Open Respiratory Archives最新文献_第2页

Effectiveness of a Structured Self-Management Intervention to Improve Quality of Life in Individuals With Chronic Obstructive Pulmonary Disease (AMPOC Study) 结构化自我管理干预改善慢性阻塞性肺疾病患者生活质量的有效性（AMPOC研究）

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100426

Maite López Luque , Marta Chuecos Molina , Guadalupe Ortega Cuelva , M. Jesús Vázquez López , Francisco Orfila Pernas , Nina Granel Giménez , Esther Ruiz Rodríguez , M. Ángeles Santos Santos , Adrià Almazor Sirvent , Antonio Vallejo Domingo , Toni López Ruiz , Purificación Jordana Ferrando

{"title":"Effectiveness of a Structured Self-Management Intervention to Improve Quality of Life in Individuals With Chronic Obstructive Pulmonary Disease (AMPOC Study)","authors":"Maite López Luque , Marta Chuecos Molina , Guadalupe Ortega Cuelva , M. Jesús Vázquez López , Francisco Orfila Pernas , Nina Granel Giménez , Esther Ruiz Rodríguez , M. Ángeles Santos Santos , Adrià Almazor Sirvent , Antonio Vallejo Domingo , Toni López Ruiz , Purificación Jordana Ferrando","doi":"10.1016/j.opresp.2025.100426","DOIUrl":"10.1016/j.opresp.2025.100426","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to compare the effectiveness of a structured self-management program in patients with moderate–severe COPD followed up for 12 months, in improving quality of life, dyspnea, inhaler adherence, anxiety, and depression, compared to standard practice.</div></div><div><h3>Material and methods</h3><div>This was a multicenter randomized clinical trial involving 115 patients, 59 in the intervention group and 56 in the control group. Participants from 16 primary care centers in Barcelona, Spain, were allocated consecutively and in a blinded manner to the intervention and control groups in stages. Professionals received training in behavioral change techniques. The intervention consisted of four 20-min sessions conducted at 14-day intervals, covering topics such as COPD knowledge, smoking, inhaler use, physical activity, nutrition, breathing, exacerbations, vaccinations, work and environmental conditions, leisure, sexuality, daily activities, anxiety, and depression.</div></div><div><h3>Results</h3><div>A total of 102 patients completed the study, 50 in the intervention group and 52 in the control group. Differences between the intervention and control groups in quality of life, dyspnea, inhaler adherence, smoking, anxiety, and depression were not significant.</div></div><div><h3>Conclusion</h3><div>In patients with moderate–severe COPD, a structured self-management intervention in primary care is not more effective than standard care in improving quality of life, dyspnea, inhaler adherence, anxiety, and depression.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 2","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Results of the EDADES 2024 Survey: More Data for Concern Than for Satisfaction EDADES 2024调查结果：更多的数据令人担忧，而不是令人满意

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100435

M. Cristóbal-Fernández , C.A. Jimenez-Ruiz , J.I. de Granda-Orive

引用次数: 0

Pneumocystis jirovecii Pneumonia as an Unusual Presentation of De Novo Acute Myeloid Leukemia 乙型肺囊虫肺炎是新生急性髓性白血病的一种不寻常表现

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100428

Stephany Ivonne Briones Alvarado, Angelica María Quito Parra, Gabriella Manzanares Cavin, Manuel Mor Martínez, Rafael Gregorio Marulanda Melo

引用次数: 0

Current Evidence on the Usefulness of Potential Therapies in the Prevention of COPD Exacerbations: Beyond the Use of Bronchodilator Therapy and Inhaled Corticosteroids 目前关于预防COPD恶化的潜在疗法的有效性的证据：支气管扩张剂治疗和吸入皮质类固醇的使用之外

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100438

Juan Marco Figueira-Gonçalves , Francisco Javier Callejas-González , Rafael Golpe , Luis Máiz-Carro , Marta Marín-Oto , Javier de Miguel-Díez , Guillermo Samuel Loscertales-Vacas , José María Tordera-Mora , Álvaro Hurtado-Fuentes

{"title":"Current Evidence on the Usefulness of Potential Therapies in the Prevention of COPD Exacerbations: Beyond the Use of Bronchodilator Therapy and Inhaled Corticosteroids","authors":"Juan Marco Figueira-Gonçalves , Francisco Javier Callejas-González , Rafael Golpe , Luis Máiz-Carro , Marta Marín-Oto , Javier de Miguel-Díez , Guillermo Samuel Loscertales-Vacas , José María Tordera-Mora , Álvaro Hurtado-Fuentes","doi":"10.1016/j.opresp.2025.100438","DOIUrl":"10.1016/j.opresp.2025.100438","url":null,"abstract":"<div><div>Prevention of exacerbations is a key objective in chronic obstructive pulmonary disease (COPD) management. The adverse effects of an exacerbation include a negative impact on patient quality of life and symptoms, an accelerated rate of decline in lung function, hospital admissions, and increased mortality. Clinical guidelines related to COPD management recommend smoking cessation and inhaled therapy (bronchodilators with or without corticosteroids) as the mainstay for these patients. Apart from the above-mentioned treatment, other potential therapies, such as mucolytic agents, antibiotics (oral or inhaled), phosphodiesterase-4 inhibitors or vaccination, are available and have been shown to reduce the incidence of exacerbations. In this brief narrative review, we will examine the efficacy of various treatments for preventing COPD exacerbations, beyond the use of bronchodilator therapy and inhaled corticosteroids.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 2","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of the Respiratory Intermediate Care Unit in Interstitial Lung Disease Exacerbations: A Bridge to Lung Transplantation 呼吸中级监护病房在间质性肺疾病加重中的作用：通往肺移植的桥梁

