Pain among Individuals with Chronic Respiratory Diseases Attending Pulmonary Rehabilitation

2021 ◽  
pp. e20200015
Author(s):  
Lok Sze Katrina Li ◽  
Stacey J. Butler ◽  
Lauren Ellerton ◽  
Roger S. Goldstein ◽  
Dina Brooks
Keyword(s):  
Respiratory Disease ◽  
Medical Records ◽  
Pulmonary Rehabilitation ◽  
Lung Diseases ◽  
Respiratory Diseases ◽  
Negative Impact ◽  
Chronic Respiratory Disease ◽  
Completion Rate ◽  
Chronic Respiratory Diseases ◽  
Prevalence Of Pain

Purpose: This study reports on the prevalence and impact of pain in individuals with different chronic respiratory diseases attending pulmonary rehabilitation (PR). Method: A retrospective review of medical records data was conducted for 488 participants who had attended a PR programme over a 2-year period. Data on pain and medication history taken from multidisciplinary medical records, together with participant demographics and PR outcomes, were extracted. We compared pain among participants with different types of chronic respiratory disease. Results: The overall prevalence of pain was 77%, with a significantly higher prevalence among individuals with obstructive lung diseases (80%) compared with restrictive lung diseases (69%; p = 0.04). Some participants (17%) who took pain medications did not discuss pain with their clinicians. The presence of pain and different reporting of pain did not have a negative impact on the PR programme completion rate ( p = 0.74), improvements in exercise capacity ( p = 0.51), or health-related quality of life (all four chronic respiratory disease questionnaire domains, p > 0.05). Conclusions: The prevalence of pain is high among individuals with chronic respiratory disease attending PR. The presence or absence of pain was not negatively associated with the programme completion rate or PR outcomes; therefore, pain should not deter clinicians from referring patients to PR.

scholarly journals Increased Mortality of Respiratory Diseases, Including Lung Cancer, in the Area with Large Amount of Ashfall from Mount Sakurajima Volcano

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Kenta Higuchi ◽  
Chihaya Koriyama ◽  
Suminori Akiba
Keyword(s):  
Lung Cancer ◽  
Respiratory Disease ◽  
Respiratory Diseases ◽  
Volcanic Ash ◽  
Chronic Respiratory Disease ◽  
Chronic Respiratory Diseases ◽  
Disease Mortality ◽  
The World ◽  
Acute Respiratory Diseases ◽  
Standardized Mortality Ratios

Objectives. Mount Sakurajima in Japan is one of the most active volcanoes in the world. This work was conducted to examine the effect of volcanic ash on the chronic respiratory disease mortality in the vicinity of Mt. Sakurajima.Methods. The present work examined the standardized mortality ratios (SMRs) of respiratory diseases during the period 1968–2002 in Sakurajima town and Tarumizu city, where ashfall from the volcano recorded more than 10.000 g/m2/yr on average in the 1980s.Results. The SMR of lung cancer in the Sakurajima-Tarumizu area was 1.61 (95% CI = 1.44–1.78) for men and 1.67 (95% CI = 1.39–1.95) for women while it was nearly equal to one in Kanoya city, which neighbors Tarumizu city but located at the further position from Mt. Sakurajima, and therefore has much smaller amounts of ashfall. Sakurajima-Tarumizu area had elevated SMRs for COPDs and acute respiratory diseases while Kanoya did not.Conclusions. Cristobalite is the most likely cause of the increased deaths from those chronic respiratory diseases since smoking is unlikely to explain the increased mortality of respiratory diseases among women since the proportion of smokers in Japanese women is less than 20%, and SPM levels in the Sakurajima-Tarumizu area were not high. Further studies seem warranted.

scholarly journals Advance care planning for patients with chronic respiratory diseases: a systematic review of preferences and practices

