Impact of Acute Exacerbations on the Natural History of Chronic Obstructive Pulmonary Disease

2005 ◽  
Vol 12 (Supplement) ◽  
pp. S16-S18 ◽  
Author(s):  
Sanjay Sethi ◽  
Douglas B. Schwartz
2017 ◽  
Vol 11 (2) ◽  
Author(s):  
Domenico Lorenzo Urso

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. Acute exacerbations of COPD (AECOPD) are important events in the natural history of this condition because they negatively impact health status, rate of hospitalization, disease progression, and mortality.Viral and/or bacterial infections are the main cause of exacerbations. The treatments include systemic corticosteroids, bronchodilators, anticholinergics and/or short- or long-acting β2-agonists, and antibiotics in case of bacterial infections. In some cases, oxygen-therapy is indicated.This article focuses on several aspects of AECOPD, including epidemiology, diagnostic approach, i.e. investigations and management of AECOPD.


2017 ◽  
Vol 3 (4) ◽  
pp. 00117-2017 ◽  
Author(s):  
Alvar Agustí ◽  
Bartolomé Celli

Understanding the natural history of a disease is as important as knowing its cause(s) for effective disease prevention and treatment. Yet, our current understanding of the natural history of chronic obstructive pulmonary disease (COPD) is incomplete and often controversial. This article discusses the current gaps, and hence opportunities for research, in this field. In particular, it discusses the following six specific questions. 1) Is COPD a “single” disease? 2) Is COPD “only” a lung disease? 3) When does COPD begin or what is “early” COPD? 4) How does COPD “progress”? 5) How do we assess disease “severity”? 6) Can COPD be prevented (beyond smoking cessation) or its course be modified once detected?


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