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100432

Ainhoa Izquierdo Pérez , Silvia Aguado Ibáñez , Sonia Salinas Castillo , Gabriela Pombo Lacaba , Enrique Rodríguez Rubio , Rosalia Laporta Hernández , Beatriz Jara Chinarro , Carlos Almonacid Sánchez

{"title":"The Role of the Respiratory Intermediate Care Unit in Interstitial Lung Disease Exacerbations: A Bridge to Lung Transplantation","authors":"Ainhoa Izquierdo Pérez , Silvia Aguado Ibáñez , Sonia Salinas Castillo , Gabriela Pombo Lacaba , Enrique Rodríguez Rubio , Rosalia Laporta Hernández , Beatriz Jara Chinarro , Carlos Almonacid Sánchez","doi":"10.1016/j.opresp.2025.100432","DOIUrl":"10.1016/j.opresp.2025.100432","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to describe the clinical features, hospital management, and outcomes of patients with interstitial lung disease (ILD) and acute respiratory failure (ARF) admitted to the respiratory intermediate care units (RICUs).</div></div><div><h3>Material and methods</h3><div>An observational study was conducted on ILD patients admitted to the RICU between June 1, 2021, and May 30, 2024. Main variables analysed included demographics, non-invasive respiratory support (NIRS) types, ILD-related variables, lung transplant outcomes, and survival rates.</div></div><div><h3>Results</h3><div>Of the 401 patients admitted, 51 (13%) had ILD, of whom 34 (67%) were male. Idiopathic pulmonary fibrosis (IPF) was the most common condition (33%), and high-flow oxygen therapy (HFOT) was the primary treatment (94%). Infection (29%) and disease progression (36%) were the main hospitalization causes. Of the 27 patients (53%) evaluated for transplantation, 18 (36%) underwent a lung transplant, with 5 (28%) directly transplanted from the RICU and 55% (<em>N</em>  <!-->15) were added to the emergency-driven list. Overall survival rates for ICU-eligible patients were 89% at one month, 77% at six months, and 72% at one year, while non-ICU eligible had lower survival probabilities of 31%, 13%, and 13%, respectively.</div></div><div><h3>Conclusions</h3><div>The RICU should be considered a bridge therapy for patients who are ICU candidates and eligible for lung transplant during ILD exacerbations, potentially reducing ICU admissions. However, patients who are not ICU candidates face high short- and medium-term mortality risks. The significance of this study highlights the need to establish a specific RICU admission protocol for patients experiencing ILD exacerbations.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 2","pages":"Article 100432"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Whole Lung Lavage in a Patient With Lipoid Pneumonia 脂质性肺炎患者全肺灌洗成功1例

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100421

Marc Paredes , Mari Paz Fuset-Cabanes , Lara Pijuan , Roger Llatjós , Marta Diez-Ferrer , Belén Del Río , Sandra Orozco , Vanesa Vicens-Zygmunt

引用次数: 0

Pathologic Upstaging in Early-stage Non-small Cell Lung Cancer: Predictors and Clinical Impact of Sublobar Resection 早期非小细胞肺癌的病理分期：叶下切除术的预测因素和临床影响

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100434

Anna de Ribot , Anna Muñoz , Marina Paradela , Iván Macía , Francisco Rivas , Camilo Moreno , Ines Serratosa , Marta García , Tania Martos , Judith Marcé , Amaia Ojanguren , Carlos Déniz

引用次数: 0

Pleural Effusion Secondary to Multiple Myeloma: A Rare Presentation 多发性骨髓瘤继发胸腔积液：一种罕见的表现

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100422

Fernando García Prieto , Beatriz Raboso Moreno , Ramiro Antonio Torrado Carrión , María Teresa Río Ramírez

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Nodular Pulmonary Amyloidosis: An Unusual Presentation of Multiple Pulmonary Nodules 结节性肺淀粉样变：多发性肺结节的一种不寻常的表现

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100429

Mireia Rusca Giménez , Steffi Verónica Vidal Aguirre , Juan Gómez Tabales

引用次数: 0

Las unidades de cuidados respiratorios intermedios en Cataluña. Situación tras la pandemia 加泰罗尼亚的中级呼吸护理单位。大流行后的形势

Open Respiratory Archives Pub Date : 2025-04-01 DOI: 10.1016/j.opresp.2025.100430

Ana Córdoba Izquierdo , Ana Balañá Corberó , Manuel Luján Torné , Carmen Monasterio Ponsa

引用次数: 0