Exacerbations
Contents
Definition and Symptoms
Definition of COPD Exacerbations
Exacerbations May Be Defined by Symptoms or Healthcare Utilisation
Symptoms and Diagnosis of COPD Exacerbations
Differential Diagnosis of COPD Exacerbations
Burden of Unreported Exacerbations
Epidemiology and Impact
Factors Associated With Increased Risk for Exacerbations
Elevated Exacerbation Risk Associated With Cough and Sputum Production
Early Chronic Bronchitis Symptoms Are Predictive of Mortality
Risk Factors for Frequent Exacerbations
Effects of Frequent Exacerbation on Pulmonary Function
Frequent Exacerbations Are Associated With Reduced Quality of Life
Chronic Phlegm Production Increases Risk for Exacerbations in Severe Early-Onset COPD
Epidemiology of Exacerbations: Frequency Increases With Declining FEV1
The Body Mass Index, Obstruction, Dyspnoea, Exercise Capacity (BODE) Index Predicts Exacerbation Frequency
Impact of Exacerbations in COPD
Pulmonary Function May Recover Slowly After an Exacerbation
More Rapid Decline in FEV1 With Higher Exacerbation Frequency
Mortality Following Emergency Department Visit for COPD Exacerbation
Exacerbation Frequency and Severity Both Increase Mortality Risk
ECLIPSE: Factors Associated With Increased Exacerbation Frequency
Patients' Perceptions of Exacerbations
Effect of Exacerbations on Time Spent Outdoors
Cost of Treatment for an Acute Exacerbation of COPD
Exacerbations Are the Main Cost Driver in COPD
Patterns of Recovery From Exacerbations
Pathophysiology and Aetiology
Pulmonary and Systemic Inflammation in Exacerbations
Potential Causes of Exacerbations
Pathogens
Relationship Between FEV1 and Aetiology of Exacerbations
Incidence of Virus Detection With PCR in Adult Populations
High Presence of RSV Is Associated With More Rapid Decline in FEV1
Aetiology of Exacerbations for Different COPD Stages
Bacterial Load and Inflammation in Stable COPD
Characterisation of Exacerbations
Bacteria in Exacerbations Associated With Increased Inflammation - Purulent Versus Mucoid Sputum
Recovery From Exacerbations: Viral Versus Non-viral
Combined Viral and Bacterial Infection: Increased Impact on Pulmonary Function and Symptom Severity
Inflammation Before and During Exacerbations
Serum Inflammatory Mediators Elevated in Acute Exacerbations
Inflammation at Exacerbations With Purulent Versus Mucoid Sputum
CRP Elevations During Exacerbations in Patients With Mucoid and Purulent Sputum
Inflammatory Markers Are Elevated Prior to Exacerbations
Bronchial Neutrophils Are Increased During Exacerbations
Neutrophils Are Increased in Exacerbations Regardless of Aetiology
Bronchial Eosinophils Are Increased During Exacerbations
Elevation of Serum Markers for Systemic Inflammation in Exacerbations
Increased Inflammation During Exacerbations
Plasma Inflammatory Biomarkers Elevated During Exacerbations
MMP-9 Is Elevated During Exacerbations
Pulmonary Inflammation Is Correlated With Decreased Pulmonary Function in Acute Exacerbations
Systemic Inflammation Is Correlated With Decreased Pulmonary Function in Acute Exacerbations
Preventing Exacerbations
Influenza Vaccination: Risk for Any Exacerbation
Pneumococcal Vaccination
Salmeterol and Ipratropium Decrease Risk for Exacerbations
Tiotropium Decreases Frequency of Exacerbations
ICS Decreases Exacerbation Rate
TORCH: Lower Exacerbation Rate With LABA Plus ICS
UPLIFT Study - Effects on Exacerbations
Roflumilast Significantly Reduced Exacerbations When Added to LABA
Antibiotic Administration for Prophylaxis Against Exacerbations
Indacaterol: Effects on Exacerbation Frequency
Effects of Pulmonary Rehabilitation after Hospital Admission for an Exacerbation
Pulmonary Rehabilitation
Treating Exacerbations
Use of Short-acting Bronchodilators in the Treatment of Exacerbations
Use of Supplemental Oxygen in the Treatment of Exacerbations
Indications for Considerations of Hospital Management of Exacerbations
Indications for Possible Intensive Care Unit Admission for Exacerbations
Meta-analysis of Efficacy: Systemic Corticosteroids and Risk of Treatment Failure
Oral Corticosteroids for Treatment of Exacerbations
Meta-analysis of Efficacy: Antibiotic Therapy and Risk of Treatment Failure
Outcomes With Antibiotic Therapy in Patients Hospitalised With Exacerbations: Retrospective Cohort Study
Antibiotic Treatment Decreases Mortality in COPD Patients Mechanically Ventilated for Exacerbation
Meta-analysis of Efficacy: Antibiotic Therapy and Risk for Treatment Failure
Meta-analysis of Efficacy: Antibiotic Therapy and Risk of Mortality
Noninvasive Mechanical Ventilation (NIV)
Meta-analysis of Efficacy: NIV
Meta-analysis of Efficacy: NIV
Oral Corticosteroids: Effect on FEV1 in Patients With Exacerbations
Indications for Invasive Mechanical Ventilation