Thorax ◽  
2017 ◽  
Vol 73 (3) ◽  
pp. 222-230 ◽  
Author(s):  
Lea J Jabbarian ◽  
Marieke Zwakman ◽  
Agnes van der Heide ◽  
Marijke C Kars ◽  
Daisy J A Janssen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Respiratory Disease ◽  
Respiratory Diseases ◽  
Complex Disease ◽  
Trigger Points ◽  
Chronic Respiratory Disease ◽  
Care Planning ◽  
Disease Course ◽  
Chronic Respiratory Diseases ◽  
Advance Care

BackgroundAdvance care planning (ACP) supports patients in identifying and documenting their preferences and timely discussing them with their relatives and healthcare professionals (HCPs). Since the British Thoracic Society encourages ACP in chronic respiratory disease, the objective was to systematically review ACP practice in chronic respiratory disease, attitudes of patients and HCPs and barriers and facilitators related to engagement in ACP.MethodsWe systematically searched 12 electronic databases for empirical studies on ACP in adults with chronic respiratory diseases. Identified studies underwent full review and data extraction.ResultsOf 2509 studies, 21 were eligible: 10 were quantitative studies. Although a majority of patients was interested in engaging in ACP, ACP was rarely carried out. Many HCPs acknowledged the importance of ACP but were hesitant to initiate it. Barriers to engagement in ACP were the complex disease course of patients with chronic respiratory diseases, HCPs’ concern of taking away patients’ hopes and lack of continuity of care. The identification of trigger points and training of HCPs on how to communicate sensitive topics were identified as facilitators to engagement in ACP.ConclusionsIn conclusion, ACP is surprisingly uncommon in chronic respiratory disease, possibly due to the complex disease course of chronic respiratory diseases and ambivalence of both patients and HCPs to engage in ACP. Providing patients with information about their disease can help meeting their needs. Additionally, support of HCPs through identification of trigger points, training and system-related changes can facilitate engagement in ACP.Systematic review registration numberCRD42016039787.

scholarly journals Pulmonary Rehabilitation - PR

2018 ◽  
Vol 2 (1) ◽  
pp. 61-66
Author(s):  
Dh Argjiri ◽  
S Bala ◽  
F. Gradica ◽  
A Mezini ◽  
L. Agolli ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Medical Treatment ◽  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Respiratory Muscles ◽  
Chronic Respiratory Disease ◽  
Chronic Respiratory Diseases ◽  
Psychological Dysfunction ◽  
Skeletal Disorders ◽  
Standard Medical Treatment

Chronic respiratory diseases are associated with severe, not only pulmonary, but also systemic damage such as dysfunction of peripheral muscles, dysfunction of respiratory muscles, nutritional disorders, cardiac injuries, skeletal disorders, sensory debilities, and psychological dysfunction. Mechanisms of these injuries are many and different. Pulmonary recovery (PR) is an integral part of clinical therapy in patients with chronic respiratory disease who continue to be symptomatic or continue to have pulmonary function depression, regardless of standard medical treatment.  

scholarly journals Hospitalisation for COPD in Puglia: the role of hospital discharge database to estimate prevalence and incidence

2016 ◽  
Vol 70 (3) ◽  
Author(s):  
P. Trerotoli ◽  
N. Bartolomeo ◽  
A.M. Moretti
Keyword(s):  
Disease Management ◽  
Hospital Discharge ◽  
Respiratory Diseases ◽  
Hospital Admissions ◽  
Diagnostic Procedures ◽  
Chronic Respiratory Disease ◽  
Chronic Obstructive ◽  
Chronic Respiratory Diseases ◽  
Hospital Discharge Database ◽  
Discharge Database

