Protocolo diagnóstico y terapéutico de la agudización de la enfermedad pulmonar obstructiva crónica

  1. Quiroga, L. Bravo
  2. Falcone, A.
  3. Elices, E. Gasset
  4. Segovia, J. Flores
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2022

Título del ejemplar: Patología respiratoria (III): Enfermedad pulmonar obstructiva

Serie: 13

Número: 65

Páginas: 3853-3857

Tipo: Artículo

DOI: 10.1016/J.MED.2022.10.006 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Flare-ups/exacerbations of chronic obstructive pulmonary disease (COPD) are defined as a sudden worsening of respiratory symptoms that require a change in habitual treatment. Exacerbations have a negative impact on patients’ quality of life, accelerate disease progression, and increase risk of death. It is essential to confirm the diagnosis of a COPD exacerbation, ruling out diseases that progress with similar symptoms; evaluate the severity of the flare-up; and decide what the most suitable treatment is. The following protocol shows how to diagnose COPD exacerbations and the differential diagnosis, which additional tests should be performed, and the most suitable treatment according to published guidelines.

Referencias bibliográficas

  • Erro Iribarren M, Alonso Pérez T, Soriano JB, Ancochea Bermúdez J. Adjusting the Level of Intervention in Patients with Chronic Obstructive Pulmonary Disease According to the Risk Stratification Proposed by the Spanish COPD Guidelines (GesEPOC) Version 2017. Arch Bronconeumol (Engl Ed). 2020;56(3):183-5.
  • McCrory DC, Brown C, Gelfand SE, Bach PB. Management of acute exacerbations of COPD: a summary and appraisal of published evidence. Chest. 2001;119:1190-209.
  • Pisani L, Astuto M, Prediletto I, Longhini F. High flow through nasal cannula in exacerbated COPD patients: a systematic review. Pulmonology. 2019;25(6):348-54
  • Saleh A, López-Campos JL, Hartl S, Pozo-Rodríguez F, Roberts CM. The Effect of Incidental Consolidation on Management and Outcomes in COPD Exacerbations: Data from the European COPD Audit. PLoS One. 2015;10(7):e0134004.
  • Soler-Cataluña JJ, Piñera P, Trigueros JA, Calle M, Casanova C, Cosío BG. Spanish COPD Guidelines (GesEPOC) 2021 Update Diagnosis and Treatment af COPD Exacerbation Syndrome. 2022;58(2):159-70.
  • Vollenweider DJ, Frei A, Steurer-Stey CA, Garcia-Aymerich J, Puhan MA. Antibiotics for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2018;10(10):CD010257.
Fuente de los datos: Dialnet