Articles tagged with Chronic Obstructive Pulmonary Disease
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Researchers found that embedded clinical practice guidelines in patient electronic medical records during outpatient visits improved the use of severity measurement tools, referrals to rehabilitation programs, inhaler education, and vaccinations among stable COPD patients. The intervention also led to better quality of care measures.
Adding noninvasive ventilation to oxygen during exercise training in patients with severe COPD reduces hyperinflation, depression, and increases respiratory muscle function and exercise capacity. The study also found a decrease in total lung capacity in patients who received the treatment.
A digital health application facilitated early detection and treatment of COPD exacerbation symptoms, with patient adherence exceeding 90% and response times to worsening COPD symptoms in less than 11 hours. The app uses a symptom score system to generate alerts and provide evidence-based treatment recommendations.
The FRESH AIR project will adapt and test innovative ways to implement evidence-based practice in the prevention, diagnosis and treatment of chronic lung disease. Researchers from Plymouth University will use experience gained from previous projects involving pulmonary rehabilitation clinics and smoking cessation programmes.
A study of over 120,000 adults in Ontario found that 70% of those living at home were given a new opioid prescription between 2003 and 2012. Older adults with COPD, especially those in long-term care homes, were at risk of excessive opioid use, which can lead to falls, fractures, and other side effects.
A UK Biobank study has identified genetic differences that affect lung health, including those who smoke and never smoked. The research may lead to improved treatments for diseases like COPD and help smokers quit.
A novel approach for identifying patients with undiagnosed clinically-significant COPD has been developed. The new tool consists of several questions that can be used to aid clinicians in finding people with moderate or severe COPD, or those at risk of exacerbations before loss of lung function occurs.
A large worldwide study found that smokers with chronic obstructive pulmonary disorder (COPD) are at nearly twice the risk of developing small cell lung cancer compared to those without COPD. The study, published in EBioMedicine, analyzed data from 24 case-control studies and estimated the risk more precisely than before.
A new scorecard reveals that many countries have made little progress in reducing the burden of non-communicable diseases (NCD). The majority of low- and middle-income countries struggle with risk factors such as tobacco use, poor diet, and physical inactivity. Countries also fare poorly in researching local responses to NCDs.
A pooled analysis of studies found that Tai Chi improved physical capacity and quality of life in people with breast cancer, heart failure, osteoarthritis, and COPD without worsening pain or breathlessness. The exercise also showed benefits for muscle strength and sit-to-stand times in patients with osteoarthritis.
COPD patients who used a digital health application experienced fewer and less severe exacerbation symptoms, improving daily symptom control, lung function, and activity status. The application allowed for same-day treatment recommendations from healthcare providers.
A study published in CHEST found that COPD patients with psychological conditions such as depression, anxiety, and psychosis are more likely to be readmitted early due to complications. These patients had a longer hospital stay and lower outpatient follow-up visits, indicating the need for additional guidance to reduce readmission rates.
A new Medicaid health care program in Texas has improved care for disabled adults with chronic conditions like heart attacks and COPD. The program's managed care component led to better adherence to recommended standards of care during acute events, such as heart attacks and worsening of COPD.
A recent year-long study reveals that 40% of patients with chronic obstructive pulmonary disease (COPD) experience falls, with over 75% falling multiple times. The study identifies several factors linked to an increased risk of falling, including smoking, other illnesses, and taking multiple medications.
Patients with COPD in remission showed improved lung function and quality of life after practicing Liuzijue qigong (LQG) for 6 months. The exercise program, combining meditation and walking, demonstrated marked benefits in mental health as well.
A groundbreaking study reveals that COPD can develop without accelerated lung function decline. The research indicates two major trajectories of lung function leading to COPD: a fast decline trajectory and an alternative trajectory where suboptimal lung function development in childhood and adolescence is the primary determinant.
A new study published in Radiology found that MRI and CT scans can help explain COPD symptoms and exercise limitations, allowing for more personalized treatment. The findings suggest that lung imaging can provide a deeper understanding of the disease and improve patient outcomes.
A rollator improves walking distance and time for patients with COPD, while a draisine has detrimental effects. Researchers found that unaided walking resulted in the longest distance walked by COPD patients.
Chronic lung disease guidelines are over-diagnosing COPD in older men and under-diagnosing it in young women, according to experts. The current guidelines may lead to adverse effects of inappropriate medication or incorrect treatment, resulting in poorer outcomes.
A recent study published in JAMA Internal Medicine found that more than half of long-term smokers and ex-smokers who pass lung-function tests have respiratory-related impairments. The researchers evaluated 8,872 people aged 45 to 80 who had smoked at least a pack of cigarettes a day for 10 years.