Background and aim. Chronic Obstructive Pulmonary Disease (COPD), although largely preventable, is a great health burden in all the countries worldwide. Statistics of morbidity and mortality of COPD show the need for correct management of the disease. Chronic Obstructive Respiratory Diseases (DRG 88) are in 9th place for discharge in in-patient hospital admission. It is necessary to establish specific indicators which are efficacious and relevant for the patient, the doctor and the health manager. This study will analyse the information in respect of hospital admissions (Hospital discharge database) in Puglia for the period 2000-2005. Methods. The analysis was carried out utilising the Puglia Region hospital patient discharge database, selecting those patients with admission for chronic respiratory disease as principal or secondary diagnosis. Results. Chronic respiratory diseases are more frequent in males and in people over 45 years old with frequency increasing with age. Geographical distribution shows that there are greater rates of hospitalisation in big cities and in the neighbourhood of industrial areas. Although the trend over time is slight. A higher percentage of re-admission has been found for patients with COPD, and the interval between the two admissions occurs within one or two months; the diagnosis at the second admission is the same as for the first. 10.6% of discharge forms report one diagnosis, especially in patients older than 65 years of age. Little could be said about diagnostic procedures because these are not reported on the discharge form. Conclusion. Hospitalisation data confirms expectations regarding age and sex of patients. The high hospitalisation rates indicate that in-patients care still remains the only viable treatment for COPD and other chronic respiratory diseases. The high number of exacerbations reflect the absence of out-patients service or community care, and the same diagnosis in more than one episode shows the lack of efficiency of health services and disease management. This data is necessary to understand disease distribution and the modification of disease management in order to reduce health care costs, to increase efficacy in disease control and to limit repeated exacerbation and so to obtain the maximum benefit for the patients.

Pulmonary Rehabilitation in Children with Chronic Respiratory Diseases

2020 ◽  
pp. 661-668
Author(s):  
Rodrigo Torres Castro ◽  
Homero Puppo Gallardo ◽  
Daniel Zenteno Araos
Keyword(s):  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Chronic Respiratory Diseases

scholarly journals The ABCs of Rhinoviruses, Wheezing, and Asthma

2010 ◽  
Vol 84 (15) ◽  
pp. 7418-7426 ◽  
Author(s):  
James E. Gern
Keyword(s):  
Respiratory Diseases ◽  
Chronic Obstructive Lung Disease ◽  
Allergic Diseases ◽  
Chronic Respiratory Disease ◽  
Chronic Obstructive ◽  
Respiratory Illnesses ◽  
Chronic Respiratory Diseases ◽  
Acute Exacerbations ◽  
Close Relationship ◽  
Viral Diagnostics

ABSTRACT Human rhinoviruses (HRVs) were discovered as common cold pathogens over 50 years ago. Recent advances in molecular viral diagnostics have led to an appreciation of their role in more-significant respiratory illnesses, including bronchiolitis in infancy, childhood pneumonia, and acute exacerbations of chronic respiratory diseases such as asthma, chronic obstructive lung disease, and cystic fibrosis. Until a few years ago, only two groups of HRVs (A and B) had been recognized. However, full and partial sequencing of HRVs led to the discovery of a third species of HRV (HRV-C) that has distinct structural and biologic features. Risk factors and pathogenic mechanisms for more-severe HRV infections are being defined, and yet fundamental questions persist about mechanisms relating this common pathogen to allergic diseases and asthma. The close relationship between HRV infections and asthma suggests that antiviral treatments could have a major impact on the morbidity associated with this chronic respiratory disease.

scholarly journals “Honestly, this problem has affected me a lot”: A qualitative exploration of the socioeconomic impacts of chronic respiratory disease among people and their communities in Sudan and Tanzania

2021 ◽  
Author(s):  
Uzochukwu Egere ◽  
Elizabeth H Shayo ◽  
Martha Chinouya ◽  
Miriam Taegtmeyer ◽  
Jane Ardery ◽  
...  
Keyword(s):  
Chronic Cough ◽  
Respiratory Diseases ◽  
Negative Impact ◽  
Economic Impacts ◽  
Sub Saharan Africa ◽  
Physical Work ◽  
Socioeconomic Impact ◽  
Framework Analysis ◽  
Chronic Respiratory Diseases ◽  
Sub Saharan

