depression and anxiety using the Mini Neuropsychiatric Interview...
August 2016: Chronic Respiratory Disease
Enrique Javier Soto Hurtado, Maria Luisa Amaya González, Maria Del Mar Elena Soto, Francisco Jose Cabello Rueda, Francisco Javier Pérez Nadal, Alberto Ruíz Cantero
Idiopathic pleuroparenchymal fibroelastosis (IPPFE) is a rare disease, idiopathic in most of the cases described in the literature. We report the case of a 55-year-old patient, non-smoker with tuberculosis treated in his youth, starting with progressive dyspnoea and cough, with radiographic abnormalities consisting of pleural thickening, bronchiectasis and structural distortion predominantly in the upper lobes. Due to functional impairment and persistent radiographic abnormalities, biopsy by video-assisted thoracoscopic surgical was decided...
August 2016: Chronic Respiratory Disease
W Kinnear, J Colt, L Watson, P Smith, L Johnson, S Burrows, M Sovani, A Khanna, P Maddison, A Wills
Long-term non-invasive ventilation (NIV) was introduced in the 1980s, initially mainly for patients with poliomyelitis, muscular dystrophy (MD) or scoliosis. The obesity-hypoventilation syndrome has since become the commonest reason for referral to most centres providing home-NIV. Patients with MD are numerically a much smaller part of the workload, but as their disease progresses the need for ventilatory support changes and they require regular comprehensive assessment of their condition. We have examined the trend in MD use of home-NIVin our unit over the last 25 years...
June 21, 2016: Chronic Respiratory Disease
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