Research demonstrates that age-related inflammatory changes contribute to accelerated COPD development, especially when combined with cigarette smoke exposure. This knowledge provides new directions for innovative treatment approaches.
A study found that physical activity declines over time in patients with chronic obstructive pulmonary disease (COPD), worsening lung function and health status. Sustained physical inactivity is associated with progression of exercise intolerance and muscle depletion.
Using order sets to manage worsening COPD can lead to better medical care and results for patients. The study found a significant reduction in hospital length of stay, with patients spending about two-and-a-half days less time in the hospital.
A meta-analysis of 38 studies found that inhaled corticosteroids (ICS) treatment for COPD may lower the risk of dying from pneumonia and other causes. The treatment also appears to decrease mortality risk when confounding factors are adjusted for.
A recent study found that one in four men over 50 will break a bone due to osteoporosis, surpassing prostate cancer incidence rates. The research suggests adding men to osteoporosis screening guidelines to address the high likelihood of vertebral fractures and low bone density.
Researchers from Duke University and Mayo Clinic analyzed data from the ARISTOTLE trial to explore COPD's connection to stroke in patients with atrial fibrillation. They found that COPD was associated with increased mortality, particularly cardiovascular death, but not an increased risk of stroke or systemic embolism.
A nationwide analysis of COPD prevalence found that living in rural areas and poverty are significant risk factors for the disease. The study, which included over 87,000 participants, also found an association between biomass fuels and COPD in southern communities.
Researchers identified GERD, female gender, and higher total SGRQ scores as significant predictors of COPD exacerbation risk in patients using inhaled medications. Tiotropium showed a trend towards lower rates of exacerbations in subjects without asthma, suggesting it may be beneficial for these patients.
Researchers at Brown and Yale implicates a specific mitochondrial protein, NLRX1, in the development of chronic obstructive pulmonary disease (COPD) from exposure to cigarette smoke. The study shows that suppression of NLRX1 is a major cigarette-induced signature of lung destruction.
Researchers at Helmholtz Munich have developed a new method to validate drug targets for chronic obstructive pulmonary disease (COPD) treatment. The technique enables the study of lung tissue repair mechanisms in patient-derived tissues, providing valuable insights into COPD pathologies and potential therapeutic avenues.
Adult survivors of preterm births may have lung capacity resembling that of the healthy elderly or casual smokers by their early 20s. Premature infants are at increased risk for contracting bronchopulmonary dysplasia, a chronic respiratory condition mainly affecting infants born less than 28 weeks of age.
A new study published in the European Heart Journal found that chronic obstructive pulmonary disease (COPD) significantly increases the risk of sudden cardiac death (SCD). Researchers discovered a 34% increased risk overall and an almost doubling of SCD risk after five years of diagnosis.
A recent UTMB study found that oxygen therapy is being prescribed more frequently among COPD patients, especially women over 75 with multiple health conditions. The study's results show an increase in oxygen use from 2001 to 2010, likely due to improved survival rates and decreased stigma around the treatment.
A new study from Korea reveals that 80% of COPD patients have vitamin D deficiency, compared to 40-60% in the general population. Vitamin D deficiency is also linked to decreased exercise capacity and airflow limitations.
The ERS and ATS published a statement on the current state and future directions of COPD research, identifying key gaps in knowledge and recommending areas for future investigation. The statement highlights the importance of patient-centered outcomes and the need for high-quality surrogate outcomes to improve COPD diagnosis and treatment.
Patients with COPD receiving home oxygen face a higher risk of burn injury, with a 10-fold greater mortality rate associated with these injuries. Risk factors include male gender, multiple medical conditions, and low socioeconomic status.
Researchers discover roflumilast's mechanism of tolerance in severe COPD patients, highlighting potential for new therapeutics to improve efficacy. The study identifies key protein PKA-Cβ as a target for reducing unwanted PDE4B2 production.
A study of 1144 US adults found that those with COPD had higher levels of white blood cell count and fibrinogen, as well as elevated C-reactive protein, which were linked to an increased risk of dying. Elevated fibrinogen concentrations were also modestly associated with premature death.
A large study found that male smokers are more likely to develop osteoporosis and vertebral fractures compared to female smokers. Current guidelines do not recommend osteoporosis screening for men, but the researchers suggest that smokers of both genders should be screened for low bone density.
Double-lung transplantation was associated with better graft survival in patients with idiopathic pulmonary fibrosis, but not in those with chronic obstructive pulmonary disease. The new lung allocation score system has changed demographics of single- and double-lung transplant recipients.
