COPD - Early detection and intervention

被引:45
作者
Calverley, PMA [1 ]
机构
[1] Aintree Univ Hosp NHS Fdn Trust, Univ Clin Dept, Liverpool L9 7AL, Merseyside, England
关键词
COPD; identification; treatment;
D O I
10.1378/chest.117.5_suppl_2.365S
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The compelling evidence for the increasing economic and social burden of COPD, resulting from its rising prevalence and significant morbidity, has been reviewed in other sections of this supplement. The impact of this disease within the United States and globally is projected to increase irrespective of short-term medical action, but developing successful strategies to identify the illness and reduce its impact is essential if this growing problem is to be managed successfully. In this article, some of the important concepts relevant to this process are considered, and some of the present techniques used to intervene in established COPD are reviewed.
引用
收藏
页码:365S / 371S
页数:7
相关论文
共 41 条
[1]   Lung volume reduction surgery has variable effects on blood gases in patients with emphysema [J].
Albert, RK ;
Benditt, JO ;
Hildebrandt, J ;
Wood, DE ;
Hlastala, MP .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 158 (01) :71-76
[2]  
[Anonymous], 1980, Ann Intern Med, V93, P391
[3]  
[Anonymous], 1987, AM REV RESPIR DIS, V136, P225
[4]  
[Anonymous], 1999, AM J RESP CRIT CARE, V159, pS1
[5]   EFFECTS OF SMOKING INTERVENTION AND THE USE OF AN INHALED ANTICHOLINERGIC BRONCHODILATOR ON THE RATE OF DECLINE OF FEV(1) - THE LUNG HEALTH STUDY [J].
ANTHONISEN, NR ;
CONNETT, JE ;
KILEY, JP ;
ALTOSE, MD ;
BAILEY, WC ;
BUIST, AS ;
CONWAY, WA ;
ENRIGHT, PL ;
KANNER, RE ;
OHARA, P ;
OWENS, GR ;
SCANLON, PD ;
TASHKIN, DP ;
WISE, RA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (19) :1497-1505
[6]   RELATION OF BIRTH-WEIGHT AND CHILDHOOD RESPIRATORY-INFECTION TO ADULT LUNG-FUNCTION AND DEATH FROM CHRONIC OBSTRUCTIVE AIRWAYS DISEASE [J].
BARKER, DJP ;
GODFREY, KM ;
FALL, C ;
OSMOND, C ;
WINTER, PD ;
SHAHEEN, SO .
BRITISH MEDICAL JOURNAL, 1991, 303 (6804) :671-675
[7]  
CALVERLEY PMA, 1999, AM J RESP CRIT CARE, V159, pA534
[8]   Effects of an immunostimulating agent on acute exacerbations and hospitalizations in patients with chronic obstructive pulmonary disease [J].
Collet, JP ;
Shapiro, S ;
Ernst, P ;
Renzi, P ;
Ducruet, T ;
Robinson, A ;
Gauthier, G ;
Beaupre, A ;
Gregoire, P ;
Jacquemin, P ;
Plante, F ;
Lachance, Y ;
Provost, G ;
Hernandez, P ;
JeanFrancois, R ;
Charbonneau ;
Inhaber, N ;
Braidy, J ;
Jeanneret, A ;
Bolduc, P ;
Leblanc, PP ;
Olivenstein, R ;
Mannix, S ;
Chrysler, B ;
Wolkove, N ;
Kreisman, H ;
Frank ;
Fox, J ;
Colman, N ;
Gruber, J ;
Zidulka ;
Gursahaney, A ;
Matouk ;
Eidelman, D ;
Julien, M ;
Malo, J ;
Dandurand, R ;
Skamene, E ;
Suissa, S ;
Choi, S ;
Martin, J ;
Dankoff, G ;
Enjalbert, M ;
Lauener, PA .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1997, 156 (06) :1719-1724
[9]   Outcomes following acute exacerbation of severe chronic obstructive lung disease [J].
Connors, AF ;
Dawson, NV ;
Thomas, C ;
Harrell, FE ;
Desbiens, N ;
Fulkerson, WJ ;
Kussin, P ;
Bellamy, P ;
Goldman, L ;
Knaus, WA .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 154 (04) :959-967
[10]   Oral corticosteroids in patients admitted to hospital with exacerbations of chronic obstructive pulmonary disease: a prospective randomised controlled trial [J].
Davies, L ;
Angus, RM ;
Calverley, PMA .
LANCET, 1999, 354 (9177) :456-460