A REAL-LIFE EXPERIENCE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE TREATMENT
Chronic Obstructive Pulmonary Disease (COPD) is an important public health problem, generating costs for treatment, hospitalization, and decrease work capacity. Aim: A cohort of patients was followed in a prospective study for a better understanding of the practical difficulties in management of the COPD patients from Iasi County. In order to evaluate these patients, we collected data regarding smoke status, inhalation technique, therapy changes. The periodic medication update, the assessment of the inhalation technique, the developing and increasing access to respiratory rehabilitation centers will work to improve COPD patients’ quality of life and to ensure quality of medical services. Results: The distribution of patients on risk classes indicates a higher proportion of these in classes D and B. Of the total patients evaluated 12 (32.4%) have correctly used the inhaler device, while 25 patients (67.6%) made at least one mistake: 15 patients (40.5%) did not forcefully expire before using the device, 6 (16.2%) did not inspire enough, four (12%) had trouble in maintaining apnea. A high proportion of patients were treated with the inhaled corticosteroids + long-acting beta2-agonistis therapy (56.8%), 64.9% of the patients were treated with inhaled corticosteroids. Conclusions: Although there are many interventions recommended in patients with COPD, too few interventions are included in practice for a better disease control.
2. ***GOLD. Gold 2017. Glob Inititiative Chronic Obstr Lung Dis 2017: 1-139.
3. Kocks J, Chrystyn H, van der Palen J, et al. Systematic review of association between critical errors in inhalation and health outcomes in asthma and COPD. NPJ Prim Care Respir Med 2018; 16: 43.
4. Jones PW, Nadeau G, Small M, Adamek L. Characteristics of a COPD population categorized using the GOLD framework by health status and exacerbations. Respir Med 2014; 108: 129-135.
5. Lange P, Marott JL, Vestbo J, et al. Prediction of the clinical course of chronic obstructive pulmonary disease, using the new GOLD classification: A study of the general population. Am J Respir Crit Care Med 2012; 186: 975-981.
6. Trofor L, Marginean C, Man M, Miron R, Barnea E, Trofor AC. Smoking cessation for free: First long-term outcomes in three Romanian centers. Eur Respir Journal Conf Eur Respir Soc Annu Congr. 2015; 46.
7. Peiffer G, Underner M, Perriot J. COPD and smoking cessation: Patients’ expectations and responses of health professionals. Revue de Pneumologie Clinique 2018; 74: 375-390.
8. Price D, West D, Brusselle G, et al. Management of COPD in the UK primary-care setting: An analysis of real-life prescribing patterns. Int J COPD 2014; 9: 889-904.
9. Gottlieb V, Lyngsø AM, Sæbye D, Frølich A, Backer V. The use of COPD maintenance therapy following spirometry in General Practice. Eur Clin Respir J. 2016; 3: 10.
10. Reis AJ, Alves C, Furtado S, Ferreira J, Drummond M, Robalo-Cordeiro C. COPD exacerbations: management and hospital discharge. Pulmonology 2018; 24: 345-350.
11. Lopez-Campos JL, Navarrete BA, Soriano JB, et al. Determinants of medical prescriptions for COPD care: an analysis of the EPOCONSUL clinical audit. Int J Chron Obstruct Pulmon Dis 2018; 13: 2279-2288.
12. Mueller S, Wilke T, Bechtel B, Punekar YS, Mitzner K, Virchow JC. Non-persistence and non-adherence to long-acting COPD medication therapy: A retrospective cohort study based on a large German claims dataset. Respir Med 2017; 122: 1-11.
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.
COPYRIGHT TRANSFER FORM FOR
REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /
THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI
We, the undersigned authors of the manuscript entitled
warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.
- we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
- the manuscript does not break the intellectual property rights of any other person.
- we have read the submitted version of the manuscript and we are fully responsible for the content.
Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):
N.B. All the authors must sign this form