General practice and primary care最新文献_第7页

Involving patients in developing, refining and testing an implementation strategy to promote asthma self-management using the National Standards for Public Involvement 让患者参与制定、完善和测试一项实施战略，利用公众参与国家标准促进哮喘自我管理

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa4007

T. Jackson, Elisabeth Ehrlich, K. McClatchey, Susan L. Morrow, Stephanie J. C. Taylor, H. Pinnock

引用次数: 1

Gender aspect of comorbidities in COPD patients in primary care 初级保健中COPD患者合并症的性别方面

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa5019

K. Klester, E. Klester, V. Elykomov, A. Zharikov, Galina Ermachkova, M. Nikolaeva, E. Mukhtarova

{"title":"Gender aspect of comorbidities in COPD patients in primary care","authors":"K. Klester, E. Klester, V. Elykomov, A. Zharikov, Galina Ermachkova, M. Nikolaeva, E. Mukhtarova","doi":"10.1183/13993003.congress-2019.pa5019","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa5019","url":null,"abstract":"Introduction: a problem of multi-morbidity - the increase in the multiplicity of diseases with age, which reflects, first of all, involutional processes and comorbidity - the deterministic possibility of their combination, is particularly difficult. Objective: to study gender characteristics of comorbid conditions and determine the degree of their influence on mortality in COPD. Materials and Methods: conducted a 6-year clinical observations in COPD p-s (n = 518; 389 were males, mean age - 66,2 ±13,9 years). The Carlson Comorbidity Index (CCI; 1987), the geriatric Cumulative Illness Rating Scale (CIRS-G), Barthel Index (BI) were evaluated. Results: CCI was in group A - 3,2 ± 1,1; in B - 3,8 ± 0,9; in C - 4,6 ± 1,0; in D - 3,9 ± 0,8 (all p 4 scores (odds ratio [OR] 4.92; 95% confidence interval [CI], 3.89-6.34; p Conclusion: Associated pathology forms a syndrome of mutual aggravation, which leads to an increased risk of death in the assessment by CCI with mandatory consideration of gender differences, which should be taken into account in the development of treatment plans for COPD patients.","PeriodicalId":432006,"journal":{"name":"General practice and primary care","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128914926","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

Triple Therapy Pathways: A Multi-Country, Retrospective Observational Study in Chronic Obstructive Pulmonary Disease (COPD) 三联疗法途径:慢性阻塞性肺疾病(COPD)的多国回顾性观察研究

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5153

J. Quint, C. O'Leary, A. Venerus, M. Myland, Nicholas Hudson, U. Holmgren, P. Varghese, H. Richter, G. Bizouard, C. Cabrera

{"title":"Triple Therapy Pathways: A Multi-Country, Retrospective Observational Study in Chronic Obstructive Pulmonary Disease (COPD)","authors":"J. Quint, C. O'Leary, A. Venerus, M. Myland, Nicholas Hudson, U. Holmgren, P. Varghese, H. Richter, G. Bizouard, C. Cabrera","doi":"10.1183/13993003.congress-2019.oa5153","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.oa5153","url":null,"abstract":"Background: Maintenance treatment in COPD recommends triple therapy (TT), often following use of mono-or dual-therapy. We explored how pathways to TT vary across countries. Aims and Objectives: We investigated the proportion of patients on TT relative to the timing of their COPD diagnosis and the treatment pathway to TT including the time from diagnosis to initiation of TT and adherence. Methods: A retrospective cohort study was performed using anonymised patient-level data from UK, France, Germany, Italy, and Australia from 01/01/2005 to 01/05/2016. Patients were included if their first TT regimen was recorded during this period and they had ≥12 months data pre-index (COPD diagnosis). The proportion of patients on TT before COPD diagnosis was also determined. Treatment pathways and time to TT initiation following index were evaluated. Adherence to TT was estimated using proportion of days covered. Results: Overall 130,729 eligible patients were included. Mean age at diagnosis ranged from 63.4 (SD:10.4) years [pneumologist-treated in Germany] to 69.8 (9.9) years [Italy]. Time to TT ranged from median 16.9 months in Australia (IQR: 5.7 – 36.2) to 42.5 months in the UK (IQR: 13.9 -87.4). TT initiated first formed the largest treatment pathway (7.5% in UK to 17.1% in France). In meta-analyses of patients across all countries, 20.4% (95% CI: 13.8-29.1%) of patients initiated TT prior to COPD diagnosis. Estimated adherence was >80% in all countries during the time the patient was persistent with TT. Conclusions: Diverse patient pathways to TT were observed both between and within countries, many of which do not align with COPD treatment recommendations.","PeriodicalId":432006,"journal":{"name":"General practice and primary care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128975080","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