Abstract BackgroundOver 500 million people live with chronic respiratory diseases globally and approximately 4 million of these, mostly from the low- and middle-income countries including sub-Saharan Africa, die prematurely every year. Despite high CRD morbidity and mortality, little is known about the socioeconomic impact of CRDs in sub-Saharan Africa. We aimed to gain an in-depth understanding of the socioeconomic impact of CRDs among people with CRD to inform management of CRDs in Sudan and Tanzania. MethodWe conducted in-depth interviews with people with known or suspected CRD and focus group discussions with members of the community in Gezira state, Sudan and Dodoma region, Tanzania, to share their understanding and experience with CRD. The data was analyzed using thematic framework analysis. ResultsPeople with CRD in both contexts reported a significantly diminished capacity to do hard physical work, resulting in both direct and indirect economic impacts for them and their families. Direct costs were incurred while seeking healthcare, including expenditures on transportation to the health facility and procurement of diagnostic tests and treatments, whilst loss of working hours and jobs resulted in substantial indirect costs. Enacted and internalized stigma leading to withdrawal and social exclusion was described by participants and resulted in part from association of chronic cough with tuberculosis and HIV/AIDS. In Sudan, asthma was described as having a negative impact on marital prospects for young women and non-disclosure related to stigma was a particular issue for young people. Impaired community participation and restrictions on social activity led to psychological stress for both people with CRD and their families. ConclusionChronic respiratory diseases have substantial social and economic impacts among people with CRD and their families in Sudan and Tanzania. Stigma is particularly strong and appears to be driven in part by association of chronic cough with infectiousness. Context-appropriate measures to address economic impacts and chronic cough stigma are urgently needed as part of interventions to address chronic respiratory diseases in these sub-Saharan African contexts.

scholarly journals The Main Clinical Indicators of Sarcopenia in Patients with Chronic Respiratory Disease: Skeletal Muscle Dysfunction Approach

2020 ◽  
Author(s):  
Esmaeil Alibakhshi ◽  
Raffaele Fiorillo ◽  
Luis Lores Obradors ◽  
Ana María Sánchez-Laforga ◽  
Amparo Villar Cánovas ◽  
...  
Keyword(s):  
Respiratory Diseases ◽  
Rectus Femoris ◽  
Chronic Respiratory Disease ◽  
Pearson’S Correlation ◽  
Clinical Indicators ◽  
Chronic Respiratory Diseases ◽  
Femur Bone ◽  
Pearson's Correlation ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Patients with chronic respiratory diseases (CRDs) have a disorder in muscle structure and function, but their function increases with physical progress and decreases the risk of general, and muscular weakness are more likely to develop sarcopenia. We randomly selected patients (N = 38) with mean age of 72 ± 1.0 years old men and women elderly with chronic respiratory diseases such as asthma, COPD, bronchiectasis and obesity with dyspnea score ≥ 2 in MRC index. All patients after receiving research information and signing informed consent have gone through performing clinical assessments. They performed femur bone mineral density (FBMD) and ultrasound on the rectus femoris muscle mid-tight cross-sectional area (RFMTCSA) in the quadriceps muscle. The significant changes in BMI were seen in all patients, pre-rehabilitation, BMI = 30 ± 1.06 kg/m2 and post-rehabilitation, BMI = 29 ± 1.00 kg/m2. In Pearson’s correlation of r = 0.607 between T-score and Z-score in FBMD and RFMTCSA in pre-rehabilitation, there is a little bit significant correlation between the variables than in the Pearson’s correlation of r = 0.910 in post-rehabilitation, P < 0.00. Comparing femur bone and rectus femoris muscle parameters as indicators for diagnosis of sarcopenia in chronic respiratory patients, we observed that in rectus femoris muscle, ultrasound is the most effective foot muscle detector.

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