A new study found that Aboriginal Australians have low forced vital capacity due to environmental and socioeconomic factors. This discovery challenges the previous notion of chronic obstructive pulmonary disease (COPD) being more common among Aboriginal Australians.
A healthy diet rich in whole grains and polyunsaturated fats is associated with a lower risk of chronic lung disease, according to a study published in The BMJ. The Alternate Healthy Eating Index 2010 was found to be linked to a one-third lower risk of newly diagnosed COPD.
A small group of COPD patients who drank beetroot juice before exercise were able to extend their exercise time and had reduced blood pressures compared to those who received a placebo. The study found beneficial effects of dietary nitrite supplementation on exercise performance and blood pressure in patients with COPD.
Only 2.2% of American physicians have DEA waivers for prescribing buprenorphine-naloxone, a treatment for opioid use disorder, with most practicing in urban counties. This scarcity limits treatment options in rural areas, leaving over 30 million persons without access to this life-saving medication.
A new study from Queen Mary University of London found that vitamin D supplements can significantly reduce the risk of COPD flare-ups in patients with a vitamin D deficiency. The trial, which included 240 patients, showed a 40% reduction in flare-ups among those who received vitamin D supplements.
Research found that people with asthma had a 27% higher incidence of Crohn's disease, while those with COPD had a 55% higher incidence compared to the general population. The study highlights the importance of early detection and treatment of bowel diseases in airway patients.
A study published in CHEST found that patients with COPD who received oral nutrition supplements had shorter hospital stays (21.5% reduction), lower total hospital costs ($1,570), and a 13.1% reduction in 30-day readmission rates. This suggests that nutrition treatment can have positive health outcomes for older adults with COPD.
Using community pharmacies to identify undiagnosed chronic obstructive pulmonary disease (COPD) cases at an early stage could save the NHS £264 million annually. The service has already been successful in screening over 238 people, identifying those at higher risk of COPD and providing lifestyle advice.
Asthma and chronic obstructive pulmonary disease (COPD) share similar symptoms, but the conditions have different causes and require unique treatment strategies. Accurate diagnosis is crucial to provide effective management for patients with overlapping characteristics of asthma and COPD.
A new University of Michigan analysis shows that penalties for chronic lung disease will disproportionately affect hospitals caring for poor and minority patients. The findings highlight the need for targeted interventions to address socioeconomic factors contributing to readmissions.
Patients using medication for asthma/COPD, high blood pressure, or oral contraceptives often purchase cigarettes while filling prescriptions. Study data reveals a significant co-purchase rate of cigarettes with these medications, highlighting the need to prevent cigarette purchasing by individuals at greatest risk.
A study published in JAMA Internal Medicine estimates that there are 14 million smoking-attributable major medical conditions in the US. The largest cause of these illnesses is chronic obstructive pulmonary disease (COPD), with an estimated 7.5 million cases attributable to smoking.
A new study by University at Buffalo confirms that COPD patients breathe easier and report improved health status when using the Lung Flute, a hand-held respiratory device. The six-month study shows significant improvements in symptoms and quality of life.
Researchers at Duke University Medical Center found that coaching patients with COPD to manage stress and practice relaxation can improve their physical symptoms, quality of life, and reduce depression and anxiety.
A study found that combination therapy with long-acting beta-agonists (LABAs) and inhaled corticosteroids (ICSs) is associated with a lower risk of death or COPD hospitalization among older adults with COPD, particularly those with asthma. The therapy also showed promise for patients without asthma.
A study published in Telemedicine and e-Health found that telemedicine can lead to fewer and shorter hospital stays, as well as fewer emergency room visits and even fewer deaths. The integration of telemedicine into healthcare adds great value in managing chronic disease.
A new observational study investigates the prevalence of paradoxical bronchoconstriction after using β2 agonists in smokers and ex-smokers with Chronic Obstructive Pulmonary Disease (COPD). The study reveals that African-American patients are twice as likely to experience a paradoxical response, leading to worse respiratory outcomes.
A randomized trial of 101 patients with chronic obstructive pulmonary disease found that benralizumab had no effect on acute exacerbation rates. However, subgroup analyses indicate the need for further investigation into the use of benralizumab in patients with COPD and eosinophilia.
Patients living with COPD want to discuss their palliative care needs with healthcare professionals, but feel uncomfortable bringing it up due to fear of burdening others. Healthcare professionals should not be afraid to initiate conversations about palliative care, as patients understand the seriousness of their condition.
A nationwide analysis of over 8,000 patients with COPD found that modifiable factors such as prescription adherence and follow-up care can reduce early readmissions. The study suggests that strategies to reduce hospital readmissions extend beyond quality of COPD-specific care.