Correlation between COPD assessment test (CAT) and mMRC dyspnea scale in evaluationg COPD symptoms COPD评估试验(CAT)与mMRC呼吸困难量表评价COPD症状的相关性

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa703

F. Abdallah, I. Bachouch, N. Belloumi, S. Fenniche

引用次数: 0

Efficacy of the association of inspiratory muscle training with whole body vibration on respiratory muscle strength, functionality, balance and physical performance in pre-frail older women: a randomized double-blind clinical trial 吸气肌训练与全身振动对体弱多病老年妇女呼吸肌力量、功能、平衡和体能表现的影响:一项随机双盲临床试验

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa724

H. Souza, M. Pessoa, Rafaela Clemente, A. Silva, Erika Andrade, C. Reinaux, Luciana Alcoforado, Juliana Fernandes Barbosa, P. Moura, A. Andrade

引用次数: 0

Suboptimal asthma control among over-the-counter reliever purchasers in the community pharmacy 社区药房非处方药购买者的次优哮喘控制

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa709

Elizabeth Azzi, M. Peters, V. Kritikos, D. Price, Pamela Srour, B. Cvetkovski, S. Bosnic-Anticevich

引用次数: 0

Management of community-acquired pneumonia in primary care: an observational study 社区获得性肺炎在初级保健中的管理:一项观察性研究

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa723

N. Launders, D. Ryan, C. Winchester, D. Skinner, Priyanka Raju Konduru, D. Price

引用次数: 0

Bronchodilator reversibility among patients with asthma presenting to tertiary care hospitals in Trivandrum, India 印度特里凡得琅三级医院哮喘患者的支气管扩张剂可逆性

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa715

S. Nair, P. Arjun

{"title":"Bronchodilator reversibility among patients with asthma presenting to tertiary care hospitals in Trivandrum, India","authors":"S. Nair, P. Arjun","doi":"10.1183/13993003.congress-2019.pa715","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa715","url":null,"abstract":"Introduction: Demonstration of post-bronchodilator reversibility is considered as an important tool for the diagnosis of Asthma, however this is not demonstrable in all patients. Aims and Objectives: To determine the proportion of patients with Asthma presenting to tertiary care hospital in Trivandrum, South India who show post-bronchodilator reversibility on spirometry and to determine the factors associated with reversibility Methods: Consecutive patients with clinician diagnosed asthma (by a senior pulmonologist, based on GINA guidelines) underwent spirometry as part of their diagnostic work-up at the time of their presentation in two tertiary care hospitals. Pre- and post bronchodilator spirometry were done by an expert technician. Reversibility was defined as increase in FEV1 by 200ml and 12% Results: 200 consecutive patients with Asthma were recruited. Mean age of the patients was 41.5 years (SD - 18.2). 59.5% of the patients were femaies. The proportion of patients with reversibility was 47% (95%CI-40%,54%). The factors associated with reversibility were low age( 0.05). Conclusion: While developing local guidelines for diagnosis of Asthma, the fact that reversibility can be demonstrated only less than 50% of patients must be considered, otherwise a significant proportion of cases with Asthma may be missed or misdiagnosed as COPD.","PeriodicalId":432006,"journal":{"name":"General practice and primary care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128445837","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

Health Care Expenses for COPD with Late Do-Not-Resuscitate (DNR) Decisions Escalate Nearly 2-Fold in Final Admission of Life 慢性阻塞性肺病晚期不复苏(DNR)决定的医疗费用在最终入院时上升近2倍

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa732

Pin-Kuei Fu

引用次数: 0

Implementation of simplified method for SAHS diagnosis in primary care 初级保健中SAHS简易诊断方法的实施

General practice and primary care Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa4001

C. Muñoz-Pindado, V. Arribas-Peña, E. Muñoz-Herrera, S. Sánchez-Belmonte, B. Mateu-Carralero, A. Darnés-Surroca, M. Callís-Privat, I. Casademunt-Codina, F. Ruiz-Mori, N. Roger-Casals

引用次数: 0